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

Discussion

7% Saline Prescription and Medicare Part B payment quandry

MAC & Bronchiectasis | Last Active: Jul 25, 2023 | Replies (82)
Comment receiving replies
@bklynprof

Does Medicare cover PulmoSal (buffered 7% saline)? That is the only kind that my pulmonologist will prescribe because it is gentler on the lungs. I've been paying over $50 out of pocket because my pharmacy (independent, not part of a chain) told me that it is not covered by Medicare or my pharmacy plan, but I'm definitely going to show them what you posted.

Jump to this post

Replies to "Does Medicare cover PulmoSal (buffered 7% saline)? That is the only kind that my pulmonologist will..."
Sue, Volunteer Mentor | @sueinmn | Feb 6, 2023

The short answer is maybe. Part D prescriptions are very cut and dried - there is a formulary, and it is almost impossible to get them to deviate. Part B exceptions are a different - it is dependent on the request for deviation as written by your physician.
Sue

VIEW AND REPLY
irenea8 | @irenea8 | Feb 7, 2023

I use PulmoSal and my pharmacy charges around $25 a box by using some sort of coupon.

VIEW AND REPLY