---
kind: "section"
citation: "42 C.F.R. § 409.25"
title: "42"
number: "409.25"
heading: "Drugs, biologicals, supplies, appliances, and equipment."
url: "https://uscodex.org/cfr/42/409.25"
---

# §409.25. Drugs, biologicals, supplies, appliances, and equipment.

- (a) **Drugs and biologicals.** Except as specified in [paragraph (b)](#b) of this section, Medicare pays for drugs and biologicals as posthospital SNF care only if—
  - (1) They represent a cost to the facility;
  - (2) They are ordinarily furnished by the facility for the care and treatment of inpatients; and
  - (3) **They are furnished to an inpatient for use in the facility.**
- (b) **Exception.** Medicare pays for a limited supply of drugs for use outside the facility if it is medically necessary to facilitate the beneficiary's departure from the facility and required until he or she can obtain a continuing supply.
- (c) **Supplies, appliances, and equipment.** Except as specified in [paragraph (d)](#d) of this section, Medicare pays for supplies, appliances, and equipment as posthospital SNF care only if they are—
  - (1) Ordinarily furnished by the facility to inpatients; and
  - (2) **Furnished to inpatients for use in the facility.**
- (d) **Exception.** Medicare pays for items to be used after the individual leaves the facility if—
  - (1) The item is one that the beneficiary must continue to use after leaving, such as a leg brace; or
  - (2) The item is necessary to permit or facilitate the beneficiary's departure from the facility and is required until he or she can obtain a continuing supply, for example, sterile dressings.

## Notes

### Amendments

[63 FR 26307, May 12, 1998]

### Authority

Authority: 42 U.S.C. 1302 and 1395hh.

### Source

Source: 48 FR 12541, Mar. 25, 1983, unless otherwise noted.

### Amendments

[63 FR 26307, May 12, 1998]