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Except as specified in subsection 2, a prescription for any prescription drug or device which is not a controlled substance shall not be filled or refilled more than eighteen months after the date on which the prescription was issued and a prescription which is authorized to be refilled shall not be refilled more than
ENHANCED ALTERNATIVE COVERAGE Enhanced alternative (EA) coverage is Part D coverage that includes supplemental benefits, as well as the basic prescription drug benefits offered under DS, AE, and BA coverage. Owing to the supplemental benefits, the value of the drug coverage exceeds that of DS, AE, and BA coverage.
The Medicare Benefit Policy Manual describes which providers may bill under Medicare Part B. Pharmacists are not recognized Medicare Part B providers except when providing immunizations.
Incident-to codes range from 99211 to 99215. Most pharmacists will be reimbursed under the 99211 code. The ability for a pharmacist to be reimbursed for these services will vary from region to region with regards to payer requirements, and may require pharmacists to utilize their NPI number.
To bill for items and services under Part B, a pharmacy must enroll in Medicare. For example, to bill Part B, a pharmacy may enroll as a supplier of durable medical equipment. Part C (Medicare Advantage): Part C provides an alternative way for beneficiaries to get Medicare coverage.
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Medicare Advantage Planswhich are offered by private companies cover Medicare Part A services (e.g., hospital and nursing home services) as well as Part B items and services. To bill for items and services under Part C, a pharmacy contracts with a Medicare Advantage plan.
Enrollment in Medicare Part A and/or Part B: To be eligible for a standalone Medicare prescription drug plan, you must be enrolled in Medicare Part A and/or Part B. This includes individuals who are 65 years or older, as well as certain individuals under 65 with qualifying disabilities.
Part B (Medical Insurance) Covers certain doctors services, outpatient care, medical supplies, and preventive services. covers a limited number of outpatient prescription drugs under certain conditions.

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