The NDC for PIXEL COVID-19 Home Collection Kit has changed to 50024-0924-00. The NDC is active for NC Medicaid coverage effective Nov. 1, 2022.
NDC 00042-0222-24, which is for the same product, has obsolete status.
The list of covered COVID 19 OTC Test for home use and details for NC Medicaid coverage is available in the Dec. 28, 2022, Medicaid Bulletin, titled Update: OTC COVID-19 Tests for Home Use Pharmacy POS Coverage. The coverage for NDC 50024-0924-00 is below.
| Test Name | NDC | Tests in a Kit | Billing Unit | SMAC | Effective Date |
|---|---|---|---|---|---|
| Pixel COVID-19 Home Collection Kit | 50024-0924-00 | 1 | 1 | $129.99/test; $129.99/kit | 11/1/2022 |