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Flowflex COVID-19 Home Test, FDA authorized Antigen test that requires only 1 test, results in 15 minutes, Nasal Swab. ACCESS BIO. FLOWFLEX COVID-19 AG HOME TEST, 1 kit, 1 each List of Covered Emergency Use of Authorization (EUA) COVID-19 AntigenTests . 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. Download the Nov. 10, 2020 CPT Assistant guide (PDF, includes information on code 87428) tests with an associated National Drug Codes (NDC). 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 . Vermont providers can also send inquiries via email to PBA_VTHelpdesk@changehealthcare.com . At-home tests include a nasal swab for you to collect samples from your nose: Rapid home tests give you results in minutes. COVID-19 Testing, Treatment, Coding & Reimbursement. PCR home collection kits require that you send your swab back for . 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). 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. Pharmacies must follow the National Council for Prescription Drug Programs (NCPDP) standard and use the National Drug Code (NDC) found on the package. **NCPDP D.0 Companion guide can be found here.. 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 . If the item details above aren't accurate or complete, we want to know about it. Features: - Anterior nasal swab specimens - Results in 15 minutes - 12 months shelf life - Store between 36 to 86 F/ 2.2 to 30C At-home COVID-19 tests are an option. You can also learn more on our blog. This nasal swab test comes with one disposable nasal swab, a buffer tube, and a disposable cassette for reading . 82607066047 FLOWFLEX COVID-19 AG HOME TEST 11877001126 ID NOW COVID-19 TEST KIT Number of tests per package. questions, please contact Customer Service using the toll-free number on your ID card. 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. In the origin code field use "5" and the corresponding serial number of "99999999" for "Pharmacy . Please see the July 2020 Medicaid Update for further guidance on origin code and serial number values that must be submitted on the claim. 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. Manufacturer. FlowFlex COVID-19 Rapid Antigen Home Test. • Pharmacies can back bill for members who purchased test kits starting 1/15/22. Catalog Number Description Kit Size / Case Size; 20387. The maximum allowed reimbursement is $12 per test ($24 for a 2-pack). have your receipts ready as proof of purchase and register as a member using your 10-digit Penn ID number. Testing for employment purposes will not be covered. 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 swab is swirled in a chemical solution and applied to a test strip. Testing, coding and reimbursement protocols and guidelines are established based on guidance from the Centers for Medicare & Medicaid Services (CMS), the Centers for Disease Control and Prevention (CDC), state and federal governments and other . 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. tests per package. This will change as carriers update their systems. $30.49 - $40.49 . 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: . Cost - include cost of kits as shown on receipt. Input the associated NDC into . Detects Active COVID-19 Infection Antigens indicate active disease, find out if you have COVID-19 by performing a painless nasal swab. At-home COVID-19 tests are an option. A. 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. The provider types listed below may bill for COVID-19 vaccine counseling: Physicians Nurse practitioners (NPs) . Rx or Prescription number - member may enter a default Rx number '1234567' Quantity = 1 ; Days Supply = 30. The fact sheets include codes, descriptors and purpose, clinical examples, description of the procedures, and FAQs. Most at-home COVID-19 tests use a gentle self-collected anterior nasal swab sample to determine a positive or negative COVID-19 result. The diagnostic testing field for COVID-19 is rapidly evolving, with many tests focused on diagnosing patients with active viral infections. COVID-19 OTC Test Kits • Rx or Prescription number -member may enter a default Rx . Updated 06/01/2022 Page 1 of 1 . Visit the CDC to learn more about COVID-19 Pregnancy Recommendations. •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. Author: Last update: January 28, 2022, 4:30 p.m. CT. , Director of Pharmacy Services Flowflex at Home Covid Test Kit, 25 Test Pack Updated Expiration Date Information Below Note: Includes 25 Tests, Only One Test Needed Per Person Bulk Supply, Not Packaged for Resale Results in as Quick as 15 MinutesAuthorized by the FDA for Use Under an EUAPositive Percent Agreement (PPA) 93%, Negative Percent Agreement (NPA) 100% Thank you for your continued support of Vermont's publicly funded pharmacy benefits programs. You can take one anywhere for results, regardless of your vaccination status and even if you do not have symptoms. 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 . (NDC) 407-D7 (Product/Service ID) Enter one applicable NDC from Table 2 . days. 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. CONTACT NC Medicaid Contact Center: 888-245-0179 Item Number (DPCI): 094-12-0001. You can also submit claims using the CVS Caremark mobile app (available for Android and . CPT/ HCPCS Code Laboratory Code Long Descriptor Target 1. FLOWFLEX COVID-19 AG HOME TEST 1 1 $ 10.00 + PDF 14613033 937 QUICKVUE SARS ANTIGEN TEST 1 1 $ 10.00 + PCR home collection kits require that you send your swab back for . Origin: . 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 . Tests were from lot number C120E68. Protect yourself, your family, and your community with over-the-counter COVID-19 tests. our company, you can visit your local retail pharmacy or order online from Express . The Biden administration recently announced that starting Jan. 15, 2022, commercial insurance companies and group health plans will be required to provide coverage for authorized over-the-counter (OTC) COVID at-home testing products. FLOWFLEX COVID-19 AG HOMETEST. • The units billed must be the actual number of tests dispensed, not the number of kits. Look for an FDA Emergency Use Authorization label on the package. 82607-0660-26 FLOWFLEX COVID-19 AG HOME TEST 1 The ACON Laboratories Flowflex COVID-19 Antigen Home Test, authorized by the FDA on October 4, 2021, is not the subject of this Safety Communication and can continue to be used. have your receipts ready as proof of purchase and register as a member using your 10-digit Penn ID number. This may be a pharmacist. Manufacturer. Catalog Number: 660261 Company Name: ACON LABORATORIES, INC. Primary DI Number: 00682607660261 Issuing Agency: GS1 Commercial Distribution End Date: . NDC Product . Self-collected and adult-collected direct mid-turbinate swab samples. NC Medicaid Direct beneficiary implementation date is Jan. 10, 2022. Label Name. 1. 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 Product name Product NDC Manufacturer Number of tests/pack Number of tests covered* BinaxNOW COVID-19 Ag [Antigen] Card Home Test 11877-0011-40 Abbott 2 2 tests/week . These tests inform researchers and health providers of the presence of the pathogen, either by . ACON. NDC / UPC. More is known about the COVID-19 vaccine and pregnancy. 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. Below is a list of the 11 tests currently approved by the FDA for use at home: CareStart COVID-19 Antigen Home Test. The Flowflex COVID-19 Antigen Home Test was compared to an FDA authorized molecular SARS-CoV-2 test. Covered COVID-19 Test Product List . 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. . Flowflex kit Home Test OTC Up to $24 1 kit (2 tests) 82607-0660-27 . Q. An antigen test, frequently used for rapid testing, detects viral proteins found in SARS-CoV-2. 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 . There is no limit on the number of tests, including at-home tests . If you have any questions, please call the number on your Express Scripts ID card. . 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 . 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 . For questions, please contact the Change Healthcare Pharmacy Help Desk at 1-844 -679 -5362. Follow the specific instructions on your test for accurate results. 963829 02/2022. 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. Diagnostics able to detect current, active infections are typically antigen- and molecular-based tests. Age ranges to get the COVID-19 vaccine have expanded to include children. 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. Nancy J. Hogue, Pharm.D. iHealth COVID-19 Antigen Rapid Test. CPT Assistant is providing fact sheets for coding guidance for new SARS-CoV-2 (COVID-19)-related testing codes. You can also submit claims . * Effective August 6, 2020, claims should be submitted with blanks in the Prescriber ID (411-DB). NDC - please see next slide for NDCs associated with approved COVID-19 OTC Test Kits. 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 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. Most at-home COVID-19 test kits authorized by the FDA are covered. More to consider $21.99 Access Bio Covid Rapid Test - 2ct $29.49 - $40.49 Clearblue Advanced Digital Ovulation Test BD Veritor At-Home COVID-19 Test. Test Kit. FLOWFLEX COVID-19 AG HOME TEST, 1 kit, 1 each List of Covered Emergency Use of Authorization (EUA) COVID-19 AntigenTests . Here is the process: If you need assistance, please contact Penn's Benefits Solution Center at 1 (866) 799-2329. The COVID-19 vaccines are available at no charge to you. ACON Laboratories' Flowflex test was authorized on Oct. 4, adding another rapid antigen test to the over-the-counter lineup. NDC - please see next slide for NDCs associated with approved COVID-19 OTC Test Kits. Abbott ID NOW COVID-19 In Vitro Kit; NDC: 11877-0011-26 . If you already received the first round of tests, you can order four more free tests . At this time, it is recommended to purchase one of the above brands if possible. Completing each step -COVID-19 OTC Test Kit. NDC / UPC Manufacturer Tests per package; Flowflex COVID-19 Ag Hometest: 82607-0660-26: . 5. It's one of eight authorized antigen tests, which detect the . A molecular test detects the genetic material of SARS-CoV-2. Clearblue Advanced Digital Ovulation Test. Most over-the-counter COVID-19 tests are antigen tests. AccessGUDID - Flowflex COVID-19 Antigen Home Test (00682607660261)- Test Cassette (1), Extraction Buffer Tube (1), Nasal Swab (1) Skip to Main Content; . All US households are eligible to request four free tests online at COVIDTests.gov or by calling 800-232-0233. Date - purchase date of COVID-19 OTC Test Kits. 2. . For example, if . The Flowflex COVID-19 Antigen Home Test correctly identified 93% of positive specimens and 100% of negative specimens. The process for getting COVID-19 home test kits for $0 at CVS is different than other participating pharmacies. National Drug Code (NDC) Brand Name Package Size Quantity 11877001140: . Make sure this fits by entering your model number. 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. Effective Dec. 1, 2021, New York State (NYS) Medicaid provides reimbursement for Coronavirus Disease 2019 (COVID-19) vaccination counseling to unvaccinated Medicaid members/enrollees to encourage the administration of the COVID-19 vaccine. Number of Tests: 20 Tests: Product Dating: McKesson Acceptable Dating: we will ship >= 30 days: Reading Type: Visual Read: Sample Type: . Get free shipping at $35 and view promotions and reviews for Flowflex COVID-19 Antigen Rapid Home Test Kit 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 . 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: Participant's Medicaid Identification number, c. Reason for a test (such as COVID-like symptoms, COVID exposure), and . Completing each step - COVID-19 OTC Test Kit • Administration (per dose) of a COVID-19 vaccine - $40.00 − The ICD-10-CM diagnosis code required for billing is: Z23 - Encounter for immunization − Providers must bill 11-digit NDCs − The NDC units should be reported as "UN1" • Pfizer BioNTech COVID -19 Vaccine 0.3mL = 1 unit • Pfizer BioNTech COVID -19 Booster 0.3mL = 1 unit 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). 82607-0660-26. Approved COVID-19 OTC Test Kit NDC Find the name of your purchased COVID-19 OTC Test Kits from the list. COVID-19 antibody tests for use following infection are not covered. Cost - include cost of kits as shown on receipt. NDC Label Name Gen Name Package Size Covered- Kids PA only- Kids Covered- Adults PA only- Adults Not Covered- No Prescription Required - Authorized under FDA EUA, for home use. COVID -19 Related Codes Flowflex COVID-19 Antigen Home Test (ACON) BD Veritor At-Home COVID-19 Test (Becton Dickinson) Ellume COVID-19 Home Test (Ellume) Date of Purchase: MM DD YYYY Number of Boxes: Tests per Box . 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). Prescription Drug Reimbursement / Coordination of Benefits Claim Form An incomplete form may delay your reimbursement. Currently, the Carestart home test kits sold at Dougherty Pharmacy are not covered by Optum. 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 20385. Flowflex COVID-19 Ag Hometest . 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 B ACCESS BIO , INC. 60006019166 On/Go Covid Kit Antigen 82607066027 Flowflex Kit Test Only listed FDA-approved OTC COVID-19 antigen tests are available under this benefit. Flowflex COVID-19 Ag Home Test In Vitro Kit. Date - purchase date of COVID-19 OTC Test Kits. Completing each step - COVID-19 OTC Test Kit Page 2 of 17 Intended Use The CareStart™ COVID-19 Antigen Home Test is a lateral flow immunoassay intended for the But at two Walmart Pharmacies in California, the pharmacists weren't aware that a reimbursement program for United-insured . Covered test kits with the SMAC are listed below. If you have ordered home delivery of the test kit and expect temperatures in your area to . The Prescriber ID (411-DB) should be the NPI of the provider authorized to order the test. Flowflex COVID-19 Antigen Rapid Home Test Kit at Walgreens. 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 do not need a prescription to obtain an at-home COVID test. 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: . no matter what it is - positive, negative or void. Any extended exposure of the test kit to temperatures beyond this range may affect quality of test results. Results are usually available in 30 minutes or less. Members must bring the at-home COVID test to . 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. Flowflex COVID-19 Ag Home Test In Vitro Kit : 82607-0660-27: ACON: 2: Flowflex COVID-19 Ag Home Test In Vitro Kit: . 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). Test in the comfort of your own home, and get the knowledge you need, fast. The most common tests are BinaxNOW™, Flowflex™, InteliSwab™, On/Go™ and QuickVue®. 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 . Flowflex COVID-19 Home Test, FDA authorized Antigen test that requires only 1 test, results in 15 minutes, Nasal Swab.

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