The iHealth COVID-19 Antigen Rapid Test is an antigen test. Test Kit. Protect yourself, your family, and your community with over-the-counter COVID-19 tests. The Prescriber ID (411-DB) should be the NPI of the provider authorized to order the test. 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 . 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 . COVID-19 Testing, Treatment, Coding & Reimbursement. 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 . You can also submit claims . 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). Approved COVID-19 OTC Test Kit NDC Find the name of your purchased COVID-19 OTC Test Kits from the list. For more information visit COVIDtests.gov and the Penn Public Health Guidance page. Here is the process: CPT Assistant is providing fact sheets for coding guidance for new SARS-CoV-2 (COVID-19)-related testing codes. 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 a zero cost share for members for up to 8 individual tests per member each month. The diagnostic testing field for COVID-19 is rapidly evolving, with many tests focused on diagnosing patients with active viral infections. Recall Number: Z-0421-2022: Recall Event ID: 89028: Product Classification: Coronavirus antigen detection test system. iHealth COVID-19 Antigen Rapid Test. 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 . 20385. days. Number of Tests: 20 Tests: Product Dating: McKesson Acceptable Dating: we will ship >= 30 days: Reading Type: Visual Read: Sample Type: . Follow the specific instructions on your test for accurate results. CONTACT NC Medicaid Contact Center: 888-245-0179 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. 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. 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 Detects Active COVID-19 Infection Antigens indicate active disease, find out if you have COVID-19 by performing a painless nasal swab. Risks of False Test. 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. NDC / UPC. tests per package. This nasal swab test comes with one disposable nasal swab, a buffer tube, and a disposable cassette for reading . $30.49 - $40.49 . Coverage includes OTC at-home COVID-19 test kits authorized by the Food and Drug Administration (FDA). ACON. 82607-0660-26. 60006-0191-66. . sponsored. But at two Walmart Pharmacies in California, the pharmacists weren't aware that a reimbursement program for United-insured . Most over-the-counter COVID-19 tests are antigen tests. questions, please contact Customer Service using the toll-free number on your ID card. CLICK TO PRINT. 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. 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: . Self-collected and adult-collected direct mid-turbinate swab samples. Copayment will not apply. 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 . Age ranges to get the COVID-19 vaccine have expanded to include children. At-home COVID-19 tests are an option. If you already received the first round of tests, you can order four more free tests . FLOWFLEX COVID-19 AG HOME TEST, 1 kit, 1 each List of Covered Emergency Use of Authorization (EUA) COVID-19 AntigenTests . A molecular test detects the genetic material of SARS-CoV-2. 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% More is known about the COVID-19 vaccine and pregnancy. 2. . PCR home collection kits require that you send your swab back for . Manufacturer. COVID -19 Related Codes Author: 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 . Cost - include cost of kits as shown on receipt. Reimbursement is at an NDC-specific State Maximum Allowable Cost (SMAC). Completing each step -COVID-19 OTC Test Kit. 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. 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% The COVID-19 vaccines are authorized or approved by the US Food & Drug Administration (FDA). 60006019166 On/Go Covid Kit Antigen 82607066027 Flowflex Kit Test Only listed FDA-approved OTC COVID-19 antigen tests are available under this benefit. Nancy J. Hogue, Pharm.D. Thank you for your continued support of Vermont's publicly funded pharmacy benefits programs. At-home COVID-19 tests are an option. Prescription Drug Reimbursement / Coordination of Benets Claim Form An incomplete form may delay your reimbursement. The swab is swirled in a chemical solution and applied to a test strip. 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. 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 tests include a nasal swab for you to collect samples from your nose: Rapid home tests give you results in minutes. 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 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. You can take one anywhere for results, regardless of your vaccination status and even if you do not have symptoms. 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 . 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 . Catalog Number Description Kit Size / Case Size; 20387. 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. 25/10. PCR home collection kits require that you send your swab back for . NDC Product . Most at-home COVID-19 test kits authorized by the FDA are covered. 82607-0660-26 FLOWFLEX COVID-19 AG HOME TEST 1 Flowflex COVID-19 Home Test, FDA authorized Antigen test that requires only 1 test, results in 15 minutes, Nasal Swab. Origin: . ACON Laboratories' Flowflex test was authorized on Oct. 4, adding another rapid antigen test to the over-the-counter lineup. Number of tests per package. Download the Nov. 10, 2020 CPT Assistant guide (PDF, includes information on code 87428) Date - purchase date of COVID-19 OTC Test Kits. . More to consider $21.99 Access Bio Covid Rapid Test - 2ct $29.49 - $40.49 Clearblue Advanced Digital Ovulation Test Last update: January 28, 2022, 4:30 p.m. CT. What if my pharmacy does not have COVID-19 diagnostic tests available? There is no limit on the number of tests, including at-home tests . 5. Test in the comfort of your own home, and get the knowledge you need, fast. Flowflex COVID-19 Ag Home Test In Vitro Kit : 82607-0660-27: ACON: 2: Flowflex COVID-19 Ag Home Test In Vitro Kit: . BinaxNOW IHealth If you have Express Scripts pharmacy coverage through . Rx or Prescription number - member may enter a default Rx number '1234567' Quantity = 1 ; Days Supply = 30. Flowflex COVID-19 Home Test, FDA authorized Antigen test that requires only 1 test, results in 15 minutes, Nasal Swab. 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. In the origin code field use "5" and the corresponding serial number of "99999999" for "Pharmacy . A. All US households are eligible to request four free tests online at COVIDTests.gov or by calling 800-232-0233. CPT/ HCPCS Code Laboratory Code Long Descriptor Target 1. You can take one anywhere for results, regardless of your vaccination status and even if you do not have symptoms. 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. Results are usually available in 30 minutes or less. 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. Clearblue Advanced Digital Ovulation Test. Item not . Covered test kits with the SMAC are listed below. Page 2 of 17 Intended Use The CareStart COVID-19 Antigen Home Test is a lateral flow immunoassay intended for the Cost - include cost of kits as shown on receipt. Vermont providers can also send inquiries via email to PBA_VTHelpdesk@changehealthcare.com . Manufacturer. 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. The Flowflex COVID-19 Antigen Home Test correctly identified 93% of positive specimens and 100% of negative specimens. 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 FLOWFLEX COVID-19 AG HOME TEST 1 1 $ 10.00 + PDF 14613033 937 QUICKVUE SARS ANTIGEN TEST 1 1 $ 10.00 + The maximum allowed reimbursement is $12 per test ($24 for a 2-pack). Any extended exposure of the test kit to temperatures beyond this range may affect quality of test results. There will be no copay required for the test kits. Flowflex kit Home Test OTC Up to $24 1 kit (2 tests) 82607-0660-27 . 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: Diagnostics able to detect current, active infections are typically antigen- and molecular-based tests. Report incorrect product info. Completing each step - COVID-19 OTC Test 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. SCoV-2 . Label Name. 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. If you have ordered home delivery of the test kit and expect temperatures in your area to . National Drug Code (NDC) Brand Name Package Size Quantity 11877001140: . NDC Label Name Gen Name Package Size Covered- Kids PA only- Kids Covered- Adults PA only- Adults Not Covered- Pharmacies can back bill for members who purchased test kits starting 1/15/22. ACCESS BIO. If you need assistance, please contact Penn's Benefits Solution Center at 1 (866) 799-2329. Help Desk Number Legacy ADV *004336 1-8-364-6331 CVS Caremark 610591 As communicated by plan or refer to ID card Aetna 610502 1-8-238-6279 IngenioRX 020115 020388 1-833-296-537 1-833-296-5038 *Help Desk phone number serving Puerto Rico Providers is available by calling toll-free 1-8-842-7331. NDC / UPC. Testing for employment purposes will not be covered. FDA Emergency Use Authorization Letter. Look for an FDA Emergency Use Authorization label on the package. Tests were from lot number C120E68. 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. 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. FlowFlex COVID-19 Rapid Antigen Home Test. 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). 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 . Below is a list of the 11 tests currently approved by the FDA for use at home: CareStart COVID-19 Antigen Home Test. 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. our company, you can visit your local retail pharmacy or order online from Express . FlowFlex Covid-19 Antigen Home Test - 1ct. You do not need a prescription to obtain an at-home COVID test. The . You can also submit claims using the CVS Caremark mobile app (available for Android and . If the item details above aren't accurate or complete, we want to know about it. NC Medicaid Direct beneficiary implementation date is Jan. 10, 2022. FLOWFLEX COVID-19 AG HOMETEST. Covered COVID-19 Test Product List . NC Medicaid Direct beneficiary implementation date is Jan. 10, 2022. B ACCESS BIO , INC. MVP Medicaid Pharmacy COVID-19 Home Test Billing Guidance . It's one of eight authorized antigen tests, which detect the . AccessGUDID - Flowflex COVID-19 Antigen Home Test (00682607660261)- Test Cassette (1), Extraction Buffer Tube (1), Nasal Swab (1) Skip to Main Content; . 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. The units billed must be the actual number of tests dispensed, not the number of kits. 963829 02/2022. At-home tests include a nasal swab for you to collect samples from your nose: Rapid home tests give you results in minutes. This may be a pharmacist. Please see the July 2020 Medicaid Update for further guidance on origin code and serial number values that must be submitted on the claim. Play it safe this cold and flu season. If you have any questions, please call the number on your Express Scripts ID card. * Effective August 6, 2020, claims should be submitted with blanks in the Prescriber ID (411-DB). 82607066047 FLOWFLEX COVID-19 AG HOME TEST 11877001126 ID NOW COVID-19 TEST KIT 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 . Date - purchase date of COVID-19 OTC Test Kits. This test is usually conducted at the point-of-care or a sample is collected and . Currently, the Carestart home test kits sold at Dougherty Pharmacy are not covered by Optum. The COVID-19 vaccines are available at no charge to you. 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 . Input the associated NDC into . Flowflex COVID-19 Antigen Rapid Home Test Kit at Walgreens. Rx or Prescription number - member may enter a default Rx number '1234567' Quantity = 1 ; Days Supply = 30. Updated 06/01/2022 Page 1 of 1 . The Flowflex COVID-19 Antigen Home Test correctly identified an unprecedented 93% of positive specimens and 100% of negative specimens. For example, if . For questions, please contact the Change Healthcare Pharmacy Help Desk at 1-844 -679 -5362. 1. These tests inform researchers and health providers of the presence of the pathogen, either by . (NDC) 407-D7 (Product/Service ID) Enter one applicable NDC from Table 2 . Item Number (DPCI): 094-12-0001. **NCPDP D.0 Companion guide can be found here.. 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. Get free shipping at $35 and view promotions and reviews for Flowflex COVID-19 Antigen Rapid Home Test Kit , Director of Pharmacy Services Flowflex COVID-19 Ag Home Test In Vitro Kit. have your receipts ready as proof of purchase and register as a member using your 10-digit Penn ID number. NDC / UPC Manufacturer Tests per package; Flowflex COVID-19 Ag Hometest: 82607-0660-26: . 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 fact sheets include codes, descriptors and purpose, clinical examples, description of the procedures, and FAQs. Flowflex COVID-19 Ag Hometest . NDC - please see next slide for NDCs associated with approved COVID-19 OTC Test Kits. The most common tests are BinaxNOW, Flowflex, InteliSwab, On/Go and QuickVue. COVID-19 antibody tests for use following infection are not covered. This will change as carriers update their systems. 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 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: . 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. FLOWFLEX COVID-19 AG HOME TEST, 1 kit, 1 each List of Covered Emergency Use of Authorization (EUA) COVID-19 AntigenTests .