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7% Saline Prescription and Medicare Part B payment quandry
MAC & Bronchiectasis | Last Active: Jul 25, 2023 | Replies (82)Comment receiving replies
We really need to petition our law makers for Medicare part B to pay for the sodium chloride. If it doesn't have a drug included, they will not pay. However, Medicare is suppose to pay for all chronic lung medications, but they don't consider the sodium chloride as a medication. Can you get it without a prescription? If not, I consider it as a medication in my head. Confusing and plenty of expense annually.
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Here is the official Medicare Part B information on saline.
https://connect.mayoclinic.org/discussion/7-saline-prescription-and-medicare-part-b-payment-quandry/?pg=1#comment-803092
It's a tough slog to read your way through this, but worthwhile if you want the saline covered in the long term. I believe that the trick might be to get your doc to prescribe a nebulizer, to be secured through Medicare from your pharmacy (I KNOW Walgreens carries the one they cover.) That opens the Part B account, then the scrips are covered through Part B.
Different people make different decisions - some choose to go with GoodRx or pay out of pocket, others push through and get Medicare to cover it. Sometimes you need to change pharmacies - not all have Part B contract with Medicare.
Sue