January 2016
Diabetes Retail Medicare Reimbursement Programs
Dakota Drug Inc. has partnered with many of our diabetes manufactures to bring our customers a way to increase their profitability on glucose monitoring
supplies covered by Medicare! Below is a summary of the programs these manufactures have to offer.
Manufacture
Process
Abbott
Purchase FreeStyle
Medicare/Medicaid products
through Dakota Drug only when
taking Medicare/Medicaid
assignment for these items. No
Paperwork! Bill electronically
and accept assignment through
Allwin, Freedom, or OmniSYS.
Arkray
No enrollment process.
Everyday low costs available
and product works with all
reimbursement segments including
Medicare, Medicaid and
Commercial Insurance Plans.
Bayer
Buy Bayer Medicare/Medicaid
labeled products from Dakota
Drug at net pricing. Bill Medicare
electronically through a Bayer
contracted Medicare Part B
Claim Submission Service like
Allwin data or OmniSYS
and accept assignment.
Home
Diaignostics
No enrollment process.
Everyday low costs available
and product works with all
reimbursement segments including
Medicare, Medicaid and
Commercial Insurance Plans.
Lifescan
Enroll in Lifescan's MAP program
and order the regular 50 count test
strips and get reimbursed through
Lifescan.
Roche
Purchase Roche
Medicare/Medicaid products
through Dakota Drug only when
taking Medicare/Medicaid
assignment for these items. No
Paperwork! Bill electronically
and accept assignment through
Allwin, Freedom, or OmniSYS.
How to Enroll
Must be a Medicare/Medicaid
provider who will accept
assignment on the diabetes
test strip claims.
Sign and return the
Medicare/Medicaid Distribution
Agreement - Available at
www.dakdrug.com
N/A
Enroll in program at:
www.simplewinspharmacy.com
N/A
Enroll in program at:
www.onetouchMAP.com
Enroll in program at:
www.accu-chek.com/rxvp
Products
Cost per box
Net Pricing
Program
Precision Xtra Test Strips Med 50 ct - #582833
Freestyle Lite Test Strips Med 50 ct - #583070
Freestyle Test Strips Med 50 ct - #583237
Freestyle Test Strips Med 100 ct - #583153
Precision Xtra Test Strips Med 100 ct - #582759
$27.50
$27.50
$23.00
$46.00
$55.00
No rebate checks
issued. Program
offers low net
pricing.
Glucocard 01 Sensor Strips 50 ct - #765339
Glucocard Vital Test Strips Med 50 ct - #766915
Glucocard Vital Test Strips RTL 50 ct - #768606
Glucocard X-Sensor Strips 50 ct - #765347
Glucocard Expression Test Strips Med 50ct - #068882
$13.90
$6.50
$39.95
$15.50
$6.50
No rebate checks
issued. Program
offers low net
pricing.
Breeze 2 Test Strips Med 50 ct - #553123
Contour Test Strips Med 50 ct - #496190
Contour Next Test Strips Med 50 ct - #002741
$8.00
$9.00
$9.00
No rebate checks
issued. Program
offers low net
pricing.
True Test Strips Med 50 ct - #704460
True Track Test Strips Med 50 ct - #764860
$7.73
$7.73
No rebate checks
issued. Program
offers low net
pricing.
Verio Test Strips 50 ct - #966093
Verio Test Strips 100 ct - #966101
One Touch Ultra Test Strips 50 ct - #016915
One Touch Ultra Test Strips 100 ct - #016931
Accu-Chek Aviva Test Strips Med 50 ct - #619924
Accu-Chek Comfort Curve Test Strips Med 50 ct - #619841
Accu-Chek Compact Test Strips Med 51 ct - #620005
Accu-Chek Smartview Test Strips Med 50 ct - #970376
$7.83-$28.30*
$15.66-$59.00*
$6.83-$27.30*
$13.66-$57.00*
*Price shown after
rebate, please see
chart below.
$24.00
$30.35
$27.30
$22.00
Rebate check will be
issued by Lifescan.
Rebate check will be
issued by Roche.