i hope I'm doing this right it's been such a long time since I've posted. Anyway here I go regarding Medicare Part B. I recently started ordering my insulin from Prescription Solution because they accept Part B Medicare to pay for insulin because it's considered Durable Equipment when used with a pump. For those of us on Medicare know how fast insulin can eat up our allotment of Part D for prescriptions. I was wondering if anyone knew of other companies that accept Part B Medicare to pay for insulin.

Views: 139

Comment by IL71 on February 4, 2012 at 6:57pm

CCS Medical covered my insulin for a time, but recently stopped. I suspect they lost too much moeny on it.

Comment by Betty J on February 5, 2012 at 3:39pm

I use to get my insulin from CCS but as a prescription and not covered by Part B. But I wouldn't get anything from CCS unless my life depended on it. I haven't gotten any replies but yours I guess it's because not many of us make it this far as a Type 1.

Comment by Ron on March 26, 2013 at 7:16am

Libert Medical has also recently announced that they will no longer supply insulin covered by Medicare Part B. I've contacted several other pharmacies that a Medicare representative suggested with no success. I'm not sure what the next step should be.....any suggestions? As a last resort I may purchase the insulin from a local retail pharmacy and submit a claim to Medicare myself. Of course I won't be surprised if Medicare allows significantly less than 80% of the retail amount (which is why providers like Liberty and CCS have discontinued doing business at a loss).

Comment by IL71 on March 26, 2013 at 10:13am

If you have Pt D Prescription coverage, you can obtain insulin thru your MD prescription. It's a little over $50 a bottle for me w/ mail order.

Comment by Betty J on March 26, 2013 at 11:17am

I've beem getting my insulin from OPTRUMRx and they take Part B of my Medicare. They use to be known as Prescription Solutions, they can be found at their website.

Comment by Ron on March 27, 2013 at 8:07am

Thank you Betty J. I called OptumRx today. Your information was totally correct.

Eventhough I have been using OptumRx for Part D pharmacuticles, I had forgotten that they offered Part B coverage for insulin used with a pump. They don't carry One Touch test strips and I now remember that was the reason I started with Liberty Medical. But finding the strips is not a problem.

I hope that OptumRx does not discontinue Part B coverage because of reimbursement by Medicare.

Comment by Betty J on March 27, 2013 at 9:29am

You welcome Ron. That's what I like about Tu and other websites if in doubt I always consult with my cyber friends...take care.

Comment by Rick G on June 30, 2013 at 8:22am

I used to get my insulin (Apidra) for my pump from OptumRx under Medicare Part B. With the changes effective 7/1/2013 with the Medicare Competitive Bidding Program, they have informed me that they are no longer able to be my supplier. Has anyone else encountered this situation? Have you found an alternative? (Fortunately I have enough supply to last 1-2 months.) I have similar issues with my other pump supplies, but when I was first on Medicare, the insulin covered under Part B supplier was the most difficult to find.

Comment by Betty J on July 1, 2013 at 11:52am

No one has notified me about my insulin and whether I will be receiving it from OptumRx. Only one of my supplier has actually let me know that they are not part of this new bidding process. Since I only got a letter from Medicare informing me and others about this new change I'm hopeful that they will also follow up with more info.,,since I'm not the kinds to wait and see I will be getting in touch with Medicare to find out where do I go from here. I have the website with the suppliers in my area but I'm not sure which of my suppliers will change.

Comment by mistressbinky on May 23, 2014 at 10:38am

Express scripts pays for 90 day supply with $6.25 co-pay. They mail it via UPS in a cold pack overnight

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