Effective July 1, 2021, community pharmacies in Iowa may begin to submit electronic claims for reimbursement of DisposeRx® (or other branded medication disposal solutions) dispensed to Iowa residents who may be at risk of an accidental opioid or other controlled substance misuse or overdose. All Iowa patients are eligible to receive two disposal kits every 30-days at no-cost ($0 patient copay). A pharmacy will be reimbursed $7.50 for providing a disposal kit and patient education, which will take into account the clinical services of the pharmacist in evaluating the patient for the appropriateness of receiving a disposal kit, as well as the nominal cost of the kits.
Disposal kits are available without a prescription, and pharmacies may easily submit a claim by generating a prescription using the product NDC and the pharmacy or pharmacist as the prescriber. Additional pharmacy electronic billing information, including BIN and PCN, may be found in the FAQs below.
All Iowa pharmacies are encouraged to participate in the Disposal Kit Program whether or not they previously participated in the Naloxone Dispensing Program. Pharmacies that did not receive a welcome kit by July 15, 2021, but who would like to participate in the program, may contact the Iowa PMP (pmp@iowa.gov) to request a welcome kit and receive additional program information. More information regarding the disposal kit program can be found in the memorandum below.
Funding for this opportunity is made available through the SOR2 grant, funded by SAMHSA.
Disposal Solution Product Dispensing Program FAQs
DisposeRx®(NDC 64584-0000-40) and Deterra® (NDC 64583-0000-30 or 64583-0000-31) are two disposal solution products which have covered NDCs under the program. If a pharmacy wishes to have an alternative product covered, they may contact MedOne or the Iowa PMP to obtain a valid NDC or UPC code.
No. Covered disposal solution products are over-the-counter (OTC) and do not require authorization by a prescriber. For billing purposes, please utilize the pharmacist's or pharmacy's name in the prescriber field.
A DEA number is not required for processing a claim to MedOne. However, if your dispensing software requires a prescriber DEA or NPI to be entered, you may utilize the pharmacy's DEA and/or NPI.
No. Disposal product dispensations do not need to be reported to the Iowa PMP.
No, although you may do so if you feel it is clinically relevant to the patient’s care.
No, there is no need to process through the patient’s primary insurance before submitting to MedOne.
Pharmacies may only submit electronic claims to Rx BIN: 019538/ Rx PCN: MD1. The group number is SIA0001. A member ID is not required. Paper claims, or claims submitted by recipients will not be covered.
The pharmacy will be reimbursed $7.50 for each submitted patient encounter. Pharmacies are reminded that the $7.50 reimbursement covers the nominal cost of the disposal product (typically under $1.20 per packet or kit when purchased in bulk) and patient education regarding proper use.
Pharmacies will not be charged any fees by the Department of Public Health, the Board of Pharmacy, or MedOne for participating in the program. Standard switch transaction fees may apply.
DIR fees will not be assessed by MedOne, the Department of Public Health or the Board of Pharmacy.
Yes, the Board of Pharmacy and MedOne reserve the right to audit claims to ensure proper utilization of the program.
DisposeRx® has agreed to ship pharmacies that previously participated in the Narcan® dispensing program a welcome kit. The welcome kits will be shipped directly from DisposeRx® and include six free disposal kits for the pharmacy's initial stock. For replacement product, you may order directly from DisposeRx®, or through Cardinal or McKesson wholesalers. For other products or wholesalers, please check with your account representative, or corporate office.
No. This program is specifically designed for pharmacies to dispense disposal solution products to individuals who may have a clinical or personal need for the product.
For entities that want to receive disposal solution products, please have them contact one of the manufacturers directly.
