Reimbursement
BROVANA: Easy to write for Medicare Part B
Prior SABA use no longer required
| Retail Pharmacy | Home Health Care |
|---|---|
Write standard prescription for BROVANA, including:
|
Complete Prescription Form for BROVANA, including:
|
| Advise patients to bring primary and supplemental insurance information, along with BROVANA prescription, to pharmacy. | Send appropriate information to home health care pharmacy. |
| 491 | Chronic bronchitis |
|---|---|
| 491.0 | Simple chronic bronchitis |
| 491.1 | Mucopurulent chronic bronchitis |
| 491.2 | Obstructive chronic bronchitis |
| 491.20 | Without exacerbation |
| 491.21 | With (acute) exacerbation |
| 491.22 | With acute bronchitis |
| 491.8 | Other chronic bronchitis |
| 491.9 | Unspecified chronic bronchitis |
| 492 | Emphysema |
| 492.0 | Emphysematous bleb |
| 492.8 | Other emphysema |
| 496 | Chronic airway obstruction, not elsewhere classified |
Fill in ICD-9 code for COPD. BROVANA is reimbursed under the unique J-code J7605*
* No guarantee of coverage.
- Patients are responsible for a 20% coinsurance. However, if they have supplemental insurance, the out-of-pocket cost may be covered fully or in part by their insurer
- BROVANA is reimbursed under the unique J-code J7605 (no guarantee of coverage)
- Ask your patients to check with their supplemental insurance provider for more details
- For more information about the Medicare program, call 1-800-MEDICARE or visit www.medicare.gov
BROVANA: Easy to prescribe for Managed Care and Medicaid patients
Managed Care
- Many HMOs and PPOs cover BROVANA; some of these managed care plans may not have any coverage requirements for BROVANA
- ICD-9 code is not required
Medicaid
- Medicaid covers drugs and services for those who qualify
- Some states have adopted guidelines governing the coverage of specific drugs
- For more information about the Medicaid program or to locate a Medicaid contact in your state, call 1-800-MEDICAID