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

Discussion
Comment receiving replies
@larrydunn

I have struggled with MAC and bronchiectasis on and off for over 25 years, and have gone through 2 extended cycles of the 3-drug protocol. Slightly different each time. I'm not sure I am completely MAC-bacteria free now, but I have been without the worst of the symptoms for a few years now. My pulmonologist has me on a twice per day nebulizer protocol of Albuterol and 7% saline. When this started several years ago, Medicare Part B (not Part D drug coverage) was covering the Albuterol and 7% saline with small copays. A couple of years ago they started refusing to cover the 7% saline, saying it was not a Medicare-approved treatment. My pulmonologist and several pharmacists have appealed to Medicare that this is a standard treatment for bronchiectasis, but were not able to convince them it should be covered. I have been getting one-month supply of the 7% saline (4 ml x 60 vials) at Walgreens for $10.28 using a GoodRX coupon. But just this week, Walgreens, and CVS, have told me the 7% saline 4 ml x 60 vials is "on backorder" and no availability date is given. I am at wits end about this. I just learned about availability via Amazon, though that is 50 packets for about $35, a huge increase. Any suggestions where to turn appreciated. (FYI: I am a 74 y.o. male). Thanks for listening.

Jump to this post


Replies to "I have struggled with MAC and bronchiectasis on and off for over 25 years, and have..."

It will cost about the same as Amazon at the link I sent you privately. I think it is as I remember $32 plus shipping and you have to order 3 months worth to get the cheap shipping of $12...so the cost for 3% is about $36.00. (that is 60 vials) or #32. plus 12 if you only order 1 month. IT comes fast via fedex. Try a different Walgreens about 50 or so miles from your location. That's where I got it this month (about 35 miles away) and they are fedexing it for free. (3%). My local Walgreens is always "out of stock". My advice is first to call around at a distance first.

I live in Louisiana and have Humana Medicare Advantage. I pay $2,80 for a 30 day supply.

I belong to Amazon prime which means no shipping charge and I get it from them…

Larry- This is such a frustrating mess. I, like others, have given up trying to get Medicare to pay for saline. I just refilled a 90 day supply of 7% saline at Walgreens in Asheville, NC, using a GoodRx coupon. Perhaps some areas of the country use different suppliers? Good luck. Donna T