Test Name OTC/RX Reimbursement Quantity NDC BinaxNOW Covid-19 Antigen Self-Test OTC Up to $24 1 kit (2 tests) 11877-0011-40 QuickVue At-Home . Date - purchase date of COVID-19 OTC Test Kits. Navigating COVID-19 can be hard, but we're making it easy for you to afford an at-home COVID-19 test when you need . Completing each step - COVID-19 OTC Test Kit Catalog Number Description Kit Size / Case Size; 20387. The fact sheets include codes, descriptors and purpose, clinical examples, description of the procedures, and FAQs. have your receipts ready as proof of purchase and register as a member using your 10-digit Penn ID number. 20385. FlowFlex Covid-19 Antigen Home Test - 1ct. In the origin code field use "5" and the corresponding serial number of "99999999" for "Pharmacy . ACON Laboratories' Flowflex test was authorized on Oct. 4, adding another rapid antigen test to the over-the-counter lineup. Age ranges to get the COVID-19 vaccine have expanded to include children. For example, if . To receive reimbursement, the 11-digit billing number (NDC) on each package (box) dispensed must be an exact match to a Medi-Cal Rx billing code in this spreadsheet and the Medi-Cal Rx billing code submitted on the . • BinaxNOW • IHealth It's one of eight authorized antigen tests, which detect the . NDC Label Name Gen Name Package Size Covered- Kids PA only- Kids Covered- Adults PA only- Adults Not Covered- SCoV-2 . If you have ordered home delivery of the test kit and expect temperatures in your area to . Reimbursement is at an NDC-specific State Maximum Allowable Cost (SMAC). The COVID-19 vaccines are authorized or approved by the US Food & Drug Administration (FDA). The CareStart COVID-19 IgM/IgG Rapid Diagnostic Test for the Detection of SARS-CoV-2 IgM/IgG Ab is intended to qual-itatively detect IgM and IgG separately. iHealth COVID-19 Antigen Rapid Test. Approved COVID-19 OTC Test Kit NDC Find the name of your purchased COVID-19 OTC Test Kits from the list. RCPM-00171, RCPM-00271, RCPM -00471, RCPM -02071 CareStart COVID-19 Antigen Home Test Rapid Diagnostic Test for Detection of SARS -CoV-2 AntigenTM IFU-RCPM71-E / Rev. There is no limit on the number of tests, including at-home tests . our company, you can visit your local retail pharmacy or order online from Express . If you have any questions, please call the number on your Express Scripts ID card. NC Medicaid Direct beneficiary implementation date is Jan. 10, 2022. When COVID-19 is present in the body, your nasal secretions can also contain the SARS-CoV-2 virus (the virus that causes COVID-19). FlowFlex COVID-19 AG Home Test 82607066026, 8207066027 If you purchase an FDA-approved at-home test that is not on the above list, hold on to your receipt as we are awaiting further guidance from Express Scripts as to their reimbursement eligibility. Abbott ID NOW COVID-19 In Vitro Kit; NDC: 11877-0011-26 . That list includes the Abbott BinaxNOW at-home tests, iHealth COVID-19 Antigen Rapid Test, Siemens Healthineers' rapid COVID-19 antigen self test, and the Flowflex COVID-19 antigen home tests . 5. If you need assistance, please contact Penn's Benefits Solution Center at 1 (866) 799-2329. NDC Product . PCR home collection kits require that you send your swab back for . The . Results are usually available in 30 minutes or less. Cost - include cost of kits as shown on receipt. When COVID-19 is present in the body, your nasal secretions can also contain the SARS-CoV-2 virus (the virus that causes COVID-19). The maximum allowed reimbursement is $12 per test ($24 for a 2-pack). An antigen test, frequently used for rapid testing, detects viral proteins found in SARS-CoV-2. The most common tests are BinaxNOW™, Flowflex™, InteliSwab™, On/Go™ and QuickVue®. Below is a list of the 11 tests currently approved by the FDA for use at home: CareStart COVID-19 Antigen Home Test. The iHealth ® COVID-19 Antigen Rapid Test is able to detect small parts of theSARS-CoV-2 virus, known as N protein or antigens, in your nasal secretions. Last update: January 28, 2022, 4:30 p.m. CT. Follow the specific instructions on your test for accurate results. ON/GO COVID-19 ANTIGEN SELF-TEST. Flowflex COVID-19 Ag Home Test In Vitro Kit 82607-0660-28 ACON 5 . Instead of showing your BCBSRI member ID card at the pharmacy counter, you provide that information online and then pick up the home test kits at a CVS Pharmacy location. A molecular test detects the genetic material of SARS-CoV-2. Label Name. Flowflex COVID-19 Antigen Rapid Home Test Kit at Walgreens. ACON. have your receipts ready as proof of purchase and register as a member using your 10-digit Penn ID number. Tests were from lot number C120E68. The Prescriber ID (411-DB) should be the NPI of the provider authorized to order the test. Cassette: Test Method: Lateral Flow Immunochromatographic Assay: Test Name: Covid-19 Antigen: Test Type: Antigen Detection: Time to Results: 10 Minute Results: UNSPSC Code: 41116126: Features. Report incorrect product info. Test Kit. . no matter what it is - positive, negative or void. The Flowflex COVID-19 Antigen Home Test correctly identified an unprecedented 93% of positive specimens and 100% of negative specimens. Number 177, January 14, 2022 MassHealth Pharmacy Coverage of Over-the-Counter Diagnostic Antigen Tests for SARS-CoV-2 Effective January 14, 2022, the following over-the- counter (OTC) diagnostic SARS-CoV-2 antigen tests ("at-home antigen self-test kits") have been added to the MassHealth Non-Drug Product List. • Pharmacies can back bill for members who purchased test kits starting 1/15/22. At-home COVID-19 tests are an option. No Prescription Required - Authorized under FDA EUA, for home use. If the item details above aren't accurate or complete, we want to know about it. This test will not be reimbursed by another source nor placed for resale. You can also learn more on our blog. Protect yourself, your family, and your community with over-the-counter COVID-19 tests. Test in the comfort of your own home, and get the knowledge you need, fast. This nasal swab test comes with one disposable nasal swab, a buffer tube, and a disposable cassette for reading . sponsored. All US households are eligible to request four free tests online at COVIDTests.gov or by calling 800-232-0233. days. one. FlowFlex COVID-19 Rapid Antigen Home Test. tests per package. If you already received the first round of tests, you can order four more free tests . This limit applies to the actual number of tests - not test kits - you buy (tests may be packaged individually or with multiple tests in one kit). In December 2021, healthcare non-profit ECRI evaluated a number of the most popular at-home COVID-19 testing kits -- including BinaxNOW, BD Veritor, CareStart and Flowflex -- for ease of use.The . At-home COVID-19 tests are an option. 1.1 Panel composition 12 11 6 1 0 5 10 15 100 400 1600 6400 Titer Number of Samples A IgM+ Titers in Panel 2 0 6 12 12 0 5 10 15 100 400 1600 6400 Titer . You can take one anywhere for results, regardless of your vaccination status and even if you do not have symptoms. B ACCESS BIO , INC. . PCR home collection kits require that you send your swab back for . Detects Active COVID-19 Infection Antigens indicate active disease, find out if you have COVID-19 by performing a painless nasal swab. Packaged in a white box and given the proper emergency use authorization, the "Flow flex ™ COVID-19 Antigen Home Test" is approved in the U.S. A recall notice by ACON Laboratories identifies a. Date - purchase date of COVID-19 OTC Test Kits. Participant's Medicaid Identification number, c. Reason for a test (such as COVID-like symptoms, COVID exposure), and . You can also submit claims . Recall Number: Z-0421-2022: Recall Event ID: 89028: Product Classification: Coronavirus antigen detection test system. Completing each step -COVID-19 OTC Test Kit. Most at-home COVID-19 tests use a gentle self-collected anterior nasal swab sample to determine a positive or negative COVID-19 result. More is known about the COVID-19 vaccine and pregnancy. Flowflex COVID-19 Home Test, FDA authorized Antigen test that requires only 1 test, results in 15 minutes, Nasal Swab. The diagnostic testing field for COVID-19 is rapidly evolving, with many tests focused on diagnosing patients with active viral infections. FDA EUA-AUTHORIZED HOME TEST (OTC): Celltrion DiaTrust COVID-19 Ag Home Test is an FDA EUA-authorized COVID-19 rapid antigen at-home testing kit. On/Go(TM) is the FDA-authorized, fast and easy-to-use COVID-19 self-test and companion mobile app that guides you step-by-step through the testing process. The most common tests are BD Veritor™, CareStart™, Celltrion DiaTrust™ COVID-19 Ag Rapid Test, Flowflex™, i-Health®, InteliSwab™, MaximBio ClearDetect™ COVID-19, On/Go™, or COVID-19 AT-Home test . Help Desk Number Legacy ADV *004336 1-8ØØ-364-6331 CVS Caremark® 610591 As communicated by plan or refer to ID card Aetna 610502 1-8ØØ-238-6279 IngenioRX 020115 020388 1-833-296-5Ø37 1-833-296-5038 *Help Desk phone number serving Puerto Rico Providers is available by calling toll-free 1-8ØØ-842-7331. Members must bring the at-home COVID test to . FLOWFLEX SARS-COV-2 Antigen Rapid Test (Self-Testing), 1 Test: Code Information: UDI #: 6921756492427 Lot codes: COV1080232 - Expiration date: 05/13/2023; COV1095004 - Expiration date: 09/03/2023: Recalling Firm/ Manufacturer: Completing each step - COVID-19 OTC Test Kit CLICK TO PRINT. The iHealth ® COVID-19 Antigen Rapid Test is an antigen test. 56964000000 Ellume COVID-19 Home Test 82607066026 FlowFlex COVID-19 AG Home Test 82607066027 FlowFlex COVID-19 AG Home Test 82607066028 FlowFlex COVID-19 AG Home Test 82607066047 FlowFlex COVID-19 AG Home Test Quantity Limit Override If medically necessary, the eight-test-per-month quantity limit can be AccessGUDID - Flowflex COVID-19 Antigen Home Test (00682607660261)- Test Cassette (1), Extraction Buffer Tube (1), Nasal Swab (1) Skip to Main Content; . 963829 02/2022. Flowflex kit Home Test OTC Up to $24 1 kit (2 tests) 82607-0660-27 . . ACCESS BIO. QuickVue At-Home OTC COVID-19 Test (Quidel) Flowflex COVID-19 Antigen Home Test (ACON) Ellume COVID-19 Home Test (Ellume) Other: Purchase date: Number of Boxes: Tests per Box: Total Cost: . • The units billed must be the actual number of tests dispensed, not the number of kits. The iHealth ® COVID-19 Antigen Rapid Test is an antigen test. , Director of Pharmacy Services 82607-0660-26 FLOWFLEX COVID-19 AG HOME TEST 1 Download the Nov. 10, 2020 CPT Assistant guide (PDF, includes information on code 87428) Look for an FDA Emergency Use Authorization label on the package. The QuickVue SARS Antigen Test provides accurate and reliable results in 10 minutes, allowing for COVID-19 testing of symptomatic patients within the first five days of symptoms and asymptomatic patients when tested serially. FDA Emergency Use Authorization Letter. NDC / UPC Manufacturer Tests per package; Flowflex COVID-19 Ag Hometest: 82607-0660-26: . Rx or Prescription number - member may enter a default Rx number '1234567' Quantity = 1 ; Days Supply = 30. Testing for employment purposes will not be covered. This test is usually conducted at the point-of-care or a sample is collected and . Any extended exposure of the test kit to temperatures beyond this range may affect quality of test results. Covered COVID-19 Test Product List . To receive reimbursement, the 11-digit billing number (NDC) on each package (box) dispensed must be an exact match to a Medi-Cal Rx billing code in this spreadsheet and the Medi-Cal Rx billing code submitted on the . 60006019166 On/Go Covid Kit Antigen 82607066027 Flowflex Kit Test Only listed FDA-approved OTC COVID-19 antigen tests are available under this benefit. You can also submit claims using the CVS Caremark mobile app (available for Android and . In only 10 minutes, you will have the results you need to confidently return to work, school, sports and all the things you love to do, with the ability to store and share your family's and . NC Medicaid Direct beneficiary implementation date is Jan. 10, 2022. Play it safe this cold and flu season. Transport Tubes (25 swabs) 2. . Currently, the Carestart home test kits sold at Dougherty Pharmacy are not covered by Optum. 60006-0191-66. Thank you for your continued support of Vermont's publicly funded pharmacy benefits programs. Copayment will not apply. Author: Vermont providers can also send inquiries via email to PBA_VTHelpdesk@changehealthcare.com . Risks of False Test. Covered test kits with the SMAC are listed below. The swab is swirled in a chemical solution and applied to a test strip. 25/10. If you are taking daily rapid lateral flow tests because you are a contact of someone who has COVID-19, you should report your result every day . The manufacturer of the iHealth® COVID-19 Antigen Rapid Test requires test kits be stored at temperatures between 36 o and 86 o F (2 o - 30 o C). 1. 82607-0660-26. Effective Jan. 10, 2022, NC Medicaid-enrolled pharmacies may bill for FDA approved over-the-counter (OTC) COVID-19 tests dispensed for use by NC Medicaid beneficiaries in a home setting, with or without a prescription issued by a NC Medicaid-enrolled provider. NDC Description 10040082002 CUE COVID-19 HOME TEST 10040082003-CUE COVID 19 HOME TEST 10040082004 CUE COVID-19 HOME TEST 10055097004 LUCIRA CHECK-IT COVID 19 HOME TEST 00042022224 PIXEL COVID-19 HOME COLLECTION KIT This will change as carriers update their systems. •Sample self-collection ages 14 and older •Sample collection by an adult in children ages 2 to 13 •Excellent performance when compared to an FDA authorized molecular SARS-CoV-2 test. Origin: . The COVID-19 vaccines are available at no charge to you. But at two Walmart Pharmacies in California, the pharmacists weren't aware that a reimbursement program for United-insured . Commonly Ordered COVID-19, Influenza, and RSV Clinical Diagnostic Laboratory Tests for which Medicare Allows One Test Without a Practitioner Order During the PHE* Updated May 5, 2021 . * Effective August 6, 2020, claims should be submitted with blanks in the Prescriber ID (411-DB). Nancy J. Hogue, Pharm.D. Most at-home COVID-19 test kits authorized by the FDA are covered. Flowflex COVID-19 Ag Hometest . COVID-19 AT-HOME TEST (KIT) 4: 56964000000: ELLUME COVID-19 HOME TEST (KIT) 1: 82607066026: FLOWFLEX COVID-19 AG HOME TEST (KIT) 1: 82607066027: FLOWFLEX COVID-19 AG HOME TEST (KIT) 2: 82607066028: . CPT Assistant is providing fact sheets for coding guidance for new SARS-CoV-2 (COVID-19)-related testing codes. This may be a pharmacist. Pharmacies must follow the National Council for Prescription Drug Programs (NCPDP) standard and use the National Drug Code (NDC) found on the package. COVID-19 OTC Test Kits • Rx or Prescription number -member may enter a default Rx . Access Bio COVID-19 Test Home Collection Kit- 2 Pack is an FDA EUA Authorized convenient and simple at-home test kit for SARS-CoV-2 infection. Updated 06/01/2022 Page 1 of 1 . Coverage includes OTC at-home COVID-19 test kits authorized by the Food and Drug Administration (FDA). **NCPDP D.0 Companion guide can be found here.. Rx or Prescription number - member may enter a default Rx number '1234567' Quantity = 1 ; Days Supply = 30. FLOWFLEX COVID-19 AG HOME TEST 1 1 $ 10.00 + PDF 14613033 937 QUICKVUE SARS ANTIGEN TEST 1 1 $ 10.00 + NDC: 14613-0339-08 Submit the following: Field Number NCPDP Field Name Required Value for Processing 440-E5 DUR/PPS Segment Professional Service Code Field . Flowflex COVID-19 Home Test, FDA authorized Antigen test that requires only 1 test, results in 15 minutes, Nasal Swab. Number of Tests: 20 Tests: Product Dating: McKesson Acceptable Dating: we will ship >= 30 days: Reading Type: Visual Read: Sample Type: . This test was purchased by the customer for personal use or the use of a covered plan member and was not purchased for employment purposes. flexCOVID-19 Home Antigen Test can be used to test directly collected Anterior Nasal Swab specimens • The FlowflexCOVID-19 Antigen Home Test can be used to test i ndividuals within 7 days of. 82607066027 FLOWFLEX KIT TEST COVID-19 AT HOME ANTIGEN TEST KIT 2 x x DIABETES INSULIN PRODUCTS Please refer to TennCare's PDL for coverage of the following: HUMULIN 70/30 KWIKPEN . (NDC) 407-D7 (Product/Service ID) Enter one applicable NDC from Table 2 . If you have Express Scripts pharmacy coverage through . 82607066047 FLOWFLEX COVID-19 AG HOME TEST 11877001126 ID NOW COVID-19 TEST KIT Effective Jan. 10, 2022, NC Medicaid-enrolled pharmacies may bill for FDA approved over-the-counter (OTC) COVID-19 tests dispensed for use by NC Medicaid beneficiaries in a home setting, with or without a prescription issued by an NC Medicaid-enrolled provider. 3 Examples of FDA authorized, cleared, or approved OTC COVID-19 Antigen tests include, but are not limited to: BINAXNOW COVID-19 AG SELF TEST CARESTART COVID19 AG HOME TEST ELLUME COVID-19 HOME TEST FLOWFLEX COVID-19 AG HOME TEST At-home tests include a nasal swab for you to collect samples from your nose: Rapid home tests give you results in minutes. Q. Flowflex COVID-19 Antigen Home Test 82607-0660-27 ACON Laboratories 2 2 tests/week (7 days) InteliSwab COVID-19 Rapid Test 08337-0001-58 OraSure 2 2 tests/week FLOWFLEX COVID-19 AG HOME TEST, 1 kit, 1 each List of Covered Emergency Use of Authorization (EUA) COVID-19 AntigenTests . For questions, please contact the Change Healthcare Pharmacy Help Desk at 1-844 -679 -5362. flowflex at home covid test kit, 5 test pack updated expiration date information belownote: includes five tests, only one test needed per personresults in as quick as 15 minutesfor use with and without symptomsauthorized by the fda for use under an euapositive percent agreement (ppa) 93%, negative percent agreement (npa) 100% … Catalog Number: 660261 Company Name: ACON LABORATORIES, INC. Primary DI Number: 00682607660261 Issuing Agency: GS1 Commercial Distribution End Date: . CONTACT NC Medicaid Contact Center: 888-245-0179 The Flowflex COVID-19 Antigen Home Test was compared to an FDA authorized molecular SARS-CoV-2 test. NDC - please see next slide for NDCs associated with approved COVID-19 OTC Test Kits. Number of tests per package. Page 2 of 17 Intended Use The CareStart™ COVID-19 Antigen Home Test is a lateral flow immunoassay intended for the The process for getting COVID-19 home test kits for $0 at CVS is different than other participating pharmacies.
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