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Medicare Part B/Medicaid FFS Strip Rebate Program for ACCU-CHEK® Products
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


Two options to provide flexibility for your business—processor or manual solution


Processor/Switch Contract
Manual Contract
  • For pharmacies who don't 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 Qualify
  • 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:
    • Provide equal access for ACCU-CHEK products
    • Purchase ACCU-CHEK products from an approved wholesaler

       
Item NDC# Rebate Amount
ACCU-CHEK Aviva Plus test strips 50-ct. (Medicaid Rebate $37.22) 65702040710 $56.57
ACCU-CHEK SmartView test strips 50-ct (Medicaid Rebate $37.22) 65702049210 $56.57
ACCU-CHEK Comfort Curve test strips 50-ct. (Medicaid Rebate $31.48) 50924037350 $53.88
ACCU-CHEK Compact Plus test drums 51-ct. (Medicaid Rebate $38.91) 50924098850 $58.26
ACCU-CHEK Aviva Plus test strips 100-ct. (Medicaid Rebate $74.44) 65702040810 $113.14
ACCU-CHEK SmartView test strips 100-ct (Medicaid Rebate $74.44) 65702049310 $113.14
ACCU-CHEK Comfort Curve test strips 100-ct. (Medicaid Rebate $62.97) 50924038110 $107.77
ACCU-CHEK Compact Plus test drums 102-ct. (Medicaid Rebate $77.82) 50924088401 $116.52
Some state Medicaid FFS programs contract directly with manufacturers and are not eligible for rebates.
Once your contract is activated, the process is simple.


Processor/Switch 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 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'


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.