Date
Effective November 1, 2021, MO HealthNet will cover at-home COVID-19 tests through the Fee-for-Service Pharmacy Benefit. MO HealthNet will reimburse the lesser of the MAC rate plus a dispensing fee or the Usual & Customary submitted by the provider. At-home tests must be prescribed by a MO HealthNet provider. MO HealthNet will monitor the use of at-home tests to prevent potential waste. Below are the covered at-home tests, including the MAC price per unit.
|
NDC |
Test Name |
MAC Price |
|---|---|---|
|
11877-0011-33 |
BINAXNOW COVD AG CARD HOME TST |
$23.9900 |
|
11877-0011-40 |
BINAXNOW COVID-19 AG SELF TEST |
$8.0000 |
|
14613-0339-68 |
QUICKVUE AT-HOME COVID-19 TEST |
$13.9983 |
|
14613-0339-72 |
QUICKVUE AT-HOME COVID-19 TEST |
$14.9958 |
|
56964-0000-00 |
ELLUME COVID-19 HOME TEST |
$29.1583 |