Description:
Canes and crutches provide support for patients with short-term injuries or chronic conditions that affect balance and mobility.

Patient Requirements:

• Completed patient intake form

• Current insurance information (insurance name, member ID, group number if applicable)

Provider Requirements:

• Prescription with ICD-10 code for mobility limitation

• Length of need indicated

Description:
Home devices to measure blood pressure. Coverage varies by payer and diagnosis; some plans cover a cuff or a full monitor kit when medically necessary, others treat it as a patient-pay item.

Patient Requirements:

• Completed patient intake form.

• Current insurance information (insurance name, member ID, and group number if applicable).

• Signed Assignment of Benefits (permits billing when covered).

Provider Requirements:

• Prescription that includes:

  • Diagnosis (e.g., essential hypertension ICD-10 I10, or other qualifying diagnosis per payer rules).

  • Device requested (e.g., automatic upper-arm monitor kit and/or replacement cuff).

  • Length of Need (12 months; extended 24/99 months or “lifetime” preferred when appropriate).

• Brief medical necessity note if the payer requires it (e.g., home monitoring to adjust therapy, white-coat hypertension concerns, post-medication changes).

• Note: Coverage differs by payer; if not covered, patient may choose to purchase out-of-pocket.

Description:
Meters, test strips, lancets, and control solutions used to monitor blood sugar at home. Mail order is available for ongoing refills; in-store pickup is available if you prefer.

Patient Requirements:

• Completed patient intake form (demographics, date of birth, address, phone, email).

• Current insurance information (insurance name, member ID, and group number if applicable).

• For mail order: consent to ship to your address, confirmation of shipping address, and signature for delivery (as required by payer).

• Signed Assignment of Benefits allowing Trio Pharmacy to bill your insurance.

Provider Requirements:

• Prescription that specifies:

  • Diagnosis (ICD-10) for diabetes (e.g., Type 1 or Type 2).

  • Exact testing frequency (e.g., “test 4 times daily”).

  • Meter brand/model if required by payer; supplies must match the meter type.

  • Length of Need (12 months minimum; extended 24/99 months or “lifetime” preferred when clinically appropriate).

• Clinical documentation supporting medical necessity (insulin use, hypoglycemia risk, or other factors as required by payer).

Description:
Special footwear designed for people with diabetes to reduce the risk of skin breakdown, ulcers, and infections. Inserts are custom-fit to provide added support and protection.

Patient Requirements:

• Current insurance information

• Signed acknowledgment of benefits (allows billing to insurance)

• Measurement form, if required

Provider Requirements:

• Prescription from physician managing diabetes

• Certification statement of medical necessity (required by Medicare)

• Detailed foot exam documentation (neuropathy, poor circulation, foot deformity, or ulcer history)

• Letter of Medical Necessity required under Ohio Medicaid

Description:
Nebulizers turn liquid medication into a mist for inhalation, making them essential for patients with asthma, COPD, or other respiratory conditions.

Patient Requirements:

• Completed patient intake form

• Current insurance information

Provider Requirements:

• Prescription with ICD-10 diagnosis code (e.g., J45 asthma, J44 COPD)

• Face-to-face examination documentation within 6 months (required by Medicare)

• Length of need indicated

Rental Only (unless purchased outright)

Description:
Manual wheelchairs provide mobility for patients who cannot use a cane, crutch, or walker. Insurance usually covers them as rentals, though purchase may be allowed for long-term medical necessity.

Patient Requirements:

• Current insurance information

• Signed rental agreement acknowledging monthly billing and return responsibilities

Provider Requirements:

• Prescription with ICD-10 code (neurological, musculoskeletal, or related diagnosis)

• Face-to-face examination documentation within 6 months of the order (required by Medicare)

• Letter of Medical Necessity often required (especially under Ohio Medicaid)

• Length of need indicated

Rental equipment must be returned within 14 days after insurance coverage or medical need ends. If not returned, patients may be billed directly for the cost of replacement.

Rental-to-Ownership (13 Months)

Description:
A TENS unit delivers mild electrical pulses through the skin to relieve chronic pain. Insurance covers it first as a rental, and after 13 months of continuous payments, ownership transfers to the patient. Supplies like electrodes and lead wires are ordered separately.

Patient Requirements:

• Completed patient intake form (demographics, date of birth, address, phone, email)

• Current insurance information (insurance name, member ID, group number if applicable)

• Signed rental agreement acknowledging monthly billing and return responsibilities

Provider Requirements:

• Prescription with ICD-10 diagnosis code (e.g., chronic pain diagnosis such as M54.5 low back pain)

• Length of need (preferably extended: 24 months, 99 months, or lifetime)

• Documentation that conservative therapy was tried and failed (per Medicare guidelines)

• Letter of Medical Necessity or equivalent provider notes supporting use of TENS unit

Supplies:

• Electrodes and lead wires require a separate prescription

Rental equipment must be returned within 14 days after insurance coverage or medical need ends. If not returned, patients may be billed directly for the cost of replacement.

Description:
Walkers offer more stability than canes or crutches and are used for patients with significant mobility limitations. Options may include standard walkers, wheeled walkers, and specialty types.

Patient Requirements:

• Completed patient intake form

• Current insurance information

Provider Requirements:

• Prescription with ICD-10 code for mobility disorder

• Face-to-face examination documentation within 6 months of the order (required by Medicare)

• Length of need indicated