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Reimbursement for the ActiCuf Compression Pouch

Reimbursement for the ActiCuf Compression Pouch is available through Medicare and private third-party insurance. However, you will need a prescription to apply for reimbursement.

Reimbursement through Medicare

When requesting reimbursement for the ActiCuf Compression Pouch through Medicare, use the following codes:

  • Medicare HCPCS Billing Code: A4356
    • External urethral clamp or compression device
Assistance in filing a claim

The following medical supply companies will file a claim for reimbursement for ActiCuf Compression Pouch orders placed through them:

Alabama
  • All South Services
    1667 Shug Jordan Parkway, Ste 403
    Auburn, AL 36830

    Tel: (334) 821-2006
    Fax:(334) 821-2033

  • Respi-Care Inc.
    976 Ronnie McDowell Ave.
    Russelville, AL 35654

    Tel: (256) 332-3222
    Fax:(256) 332-0055

Florida
  • Lake Pharmacy
    710 N. Bay Street
    Eustis, FL 32726

    Tel: (352) 357-5485
    Fax: (352) 357-5505

  • Franck's Pharmacy
    202 S. W. 17th street
    Ocala, FL 34471

    Tel: (352) 622-4148
    Fax: (352) 622-0130

  • Little Drug Company
    412 Canal Street
    New Smyrna Beach, FL 32168

    Tel: (386) 428-9041
    Fax: (386) 423-3290

Georgia
  • Chi-Ches-ter's
    1042 Gray Highway
    Macon, GA 31211-1897

    Tel: (478) 743-4557
    Fax:(478) 743-4051

Iowa
  • Imperial Medical
    26 First Avenue N.E.
    Buffalo, MN 55313

    Tel: (763) 684-1808

    Some restrictions may apply.

    Website: www.imperialmedical.com
Maine
  • Miller Drug
    210 State St.
    Bangor, ME 04401

    Tel: (207) 947-8369
    Fax:(207) 947-0894

Massachusetts
  • ENOS Home Oxygen & Medical Supply, Inc.
    35 Welby Road
    New Bedford, MA 02745

    Tel: 1-800-473-4669 or (508) 992-2146
    Contact: Anita Hall ext. 104

    Website: www.enoshomemedical.com
Minnesota
  • Handi Medical Supply
    2505 University Avenue West
    St. Paul, MN 55114

    Tel: (651)644-9770

  • Edina Medical Supplies, Inc.
    6545 France Avenue South, Suite C-62
    Edina, MN 55435

    Tel: (952)922-2535
    Fax: (952)922-8445

Mississippi
  • Tri-State Medical
    612 Delaware Ave., Ste 18
    McComb, MS 39648

    Tel: (601) 250-1996
    Fax:(601) 250-1997

Missouri
  • Medical West Healthcare Center
    9301 Dielman Industrial Ct.
    Olivette, MO 63132

    Tel: (314)725-1888
    Fax:(314)725-1444

Nebraska
  • Keystone Pharmacy & Home Care
    7328 Maple St.
    Omaha, NE 68134

    Tel: (402) 391-2659
    Fax:(402) 391-0038

  • Kubat Pharmacy - Everything Medical
    4924 Center St.,
    Omaha, NE 68106

    Tel: (402) 558-8888
    Fax:(402) 558-7388

New York
  • Hylan Medicine Cabinet
    1988 Hylan Blvd
    Staten Island, NY 10306

    Tel: (718)667-4300
    Fax: (718)351-7867

  • Robert Jacobson Surgical Pharmacy
    359 E. Main St.
    Mount Kisco, NY 10549

    Tel: (914) 241-4887
    Fax: (914) 241-7041

North Carolina
  • Lowry Drug Co., Inc.
    750 Hartness Rd.
    Statesville, NC 28677

    Tel: (704) 873-2247
    Fax:(704) 873-4050

  • Medical Center Pharmacy
    124 N. Center St.
    Hickory, NC 28601

    Tel: (828) 322-7717
    Fax:(828) 322-3803

Rhode Island
  • ENOS Home Oxygen & Medical Supply, Inc.
    35 Welby Road
    New Bedford, MA 02745

    Tel: 1-800-473-4669 or (508) 992-2146
    Contact: Anita Hall ext. 104

    Some restrictions may apply.

    Website: www.enoshomemedical.com
South Carolina
  • Ford's Drug & Medical
    435 E. Main St., Ste 2
    Spartanburg, SC 29302

    Tel: (864) 585-3325 (ext)4
    Fax:(864) 583-6497

Texas
  • Allumed
    1103 W Adams Ave
    Temple, TX 76504

    Tel: (254) 773-1226
    Fax: (254) 773-1227

    Website: Allumed.com
  • North Side Medical
    1601 West University Dr.
    McKinney, TX 75069

    Tel: (972) 562-8700
    Fax: (972) 542-3709

  • Taylor Drug & Medical
    930 West Parker Rd., Ste 520
    Plano, TX 75075

    Tel: (972) 377-7344
    Fax: (972) 377-7366

  • TexasStar Pharmacy
    3033 West Parker Rd, Ste 100
    Plano, TX 75023

    Tel: (972) 519-8475
    Fax: (972) 519-8477

  • The Medicine Shoppe Pharmacy
    1800 N. Travis, Ste E
    Sherman, TX 75092

    Tel: (903) 892-9291
    Fax: (903) 893-1019

Wisconsin
  • Imperial Medical
    26 First Avenue N.E.
    Buffalo, MN 55313

    Tel: (763) 684-1808

    Some restrictions may apply.

    Website: www.imperialmedical.com

 

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