MHC Medical Products Easy-Touch Specifications download pdf (Page 25)

www.gemcomedical.com  Phone:800-733-7976  Fax:330-342-9444

Program Details

• DiscountedOneTouch®TestStripsavailableasadropship/home

 deliveryprogram.

• DealermusthaveavalidMedicareprovidernumber.

• HIPAAcompliant.

• Cost/shipment:CallGEMCOforcurrentrates.

• AvailableforOneTouch®consumerswhoqualifyfor

 Medicare,MedicaidorMedicalBenetInsurance.

• Pleasenotethefollowingconsumersdonotqualify:

 -Consumerswhoarecoveredbyapharmacybenet.

 -ConsumerscoveredbyCaliforniaStateMedicaidProgram.

• OneTouch®DMENetPricingAgreementmustbeexecutedinorder

 toqualify.

• LifeScanwillcontactyouonceyearlytoverify:

 -Providernumber.

 -ActiveMedicarestatus.

GEMCO Item # Description Pkg. Sold By

ZMLOU2 OneTouch®Ultra®2SystemKit,NoCharge NotforResaleorReimbursement Bx

ZMLOUMI OneTouch®UltraMini®SystemKit,NoCharge NotforResaleorReimbursement Bx

SLUC5M OneTouch®Ultra®TestStrips,50ct. HomeDelivery,MedicalBenet Bx

MLOTSM OneTouch®Select™SystemKit HomeDelivery,MedicalBenet Bx

SLOTS5M OneTouch®Select™TestStrip,50ct. HomeDelivery,MedicalBenet Bx

MLOTVIQ OneTouch®Verio®IQSystemKit Retail Bx

SLOTV5M OneTouch®Verio®TestStrips,50ct. HomeDelivery Bx

DLFT1 OneTouch®Ultra®ControlSolution Retail 1Vial

DLSRM OneTouch®Select™RegularControlSolution HomeDelivery,MedicalBenet 1Vial

DLVR OneTouch®Verio®Level3(Mid)ControlSolution HomeDelivery 1Vial

LDOTD OneTouch®

Delica®LancingDevice Retail Bx

LLDELICA33HD HomeDeliveryOneTouch®Delica®Lancets HomeDelivery Bx

OneTouch® Home Delivery Products

• ReducedpricingavailableonOneTouch®Ultra®andOneTouch®

 Verio®IQhomedeliveryproducts.

• OneTouch®Select™productsarealsoavailableforhomedelivery.

• AuniquepatientidenticationnumberisrequiredforOneTouch®

 homedeliveryshipments.

ItemslistedinreddenoteMedicare,MedicaidandMedicalBenetProducts.

What you need to know when ordering

• AllrsttimecustomersmustcompleteaGEMCOMedicaldropship

 forminordertoensureaccuracyoffulllment.

• Provideconsumer’snameandaddressbyfax,phone,emailor

 websiteviaon-lineorderingeitherasindividualnamesorasalist. 

 LifeScanalsorequiresyoutosupplyauniquepatientidentication 

 numberforeachconsumer.

• Provideyourfullcompanyname,asshippingpackagewill

 arrivewithyourpackingslip.

• Listquantityandproducttobeshippedtoyourcustomer.

• Shippinglabelandpackingslipcanbecustomizedbasedonyour

 preferences.

OneTouch®HomeDeliveryProgram

Diabetes Supplies

Benets of OneTouch® Home Delivery Program

Yougetanupfrontdiscountedprice.YourcustomersgetOneTouch®

quality.TheOneTouch®DMENetPricingProgramprovidesyouwithlow,

at-ratepricingonOneTouch®Ultra®TestStripssoldtoMedicare,

Medicaid,ormanaged-carepatientswithaDMEBenetonly.

When can you use the OneTouch® Ultra® Test Strip DME SKU (gray

box)?

ThegrayboxcontainsthesamegreatOneTouch®Ultra®TestStripsbut

isONLYforyourpatientswiththeDMEbenet.

Eligibility

Requirementsforparticipationare

:bealicensedDMEstoreor

pharmacy,have10orfewerstoresundersingleownership,havean

activeprovidernumber,acceptthatproductisintendedforonlyDME

beneciariesofMedicare,Medicaid,ormanaged-careinsurers.

Additionalconditionsmightapply.

Easy Registration

Visitwww.OneTouchNetPricing.comtoregisterandselectGEMCO

Medicalasyourdistributor.Followtherestofthestepsonlinetonalize

youragreement.

OneTouch® Home Delivery Diabetes Program

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MHC Medical Products Easy-Touch Specifications Page 25

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