NC Medicaid Direct and NC Medicaid Managed Care COVID-19 over-the-counter (OTC) tests for home use are covered for full Medicaid beneficiaries through Sept. 30, 2024.
Please note that NDC 60007093040 On/GO COVID-19 at Home Test has changed to On/GO One COVID-19 at Home Test.
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 |
|---|---|---|---|---|---|
| CORDX COVID-19 AG HOME TEST | 50042055907 | 2 | 2 | $12.5/test; $25.00 kit | 12/1/2023 |
| CORDX COVID-19 AG HOME TEST | 50042055912 | 2 | 2 | $12.50/test; $25.00 kit | 12/1/2023 |
| GOTOKNOW COVID-19 AG HOME TEST | 50042003715 | 2 | 2 | $11.50/test; $23.00/kit | 12/1/2023 |
| Fastep Covid-19 Ag Home Test | 10022063041 | 1 | 1 | $9.99/test; $9.99/kit | 1/1/2024 |
| Fastep Covid-19 Ag Home Test | 10022063042 | 2 | 2 | $9.99/test; 19.99/Kit | 1/1/2024 |
| Fastep Covid-19 Ag Home Test | 10022063035 | 2 | 2 | $9.99/test; $19.99/kit | 1/1/2024 |
Contact
NCTracks Call Center: 800-688-6696