RE: NIGHT FEED SUPPLEMENTS

April 16, 2003

Are you using a local pharmacy? If so, consider using a pharmacy

that is specificly for people with cystic fibrosis.

http://www.cfservicespharmacy.com/ is one and Grandma Bev has one

also (I don't have the web address handy, though. Bev, if you read

this, please post your pharmacy's contact info for those interested!)

If another pharmacy can't get it to go through, try contacting the

claims department at GA medicaid. You may have to write a letter to

claims review explaining your situation (write it as if you are

explaining it to a seven year old child! Include every shred of

information that you have, including name, birthdate, billing number,

specifics of CFRD and why the item is needed, lack of other

prescription coverage, etc.) Medicaid will most likely require a

Certificate of Medical Necessity from the doctor (if providing this

falls on your shoulders, get it from the doctor then fax them a copy,

or make a copy to send them - keep the original!) This is something

that a CF pharmacy would probably do for you. Medicaid will pay for

these supplements if there is a CMN on file and the claim is

submitted correctly. (I use to do medical billing for a company that

dealt mostly with enteral feed billing, so I know that medicaid will

pay this.)

If you persist and are clear when dealing with medicaid

representatives, pharmacies, doctors, etc. on the phone, you should

be able to get this covered. (I know it's hard to be " clear " after

waiting on hold for an hour!)

Good luck!

~

mommy of 3, 1 with cf

> Hello CF parents,

> Our daughter is 20, and after 2 years finally got her SSI and got

> medicaid. We're in Georgia, and we're just getting everything up

and

> running through her medicaid. The pharmacy is saying that that

won't

> cover her Deliver2.0. The pharmacist said they called the Dr's

> office and they weren't sure they could do anything? Help. Our

> problem is we have Kaiser as our primary, so medicaid is her

> secondary. The Kaiser plan we have is an individual, due to my

> husband's self employment. There is no drug coverage,hence the

need

> for medicaid. Any tips on help. The feeds are not her only

> nutrition, but she has CFRDiabetes, that has made her maintaining

> weight harder. Thanks for any help.

> Pam Noble,CF mom of Marietta,Ga.

April 16, 2003

Thank you MICHELE .. OUR web site is www.cfpharmacy.com

We were the first and for the first 7 years the ONLY CF specialty pharmacy

in USA.

We can serve ALL members of your family (not just CF)......and ALL items

including equipment & supplies ....also for TX, Diabetes --in fact every

disease known.........We do GA Medicaid as well -- But we do MANY states

Medicaid & all compassion programs ---including our own for ADEK,free with

ALL enzyme purchase- along with ins..chg's,Medicare (they do pay for

pulmo, -anything that is a respiratory treatment etc. .) If you have

questions --call or write .Email , fax, whatever is easier

We even send IV's , compounding ,flavorX-you-- name it we do it .That is why

our motto is " all we do is just for you "

also call 1-

I rarely mention the Rx -I am on the list as a GRANDMOM...BUT will help

with any pharmacy or education , etc. as asked & when possible

too------------------

With Love & hugs,

GrandmomBEV

(to a 18+ yr old with CF & the reason we started the RX 19 years ago)

Re: NIGHT FEED SUPPLEMENTS