Drug coverage, coding, and reimbursement varies significantly by payer, plan, and setting of care. As a result, it is important to understand the differences between the major payers and coding systems. This section provides background information about the major payers and coding systems, as well as educates you about the drug coverage, coding, and reimbursement environment for each payer type.

GlaxoSmithKline does not guarantee or provide any explicit or implicit warranty of coverage, coding, or reimbursement.

Payers

• Medicare
• Medicaid
• Private insurers
• Medicare Supplemental Plans (i.e., "Medi-Gap")
• AIDS Drugs Assistance Programs
• State Children's Health Insurance Program
• State Pharmaceutical Assistance Programs
• TRICARE
• Veterans Health Administration

Coding

• HCPCS Codes for GSK Products
• ICD-9-CM - International Classification of Diseases - 9th Revision - Clinical Modification
• CPT® - Current Procedural Terminology
• HCPCS - Healthcare Common Procedure Coding System