Pharmacy providers must submit one compound claim when the drugs are of the same active ingredient, from the same drug manufacturer, and are the same drug formulation, intended for use with each dose. The multi-ingredient compound claim should contain one line item per NDC. Refer to the multi-ingredient compounds section for claim submission requirements.
CSHCN Services Program
Products are covered and used in the treatment of hemophilia. Claims are processed and paid by TMHP.