Florida Medicaid
Favorable for Coverage: Gelmix and Purathick may be covered through DME reimbursement code B4100 (or B4100-U1) for select Florida Medicaid Managed Care plans, including Sunshine Health and CMS.
Requirements
– EPSDT prior authorization required
(EPSDT is a Medicaid benefit that may allow coverage for medically necessary non-covered items for children under 21.)
Resources / Links
Thickener Prescription Form
Available Through DME Suppliers