Prescribing & Practice Reimbursement Guide
Using Your uresta® Fitting Kit
Request Your Fitting Kit. Our Fitting Kits contains 3 sizes – 3, 4, & 5 which are stamped
into the handle of each uresta®.
Fit a patient and dispose of the uresta®(s) used.
Prescribe to our online pharmacy (see info below). Once prescribed to our Pharmacy
your patient will receive a brand new kit with the 3 sizes that you have in your fitting kits.
- Contact us at firstname.lastname@example.org to have your kits replenished at no charge.
How To Prescribe uresta®
Submit Your e-Prescription By Choosing 1
of These Easy Steps:
- If you use SureScripts please choose American Mail Order Pharmacy under the
retail section or you can type in American Mail Order Pharmacy to find them.
- You can also look them up by their phone number: (586)-772-6872, by their address:
23290 Schoenherr, Warren, MI 48089, or by their NCPDP #2370269
- Use our convenient Pre-Printed prescription pads to Fax a prescription to (586)-772-6873
- Call the prescription in to (586)-772-6872
Coding Information for the 1500 Form*
HCPCS Code for a Pessary
For billing assistance or questions, please contact your local carrier.
*Note: Reimbursements may vary depending on region of the country
**May be able to bill for both on initial visit; consult your local carrier.