FYI to oncologists- I was at a conference recently where one of the speakers talked about a big federal enforcement push against oncologists who purchase chemotherapy drugs from outside the US [mainly Canada] and use them for their patients, billing Medicare or other payors as if the drugs had been purchased in the US. The speaker said the government takes the view this violates FDA regulations and probably Medicare billing law as well. According to the speaker, the feds are aggressively pursuing this issue whenever it is discovered.
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