Medicare Limits on Test Strips

Has anyone on Medicare had a problem trying to get a prescription filled for more than 3 test strips/day. The prescription says “medically necessary” but Medicare denied coverage saying I need prior approval. I don’t know how to get that.

Has anyone else had this problem and how did you resolve it.

Any information will be helpful. Thank you.

Absolutely no problems at all getting 8 check strips per day with Medicare Marge @diabetes1. And I’m aware of other Medicare beneficiaries receiving greater number per day with zero out-of-pocket cost.

All it takes is for a properly qualified physician to write the prescription and be able to substantiate the need.

Thanks Dennis

Do you know how your doctor got the preapproval from Medicare. Did he call or write a letter?

Just writing it in the prescription is not enough. When the pharmacy submits in the system, payment is denied.

Hi Marge @diabetes1, the endocrinologist [she] wrote the prescription for [at least] “Eight [8] BG Checks per Day”. Nothing more; if the pharmacist or Medicare wants to make a change, permission nee to come from the prescribing physician.
The prior endocrinologist [he] I had been seeing also wrote the script in that manner - it is common practice among physicians; I have Medicare Beneficiary “friends” who are prescribed ten BG Checks per day. “Pre-approval” is not required.