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nebulizing albuterol and saline
I have had shakiness after nebulizing albuterol 2.5mg/3ml. The last time I saw my pulmo. He suggested using only half the vial, which has helped some. He also said that we could change to a lower dose when I need a refill. Have any of you experienced the same thing and what dose is most commonly prescribed? Also, I think I have read on this site that nebulizing saline causes coughing. I have problems with that often and have to stop and cough and drink before resuming. It is frustrating because it just makes the session longer. I am using 7% saline. Has anyone had less coughing with 3%? Also, I assume 3% is less effective and perhaps I should put up with the coughing if the 7% does a better job. I appreciate any advice. Thank you. Donna Turnbaugh
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Nebulizer’s nor Albuterol and saline are covered by my husband’s Medicare but I think I read somewhere that if the physician would write a prescription for these and use a specific code that these are would be covered.
Is anyone familiar with this?
Thanks,
Totty
If your husband has MAC lung disease, the Healthwell Foundation will help pay co-pays and supplemental insurance premiums. I’m not sure if they would specifically cover nebulizers and saline, but it’s worth asking them.
Best,
Linda Esposito
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1 ReactionI had such awful coughing fits from nebulizing hypertonic saline that my pulmonologist took me off saline altogether. I can't tell you what a relief it was. I have had asthma for 60 years and have "mild bronchiectasis." Now, I nebulize albuterol with an Aerobika device and follow that with 2 puffs of Symbicort generic. I haven't missed the saline. Hope this helps.
Oh my, I apologize. I wrote you a long answer yesterday, only to have my computer shut down before I could push "Reply"
Please know - if prescribed by a doctor, Medicare Part B covers nebulizer, Albuterol & saline. If your husband has Medicare Part B or an "umbrella" Advantage Plan or a supplement, IT IS COVERED. Two things often happen - pharmacists submit it under Part D (prescription drugs) - which is incorrect, and it gets rejected. Or, the wrong diagnostic and dispensing codes were used.
Here is the official 2022 information from the government:
https://www.cms.gov/medicare-coverage-database/view/article.aspx
Feel free to share this with your care team.
Sue
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2 ReactionsSue, Thanks for the link but really why does Medicare have to be so complicated with this. Has anyone had Medicare pay for a specific Nebulizer? Bill
Yes, they paid for my replacement Pari Vios. And they routinely pay for all of my neb solutions -levalbuterol, budosenide, douneb & 7% saline - depending on what I need at the moment.
Sue
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