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7% Saline Prescription and Medicare Part B payment quandry

MAC & Bronchiectasis | Last Active: Jul 25, 2023 | Replies (82)
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@sayaboleh

Mona - I am amazed you got this to work! I just read through this whole thread again and am at a point where I am calling all the pharmacies in my area that supplies nebulizers. Can you share which pharmacy you ended up with that worked and whether it still does?
Thanks
Mary

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Replies to "Mona - I am amazed you got this to work! I just read through this whole..."
monaj | @monaj | Jul 20, 2023

Hi Mary,
I phoned the small pharmacy I used to find out if they will ship saline. The can only if it is prescribed and shipped within Washington State.

My understanding when going through this challenge is for those of us on Medicare, I think the key is to find a pharmacy that can/will submit to Medicare Part B - DME coverage (DME - Durable Medical Equipment is the necessary piece). I found pharmacies that submit to Medicare Part B, but do not deal with DME. The pharmacy I used is housed in a specialty store that supplies nebulizers and other types of medical equipment, so they are familiar with and deal with DME insurance claims.

I hope my experience helps you to reach success with this dilemna as well.
Good Luck!

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