← Return to 7% Saline Prescription and Medicare Part B payment quandry

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@ellen1944

After countless calls to both Medicare, BC/BS, and others, I've given up. I did file a complaint with Medicare and will, as suggested by another contributor, send a complaint to Iowa senator Charles Grassley. The last pharmacist I spoke with today had a direct number to a Medicare contact for pharmacists. Contrary to what I had been told by 3 Medicare reps, this pharmacist was told it was NOT covered under either of the diagnostic codes our pulmonologist used - the first for bronchiectasis; the second attempt for COPD. She didn't know how to file it with BC/BS. Buying it over the counter was $279/60 vials! Really? A GoodRx card was 10% of that cost, but I just want a consistent provider at a fair price. It appears that almost no pharmacy has it in stock anyway and most can't even currently get it from their distributors. Supply chain issue? I have emailed our pulmonologist about the possibility of making my own in small sterile bottles. After all, this is only sterilized salt water. Anyone else discussed taking a homemade saline approach with their pulmonologist? I know, I know. One must be careful what one puts in one's lungs, but there are countless known toxins out there that damage lungs etc., secondary smoke, radon, asbestos, air pollution.
Elle

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Replies to "After countless calls to both Medicare, BC/BS, and others, I've given up. I did file a..."

I live in Iowa. I get my 7% saline from my local Hy Vee Pharmacy. My Dr made some sort of prescription for it but I do not know the details of what he submitted. I do not have Part D and never knew this could be covered by Part B and so I have to pay for it but they use a coupon and it is only about $25 for a box of 60. So I have no idea why you should be charged $279! That is crazy expensive. So far there has been no shortage but hopefully will not be when I reorder it.