YUPELRI® (revefenacin) inhalation solution
coverage and reimbursement
* This is not a guarantee of coverage. Site of care will determine coverage. Check with your patient’s insurance provider for coverage rules and restrictions. In certain limited instances YUPELRI may be covered through a patient’s Medicare Part D pharmacy benefit.
|Be Sure to Use the Appropriate Codes§|
|ICD-10 COPD Code||Permanent J-CODE||YUPELRI NDC No.|
New patients who don't already own a nebulizer will need 2 separate prescriptions and a detailed written order for Medicare Part B§
When prescribing YUPELRI for patients new to nebulized therapy, include the following:
1 A prescription for YUPELRI
2 A prescription for the standard jet nebulizer‖
3 Detailed written order20
Medicare requires a physician to document that a face-to-face evaluation with the patient, detailing the treatment and/or evaluation of a condition that supports the need for the nebulizer, occurred within the 6 months prior to the written order for a nebulizer.
§ Other codes may apply.
‖ DME suppliers may require additional documentation.