Medicare / Medicaid Programs | ACCU-CHEK® RxVP Online

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
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:
- Provide equal access for Accu-Chek products
- Purchase Accu-Chek products from an authorized distributor
- - Click here for a list of authorized distributors

Eligible Products

Item	NRC#
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 Aviva Plus test strips 100-ct.	65702040810
Accu-Chek SmartView test strips 100-ct.	65702049310
Accu-Chek Guide test strips 100-ct.	65702071210

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 [email protected] 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.