Medicare Part B insulin for pump

For me it was a matter of my local pharmacist contacting their Medicare benefits manager. Seemed more of a regional than a national thing. Not sure if that’s the exact job title but it’s pretty close. It took a number of visits to my local Wallgreens before getting someone who knew that was the person to call for this kind of question. I think it was the actual credentialed pharmacist; the regular counter staff aren’t versed in arcana like this. Every time I re-order I’m gun-shy of having to go through it all again, but I haven’t had a problem since finally getting it straight at last, Pretty maddening.

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Tthe medicare part B regulations were changed so that one pay the same regardless of part B or under the prescription drug program. It is the same. Now if Medicare made a change in the part B carve out, I am not certain. If it is part B or script it should not matter.

From the medicare site:

As of July 1, 2023, the maximum cost for a one-month supply of insulin covered by Medicare Part B is $35. This cap applies to insulin used in insulin pumps.
Explanation

The Inflation Reduction Act (IRA) of 2022 capped the cost of insulin for Medicare Part B and Part D enrollees. 

The cap applies to each covered insulin product.
The Part B deductible doesn’t apply to insulin covered by the IRA.
If you have Medicare Part B and Medicare Supplement Insurance (Medigap), your Medigap plan should cover the $35 cost for insulin.
You’ll pay 100% of the cost for insulin-related supplies like syringes, needles, alcohol swabs, and gauze, unless you have Part D.

You can learn more about Medicare’s coverage and insulin costs by:

Visiting Medicare.gov/coverage/insulin
Visiting Medicare.gov/about-us/prescription-drug-law
Calling 1-800-MEDICARE (1-800-633-4227)
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Let’s ask the pharmacists directly in their secret forum…
https://www.truthrx.org/forum?feedType=all-posts