News & Notes

Medicaid Coverage Unknown

Medicaid Coverage Unknown. Check back for updates.

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Medicaid Covered OTC

Medicaid Coverage is Favorable. In this state, Gelmix and Purathick are covered over the counter (OTC) pharmacy items, and not DME supplies like most states. Prior authorization and a prescription are typically required. If your pharmacy cannot supply the items, check with your plan about getting reimbursed. The product’s national drug codes (NDC) are: Gelmix sticks: […]

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Not Covered by Medicaid

Not Covered by Medicaid. Thickeners are typically not considered a medical necessity by no coverage state Medicaid program.  No thickeners are covered in these states. Medicaid recipients qualify for our WeCare patient assistance program to purchase Gelmix and Purathick at a discounted rate, click here to learn more.

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Medicaid Coverage is Poor

Medicaid Coverage is Poor. This state has low reimbursement rates based on the weight of thickener. While your provider covers thickeners under B4100 or B4100-U1, the rate is too low for suppliers to be reimbursed for gum based (low weight) thickeners. Medicaid recipients qualify for our WeCare patient assistance program, click here to learn more.

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Medicaid Coverage is Favorable

Favorable for Coverage by Medicaid. States with favorable coverage typically have cost-plus reimbursement rates, which enable the patient to choose the thickener that best suits their individual needs. Gelmix and Purathick are typically covered. 

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Aveanna Medical Supplies

Submit Referral and Request Services 866-883-1188

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ABC Infant Formulas

7625 Counts Massie Rd North Little Rock, Arkansas 72113 Phone: 501-753-3330 Fax: 501-753-9378    

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Todays DME, Inc.

1312 Redwood Avenue Grants Pass, Oregon   97527-5520 tel: 541.787.4515 fax: 541.249.9859 supplies@todaysdme.com

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Geriatric Medical Supply

28 Torrice Dr Woburn, MA 01801 Phone: (781) 305-3144 https://www.geriatricmedical.com/

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Gardens Medical Supplies

10800 N Military Trl #119 Palm Beach Gardens, FL 33410 Phone: (561) 358-5976 https://gardens-medical-supplies.business.site/

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