News & Notes

Medicaid Coverage Unknown

Medicaid Coverage Unknown. Check back for updates.

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Covered by Medicaid: Pharmacy Benefit

Covered by Medicaid: Pharmacy Benefit Gelmix and Purathick are covered with a prescription as an over the counter (OTC) pharmacy benefit. Prior authorization and a prescription are required. Ask your pharmacy if they can order or submit prescription to one of the pharmacies below. The product’s national drug codes (NDC) are: Gelmix sticks: NDC 55764000711, […]

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Not Covered by Medicaid

Not Covered by Medicaid. Currently, this state does not provide Medicaid coverage for thickeners, as they are not typically classified as a medical necessity. While no thickeners are covered at this time, advocacy efforts can help bring attention to the importance of these products for individuals with specific dietary needs. Medicaid recipients qualify for our […]

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Medicaid Coverage Needs Improvement

Medicaid Coverage Needs Improvement. This state currently provides coverage for thickeners through DME reimbursement code B4100 (or B4100-U1). However, the reimbursement rate may be too low or is currently unclear, which can make it challenging for suppliers to offer low-weight, gum-based thickeners like Gelmix and Purathick. Advocating for updates to the Medicaid reimbursement schedule to […]

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Medicaid Coverage is Favorable

Favorable for Coverage by Medicaid. This state provides favorable Medicaid coverage for thickeners through DME reimbursement code B4100, utilizing cost-plus reimbursement rates. 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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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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Wave Healthcare LLC

4204 Gardendale # 104, San Antonio, TX 78229 Phone: (866) 935-9283 http://wavehealthcare.com/

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