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<b>Medicare Part B/Medicaid FFS Strip Rebate Program for Accu-Chek<sup>®</sup> Products</b>

Easy to Qualify, Easy to Participate
  • Be a Medicare Part B/Medicaid FFS provider who accepts assignment on Accu-Chek products
  • No minimum purchase requirements
  • Uses same standard retail packaging—already on your shelf
  • The terms and conditions for the Medicare Part B/Medicaid FFS Strip Rebate Program are included in the Contracts.
  • Only valid in the U.S.
Two contract options to provide flexibility for your business—Processor or Manual
1) Processor/Switch Vendor Contract
  • For those pharmacies that use one of the following processing partners: eRx Network Allwin (Change Healthcare), Omnisys, Freedom Data Services (EZ DME), or QS/1 (SystemOne)
2) Manual Contract
  • For pharmacies who do not use a listed Medicare Part B/Medicaid FFS processing partner or who submit claims directly to the government
  • Provides a simple solution for easy claims submission
How to Participate in the Medicare Part B and/or Medicaid FFS Rebate Program
  • Enroll online by clicking the 'Enroll Now' button below
  • Accept the terms of the Roche Medicare Part B/Medicaid FFS Rebate Agreement, requiring you to:
Eligible Products
Item NDC#
Accu-Chek Aviva Plus test strips 50-ct. 65702040710
Accu-Chek SmartView test strips 50-ct. 65702049210
Accu-Chek Guide test strips 50-ct. 65702071110
Accu-Chek Compact Plus test drums 51-ct. 50924098850
Accu-Chek Aviva Plus test strips 100-ct. 65702040810
Accu-Chek SmartView test strips 100-ct. 65702049310
Accu-Chek Guide test strips 100-ct. 65702071210
Accu-Chek Compact Plus test drums 102-ct. 50924088401
Some state Medicaid FFS programs contract directly with manufacturers and are not eligible for rebates.
Once your contract is activated, the process to receive rebate checks is simple.
Processor/Switch Vendor Solution
  • No paperwork or submission of data is required from the pharmacy
  • Roche receives store-level Medicare/Medicaid claims from processing partner within 120 days of date of dispense to Medicare Part B/Medicaid FFS end users1
  • Roche will verify the claims
  • You will receive rebate checks on a monthly basis
  • Contract renews automatically
Manual Solution
  • Pharmacy submits required claims data to Roche on a quarterly basis utilizing the approved template located on the RxVP web application
  • You must submit claims within 120 days of dispense date
  • Roche will verify the claims
  • You will receive rebate checks on a quarterly basis
  • Contract renews automatically
For more information, e-mail indianapolis.retail_contracts@roche.com or click 'Contact Us'

Click here to enroll now!

1 It is a federal requirement that the net purchase price after rebate be shown on the Medicare Part B/Medicaid FFS claim form when billing for reimbursement.