Letter from Noridian Administrative Services LLC (Medicare Fiscal Intermediary) in response to my letter [see blog Jan. 5, 2009] Again, I have redacted certain information.:
The Centers for Medicare and Medicaid Services has asked that I respond to your inquiry regarding the generic diabetic supplies that you had received through ______ Pharmacy Service/_________.
"Medicare does not differentiate between generic and name brand diabetic supplies. As long as the Statistical Analysis Durable Medicare Equipment Regional Carrier (SADMERC) has approved the ________ lancet device and lancets, then they can bill them to Medicare using HCPC A4258 and A4259. Payments for these supplies are the same whether they are name brand or generic.
" ______ corporate policy is to provide generic products such as lancets/lancing devices to new patients. ______ should be more forthcoming with this type of information and hopefully with your feedback they will be more open with new patients regarding this policy.
If you have additional questions on Medicare coverage, you may contact the Centers for Medicare & Medicaid Services Customer Service Center at 1-800-MEDICARE (1-800-633-4227).
Sincerely
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