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Since J3490 is an unclassified drug code, the payer has no way to identify the actual drug without the NDC

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Ultimately, states and plans may be able to work around this problem if they move to serve dual eligible beneficiaries through FIDE SNPs, which can create an integrated benefits determination process that adjudicates service requests against a single, unified list of benefits rather than separate lists of Medicare and Medicaid benefits

The effects are also faster-acting and more predictable.