340B Program Medical Billing – Modifiers to use for Drugs Purchased Outside of Program

Date: 07/07/23

In April, Arkansas Medicaid implemented a change that mandated the use of 340B modifiers (JG or TB) for all 340B eligible non-pharmacy claim lines. If you participate in the 340B program, please be aware that you may use the following modifiers for drugs that are not purchased through the program.

Modifier U7 = Orphan Drugs
Modifier U7 UA = Other physician-administered drugs

If you have questions about this program, or about the information in this email, please reach out to our Provider Relations team at Providers@ArkansasTotalCare.com. Thank you for everything you do to help Arkansas live better.