COVID-19 OTC Tests for home use are covered for full Medicaid enrollees through Sept. 30, 2024.
Guidance for NC Medicaid coverage and the complete list of covered products are available on the Outpatient Pharmacy Services webpage.
Updates to the covered products are below.
|
Test Name |
NDC |
# Tests in Kit |
Billing Unit |
SMAC |
Effective Date |
|
INDICAID COVID-19 AG HOME TEST |
60008040780
|
2 |
2 |
$10.48/test; $20.96 kit |
8/1/2023 |
|
CELLTRION DIATRUST COV-19 HOME |
06121076323
|
2 |
2 |
$10.34/test; $20.68 kit |
8/1/2023 |
|
GENABIO COVID-19 RAPID AT-HOME |
60008095486
|
1 |
1 |
$12.99/test; $12.99/kit |
7/28/2023 |
|
GENABIO COVID-19 RAPID AT-HOME |
60008095487
|
2 |
2 |
$12.99/test: $25.98/kit |
7/28/2023 |