Medicare Coverage of HIV Pre-exposure Prophylaxis (PrEP):

Medicare Coverage of HIV Pre-exposure Prophylaxis (PrEP): Information for Patients, Providers, and Pharmacists Coverage of PrEP in Medicare: Transition to Coverage in Part B The federal Centers for Medicare and Medicaid Services (CMS) are considering issuing a final National Coverage Determination (NCD) for PrEP directing Medicare to cover all forms of PrEP (oral and injectable) through Medicare P. [...] What should pharmacies do to ensure that they can fill prescriptions for PrEP under Medicare Part B? Pharmacies that dispense PrEP should ensure that they are enrolled in Medicare as either: 1) a durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) supplier (CMS-855S), or 2) a Part B Pharmacy supplier (CMS-855B). [...] Since enrollment in Part B is a multi-step process and takes time, pharmacies seeking to enroll as a Part B Pharmacy supplier in order to continue providing PrEP for Medicare patients are encouraged to begin the process as soon as possible. [...] traditional Medicare) who need to locate a pharmacy that accepts Part B for PrEP are encouraged to call 1-800-MEDICARE (1-800-633-4227), or to use Medicare’s supplier director to locate a pharmacy that accepts Medicare coverage for medical equipment and supplies. [...] JULY 2024 | 3 Medicare Coverage of HIV Pre-exposure Prophylaxis (PrEP): Information for Patients, Providers, and Pharmacists Coverage of PrEP in Medicare: Transition to Coverage in Part B What ancillary.