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REPLETE®, SpikeRight® PLUS UltraPak®, 1000 mL, 6 Each / Case

High Protein Nutritional Supplement for tube feeding only. INTENDED USE: formulated to support healing and protein repletion with Vitamin, mineral and protein profile specifically designed for the dietary management of patients recovering from surgery, burns or Stage 2-3 pressure ulcers. CLAIMED BENEFITS: Flavor Packets are available to provide flavoring options. Available in the ULTRAPAK System, a prefilled, non-air-dependent closed system to reduce set-up time, minimize the potential for bacterial contamination, decrease waste and provide the flexibility of a hang time of up to 48 hours

Product Information

Pricing and Suppliers

Is it covered by Medicare Part B?

How can I purchase this product?

If you have Medicare Part B coverage, you can purchase this product at a store that accepts Medicare. You need a written order prescribed by a physician enrolled in Medicare. You will need to pay deductibles and/or co-payment. The actual copayment amount can vary by your state. The table below illustrates the highest (ceiling) and lowest (floor) expected co-payment across the country.

The table below shows highest and lowest Medicare pricing across the country
DescriptionMedicare DME co-payment Min / Max
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit $0.00 / $0.00
View medicare suppliers in or near ''
https://www.medicare.gov/medical-equipment-suppliers/results?location=&cba=false&keyword=
Recommended Suppliers
Estimated out-of-pocket cost: $25.04

If your insurance does not cover this product, you can purchase it directly from any store. A list of online stores and prices is provided below for your convenience. For updated prices, find it on the internet at https://woundreference.com/app/product?id=59

Other Stores

StorePriceAccepts
Medicare*		Accepts
Insurance*		ShippingWebsitePhone
Amazon$25.04 Inquire vendor Inquire vendor Free with Prime www.amazon.com  
* Indicates whether store accepts Medicare or commercial insurance, but may not apply to this specific product. See coding, coverage and reimubursement for more information.
The information on this handout is for your convenience and educational purposes only. All product claims and specifications are those of the product suppliers. It does not constitute medical advice or a guarantee for reimbursement. Prices may have changed and suppliers may not have product in stock. Please confirm accuracy and appropriateness of information with insurance carrier and product supplier. Clinician and WoundReference assume no liability for inaccuracies or misstatements about products and insurance coverage.