thanks so much for the informationYou can go about it one of two ways:
1. Issue prescription for patient to pick-up at pharmacy.
2. If you have a small medication outlet within your practice, offer inhalers as self-pay only. Insurance won't reimburse unless you have a full-time pharmacists dispensing medications at your practice.
Nebulizer piece is billable as a supply so you can offer those in-office. Just include the NU modifier with it and verify that your reimbursement rates are equal or higher than your supplier cost?