Diabetic Care Product Catalog

©2018 Ascensia Diabetes Care. All rights reserved. Ascensia, the Ascensia Diabetes Care logo, Contour, No Coding, No Coding logo, Second-Chance and Second-Chance sampling logo are trademarks and/or registered trademarks of Ascensia Diabetes Care. CONTOUR ® NEXT Has Your Patients Covered Regardless of insurance coverage, your patients can access the portfolio that provides the convenience and accuracy they need. Use CONTOUR ® NEXT Test Strips for all CONTOUR ® NEXT meters. * Not a guarantee of coverage and payment. Coverage and payment may be subject to co-insurance, deductible and patient eligibility requirements. † Offer not valid for customers eligible for government health insurance programs such as Medicaid, Medicare drug benefit plan, Tricare or other federal or state health programs (such as medical assistance programs). ‡ With the purchase of CONTOUR ® NEXT test strips. Limitations and restrictions apply. Valid for eligible privately insured patients only. This offer must be accompanied by a prescription for a CONTOUR ® NEXT or unbranded/generic meter. Contact the patient’s physician if no prescription is on file. Ascensia reserves the right to terminate the program without notice. These products are provided for evaluation purposes only. Products provided may not be resold or submitted to any federal/state insurance such as Medicare, Medicaid, or 3rd party payer for reimbursement. Void where prohibited by law. This offer cannot be redeemed for cash, or combined with any other offer, coupon or discount. Contact your Ascensia Diabetes Care Representative for additional coupons. Offer not valid for customers eligible for government health insurance programs such as Medicaid, Medicare drug benefit plan, Tricare or other federal or state health programs (such as medical assistance programs.) CASH: CONTOUR ® NEXT test strips are now available in an affordable, over-the-counter option at an everyday low price. 35 and 70-count value packs are on the shelf near blood glucose meters. MEDICARE: Coverage for testing supplies are the same for all brands. CONTOUR ® NEXT test strips are always covered by Medicare Part B. * Medicare • RxBin: 004682 • PCN: CN • Group: EC15701125 • Member ID: 09151814673 CO-PAY SAVINGS: Eligible privately insured patients covered and not covered can save up to $105 on CONTOUR ® NEXT test strips with the CONTOUR ® Choice Savings Card No enrollment needed. Limitations and restrictions apply. † See contournext.com for more details. Use this RxBIN information to give your eligible privately insured patients a FREE CONTOUR ® NEXT ONE meter ‡ FREE METER FOR YOUR ELIGIBLE PATIENTS To The Pharmacist: • The above ID# can be used for all patients (limit = 1 meter/patient/12 month period) • Transmit claim online to RxBin # 018844 • Valid Prescriber ID#, Patient Name and DOB are required for claim adjudication • For reimbursement, please submit to Change Healthcare. The processing information printed on this voucher should be used when submitting for reimbursement. • For questions, please call the Help Desk at 1-855-282-4888. • RxBin: 018844 • PCN: 3F • Group: FVCNXTM18 • ID#: CNTX9697545 • Expiration Date: 12/31/19 ‡Limitations and restrictions apply