days' supply problems when billing for fixed-quantity meds
November 2009
Questions are coming up about days' supply problems when billing for fixed-quantity meds...eyedrops, insulins, creams, etc.
Confusion arises when the package size calculates to more OR less than a 30-day supply. For example, a 2.5 mL bottle of Xalatan has about 50 drops. Using 1 drop a day means a bottle lasts more than 30 days.
But most insurers WON'T reimburse a claim for over a 30-day supply. And if it does go through, you may have to charge two copays.
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