Diabetic Supplies, Meters & Test Strips
PDL Status Values
Y = preferred
N = non-preferred. Non-preferred drugs listed as N but without clinical drug use criteria are subject to the
Non-Preferred Drugs in Select PDL Classes prior authorization criteria.
New drugs will be listed as N until reviewed by the P&T Committee and are subject to the
New Drug Policy.
V = voluntary non-preferred. Non-preferred mental health drugs are listed as V and prior authorization is not required.
Null (i.e. blank) = indicates the class or specific drug has not been reviewed for PDL placement.
To request a Prior Authorization, please use this form.
| Generic Name | Brand Name | Form | PDL Status |
Current Drug Use Criteria | Carveout ‐ Bill FFS |
New Drug Evaluation & Updates |
|---|---|---|---|---|---|---|
| blood sugar diagnostic | DIATRUE PLUS | STRIP | Y | |||
| blood sugar diagnostic | EASY TRAK II TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | EASY TRAK | STRIP | Y | |||
| blood sugar diagnostic | EASY TOUCH TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | EASY TOUCH BLULINK TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | EASY TALK PLUS II | STRIP | Y | |||
| blood sugar diagnostic | EASY TALK | STRIP | Y | |||
| blood sugar diagnostic | EASY STEP | STRIP | Y | |||
| blood sugar diagnostic | EASY CHECK TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | EASYMAX 15 | STRIP | Y | |||
| blood sugar diagnostic | DEXTROSTIX REAGENT | STRIP | Y | |||
| blood sugar diagnostic | DARIO BLOOD GLUCOSE TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | CONTOUR TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | CONTOUR PLUS TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | CONTOUR NEXT TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | CLEVER CHOICE VOICE+ TST STRIP | STRIP | Y | |||
| blood sugar diagnostic | EASY PLUS II | STRIP | Y | |||
| blood sugar diagnostic | EVENCARE PROVIEW TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | EVENCARE G3 | STRIP | Y | |||
| blood sugar diagnostic | EVENCARE G2 | STRIP | Y | |||
| blood sugar diagnostic | EVENCARE | STRIP | Y | |||
| blood sugar diagnostic | EMBRACE WAVE GLUCOSE TEST STRP | STRIP | Y | |||
| blood sugar diagnostic | CLEVER CHOICE TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | ACCU-CHEK ADVANTAGE | STRIP | Y | |||
| blood sugar diagnostic | EASYLIFE GLUCOSE TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | EMBRACE TALK TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | EASYGLUCO TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | EMBRACE PRO TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | EVOLUTION TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | EMBRACE EVO | STRIP | Y | |||
| blood sugar diagnostic | EMBRACE | STRIP | Y | |||
| blood sugar diagnostic | ELEMENT TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | ELEMENT COMPACT | STRIP | Y | |||
| blood sugar diagnostic | EASYMAX | STRIP | Y | |||
| blood sugar diagnostic | EVENCARE MINI GLUCOSE TEST STR | STRIP | Y | |||
| blood sugar diagnostic | ACCU-CHEK | STRIP | Y | |||
| blood sugar diagnostic | ACCU-CHEK GUIDE TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | ADVANCED GLUCOSE TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | ADVANCED GLUCOSE TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | ADVANCE TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | ACCUTREND GLUCOSE | STRIP | Y | |||
| blood sugar diagnostic | ACCU-CHEK SMARTVIEW | STRIP | Y | |||
| blood sugar diagnostic | AGAMATRIX AMP | STRIP | Y | |||
| blood sugar diagnostic | ACCU-CHEK AVIVA PLUS | STRIP | Y | |||
| blood sugar diagnostic | AGAMATRIX JAZZ TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | MOBI BLOOD GLUCOSE TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | EXACTECH | STRIP | Y | |||
| blood sugar diagnostic | ACCU-CHEK SIMPLICITY | STRIP | Y | |||
| blood sugar diagnostic | BLOOD GLUCOSE TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | CLEVER CHOICE PRO | STRIP | Y | |||
| blood sugar diagnostic | CLEVER CHOICE MICRO TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | CHOICEDM CLARUS TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | CHEMSTRIP BG | STRIP | Y | |||
| blood sugar diagnostic | CARETOUCH TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | CARESENS S TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | ADVOCATE REDI-CODE+ | STRIP | Y | |||
| blood sugar diagnostic | BLULINK GLUCOSE TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | CLEVER CHOICE TALK | STRIP | Y | |||
| blood sugar diagnostic | AT-LAST TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | ASSURE PRISM MULTI | STRIP | Y | |||
| blood sugar diagnostic | ASSURE PLATINUM TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | ASSURE PLATINUM | STRIP | Y | |||
| blood sugar diagnostic | ASSURE 4 | STRIP | Y | |||
| blood sugar diagnostic | AGAMATRIX PRESTO | STRIP | Y | |||
| blood sugar diagnostic | CARESENS N | STRIP | Y | |||
| blood sugar diagnostic | SMARTEST TEST | STRIP | Y | |||
| blood sugar diagnostic | TRUETRACK TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | MICRODOT | STRIP | Y | |||
| blood sugar diagnostic | SURE-TEST EASYPLUS MINI | STRIP | Y | |||
| blood sugar diagnostic | TD GOLD TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | TELCARE | STRIP | Y | |||
| blood sugar diagnostic | TEST N'GO | STRIP | Y | |||
| blood sugar diagnostic | TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | TRACER BG | STRIP | Y | |||
| blood sugar diagnostic | TRUE METRIX GLUCOSE TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | TRUE METRIX PRO TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | TRUETEST TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | ULTIMA | STRIP | Y | |||
| blood sugar diagnostic | ULTRATRAK | STRIP | Y | |||
| blood sugar diagnostic | ULTRATRAK ULTIMATE | STRIP | Y | |||
| blood sugar diagnostic | UNISTRIP1 | STRIP | Y | |||
| blood sugar diagnostic | VIVAGUARD INO TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | TRUENESS GLUCOSE TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | SMART SENSE TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | GLUCOCARD EXPRESSION | STRIP | Y | |||
| blood sugar diagnostic | HARMONY GLUCOSE TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | FREESTYLE LITE STRIPS | STRIP | Y | |||
| blood sugar diagnostic | FREESTYLE LITE TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | FREESTYLE PRECISION NEO | STRIP | Y | |||
| blood sugar diagnostic | FREESTYLE TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | GE100 BLOOD GLUCOSE TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | GE333 BLOOD GLUCOSE TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | GENSTRIP | STRIP | Y | |||
| blood sugar diagnostic | GENULTIMATE TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | FREESTYLE INSULINX | STRIP | Y | |||
| blood sugar diagnostic | GLUCOCARD 01 SENSOR PLUS | STRIP | Y | |||
| blood sugar diagnostic | FORTISCARE GLUCOSE TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | GLUCOCARD SHINE | STRIP | Y | |||
| blood sugar diagnostic | GLUCOCARD VITAL | STRIP | Y | |||
| blood sugar diagnostic | GLUCOCARD VITAL SENSOR | STRIP | Y | |||
| blood sugar diagnostic | GLUCOCOM GLUCOSE | STRIP | Y | |||
| blood sugar diagnostic | GLUCOFILM | STRIP | Y | |||
| blood sugar diagnostic | GLUCOSE TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | GLUCOSTIX REAGENT | STRIP | Y | |||
| blood sugar diagnostic | GOJJI BLOOD GLUCOSE TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | SOLUS V2 TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | GLUCO NAVII | STRIP | Y | |||
| blood sugar diagnostic | FORA TN'G ADVAN PRO TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | EZ SMART PLUS | STRIP | Y | |||
| blood sugar diagnostic | FORA 6 CONNECT GLUCOSE STRIP | STRIP | Y | |||
| blood sugar diagnostic | FORA 6CONN-GTEL-TN'G ADV STRIP | STRIP | Y | |||
| blood sugar diagnostic | FORA D15G | STRIP | Y | |||
| blood sugar diagnostic | FORA D20 | STRIP | Y | |||
| blood sugar diagnostic | FORA D40-G31 TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | FORA G20 | STRIP | Y | |||
| blood sugar diagnostic | FORA G30-PREMIUM V10 TEST STRP | STRIP | Y | |||
| blood sugar diagnostic | FORA GD50 TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | FREESTYLE INSULINX TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | FORA TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | HEALTHPRO GLUCOSE TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | FORA TN'G VOICE TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | FORA V10 | STRIP | Y | |||
| blood sugar diagnostic | FORA V10-V12-D10-D20 | STRIP | Y | |||
| blood sugar diagnostic | FORA V12 | STRIP | Y | |||
| blood sugar diagnostic | FORA V20 | STRIP | Y | |||
| blood sugar diagnostic | FORA V30A | STRIP | Y | |||
| blood sugar diagnostic | FORACARE GD20 | STRIP | Y | |||
| blood sugar diagnostic | FORACARE GD40 | STRIP | Y | |||
| blood sugar diagnostic | FORTISCARE G1 TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | FORA GTEL GLUCOSE TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | RELION PRIME TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | GOODLIFE AC-302 TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | PREMIUM BLOOD GLUCOSE TEST | STRIP | Y | |||
| blood sugar diagnostic | PREMIUM V10 | STRIP | Y | |||
| blood sugar diagnostic | PRO VOICE V8-V9 TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | PRODIGY NO CODING | STRIP | Y | |||
| blood sugar diagnostic | PTS PANELS EGLU TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | QUINTET | STRIP | Y | |||
| blood sugar diagnostic | QUINTET AC | STRIP | Y | |||
| blood sugar diagnostic | REAGENT STRIPS | STRIP | Y | |||
| blood sugar diagnostic | PRECISION XTRA | STRIP | Y | |||
| blood sugar diagnostic | RELION CONFIRM-MICRO | STRIP | Y | |||
| blood sugar diagnostic | PRECISION Q-I-D | STRIP | Y | |||
| blood sugar diagnostic | REVEAL TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | RIGHTEST GS100 TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | RIGHTEST GS250S TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | RIGHTEST GS260 TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | RIGHTEST GS300 TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | RIGHTEST GS550 TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | RIGHTEST GS700 TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | RIGHTEST GT333 TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | RIGHTEST MAX TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | REFUAH PLUS | STRIP | Y | |||
| blood sugar diagnostic | ON CALL VIVID TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | IGLUCOSE TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | IHEALTH GLUCOSE TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | INFINITY TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | MICRO | STRIP | Y | |||
| blood sugar diagnostic | MICRODOT XTRA | STRIP | Y | |||
| blood sugar diagnostic | MYGLUCOHEALTH | STRIP | Y | |||
| blood sugar diagnostic | NEUTEK 2TEK TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | NOVA MAX GLUCOSE TEST STRIPS | STRIP | Y | |||
| blood sugar diagnostic | PREMIER TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | ON CALL PLUS TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | EZ SMART | STRIP | Y | |||
| blood sugar diagnostic | ONETOUCH ULTRA TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | ONETOUCH VERIO TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | OPTIUM EZ | STRIP | Y | |||
| blood sugar diagnostic | OPTUMRX | STRIP | Y | |||
| blood sugar diagnostic | PHARMACIST CHOICE | STRIP | Y | |||
| blood sugar diagnostic | PIP BLOOD GLUCOSE TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | PLATINUM TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic | PRECISION PCX PLUS | STRIP | Y | |||
| blood sugar diagnostic | PRECISION POINT OF CARE | STRIP | Y | |||
| blood sugar diagnostic | ON CALL EXPRESS TEST STRIP | STRIP | Y | |||
| blood sugar diagnostic, disc | BREEZE 2 | STRIP | Y | |||
| blood-glucose meter | EASYMAX V SPEAKING | EACH | Y | |||
| blood-glucose meter | EASYMAX NG | EACH | Y | |||
| blood-glucose meter | ELEMENT COMPACT | EACH | Y | |||
| blood-glucose meter | EASYMAX V2 | EACH | Y | |||
| blood-glucose meter | ACCU-CHEK III | EACH | Y | |||
| blood-glucose meter | ADVANCED BLOOD GLUCOSE METER | EACH | Y | |||
| blood-glucose meter | ADVANCED GLUCOSE METER | EACH | Y | |||
| blood-glucose meter | ACCU-CHEK GUIDE ME GLUCOSE MTR | EACH | Y | |||
| blood-glucose meter | AGAMATRIX AMP | EACH | Y | |||
| blood-glucose meter | ACCU-CHEK AVIVA PLUS | EACH | Y | |||
| blood-glucose meter | AGAMATRIX PRESTO | EACH | Y | |||
| blood-glucose meter | ASSURE PLATINUM | EACH | Y | |||
| blood-glucose meter | ASSURE PRISM MULTI | EACH | Y | |||
| blood-glucose meter | BIOTEL CARE BGM-4 | EACH | Y | |||
| blood-glucose meter | BLOOD GLUCOSE METER | EACH | Y | |||
| blood-glucose meter | BLOOD GLUCOSE MONITOR | EACH | Y | |||
| blood-glucose meter | BLOOD GLUCOSE MONITORING | EACH | Y | |||
| blood-glucose meter | ADVOCATE REDI-CODE PLUS | EACH | Y | |||
| blood-glucose meter | ACCU-CHEK GUIDE MONITOR SYSTEM | EACH | Y | |||
| blood-glucose meter | BLULINK GLUCOSE MONITOR SYSTEM | EACH | Y | |||
| blood-glucose meter | ACCU-CHEK | EACH | Y | |||
| blood-glucose meter | ACCU-CHEK ADVANTAGE | EACH | Y | |||
| blood-glucose meter | EASY TOUCH BLULINK GLUC SYST | EACH | Y | |||
| blood-glucose meter | CONTOUR NEXT ONE | EACH | Y | |||
| blood-glucose meter | CONTOUR PLUS BLUE | EACH | Y | |||
| blood-glucose meter | DIATRUE PLUS | EACH | Y | |||
| blood-glucose meter | EASY CHECK | EACH | Y | |||
| blood-glucose meter | EASY PLUS II | EACH | Y | |||
| blood-glucose meter | CONTOUR NEXT GEN | EACH | Y | |||
| blood-glucose meter | EASY TALK | EACH | Y | |||
| blood-glucose meter | EASY TOUCH GLUCOSE METER | EACH | Y | |||
| blood-glucose meter | EASY TOUCH GLUCOSE MONITOR | EACH | Y | |||
| blood-glucose meter | EASY TRAK | EACH | Y | |||
| blood-glucose meter | EASY TRAK II | EACH | Y | |||
| blood-glucose meter | EASYGLUCO METER | EACH | Y | |||
| blood-glucose meter | EASY STEP | EACH | Y | |||
| blood-glucose meter | CLEVER CHOICE BLOOD GLUC SYS | EACH | Y | |||
| blood-glucose meter | CARESENS N | EACH | Y | |||
| blood-glucose meter | CARESENS N FELIZ BT GLUCOS MTR | EACH | Y | |||
| blood-glucose meter | CARESENS N FELIZ GLUCOSE METER | EACH | Y | |||
| blood-glucose meter | CARESENS N VOICE | EACH | Y | |||
| blood-glucose meter | CARESENS S FIT BT GLUCOSE MTR | EACH | Y | |||
| blood-glucose meter | CARESENS S FIT GLUCOSE METER | EACH | Y | |||
| blood-glucose meter | CHOICEDM CLARUS | EACH | Y | |||
| blood-glucose meter | CLEVER CHOICE | EACH | Y | |||
| blood-glucose meter | CLEVER CHOICE HD GLUCOSE SYST | EACH | Y | |||
| blood-glucose meter | CLEVER CHOICE MICRO | EACH | Y | |||
| blood-glucose meter | CLEVER CHOICE PRO | EACH | Y | |||
| blood-glucose meter | CLEVER CHOICE TALK | EACH | Y | |||
| blood-glucose meter | CONTOUR | EACH | Y | |||
| blood-glucose meter | CONTOUR NEXT | EACH | Y | |||
| blood-glucose meter | CONTOUR NEXT EZ | EACH | Y | |||
| blood-glucose meter | ELEMENT COMPACT V | EACH | Y | |||
| blood-glucose meter | ONETOUCH ULTRA2 | EACH | Y | |||
| blood-glucose meter | ON CALL VIVID PAL | EACH | Y | |||
| blood-glucose meter | ON CALL VIVID METER | EACH | Y | |||
| blood-glucose meter | ONETOUCH VERIO IQ METER | EACH | Y | |||
| blood-glucose meter | ON CALL PLUS METER | EACH | Y | |||
| blood-glucose meter | ON CALL EXPRESS METER | EACH | Y | |||
| blood-glucose meter | FORACARE GD20 | EACH | Y | |||
| blood-glucose meter | PHARMACIST CHOICE | EACH | Y | |||
| blood-glucose meter | PREMIER BLU | EACH | Y | |||
| blood-glucose meter | PRECISION XTRA | EACH | Y | |||
| blood-glucose meter | PRECISION Q-I-D | EACH | Y | |||
| blood-glucose meter | PRECISION | EACH | Y | |||
| blood-glucose meter | POGO AUTOMATIC BLOOD GLUC SYS | EACH | Y | |||
| blood-glucose meter | ONETOUCH VERIO FLEX METER | EACH | Y | |||
| blood-glucose meter | PIP BLOOD GLUCOSE MONITOR | EACH | Y | |||
| blood-glucose meter | OPTUMRX | EACH | Y | |||
| blood-glucose meter | ONETOUCH VERIO REFLECT METER | EACH | Y | |||
| blood-glucose meter | FREESTYLE INSULINX | EACH | Y | |||
| blood-glucose meter | GE100 BLOOD GLUCOSE SYSTEM | EACH | Y | |||
| blood-glucose meter | MICRODOT | EACH | Y | |||
| blood-glucose meter | FORTISCARE T1 BLOOD GLUC SYS | EACH | Y | |||
| blood-glucose meter | FORACARE GD40B | EACH | Y | |||
| blood-glucose meter | FORACARE GD40A | EACH | Y | |||
| blood-glucose meter | FREESTYLE PRECISION NEO METER | EACH | Y | |||
| blood-glucose meter | GLUCOCARD SHINE EXPRESS METER | EACH | Y | |||
| blood-glucose meter | HEALTHPRO GLUCOSE MONITOR | EACH | Y | |||
| blood-glucose meter | GOODLIFE AC-302 GLUCOSE METER | EACH | Y | |||
| blood-glucose meter | GE333 BLOOD GLUCOSE SYSTEM | EACH | Y | |||
| blood-glucose meter | GLUCOCARD SHINE XL | EACH | Y | |||
| blood-glucose meter | GLUCOCARD SHINE CONNEX METER | EACH | Y | |||
| blood-glucose meter | GLUCOCARD SHINE | EACH | Y | |||
| blood-glucose meter | GLUCOCARD EXPRESSION | EACH | Y | |||
| blood-glucose meter | PREMIER VOICE | EACH | Y | |||
| blood-glucose meter | TRUE METRIX BLOOD GLUCOSE MTR | EACH | Y | |||
| blood-glucose meter | TRUE METRIX AIR GLUCOSE METER | EACH | Y | |||
| blood-glucose meter | TEST N'GO | EACH | Y | |||
| blood-glucose meter | TD GOLD VOICE GLUCOSE MONITOR | EACH | Y | |||
| blood-glucose meter | PREMIER CLASSIC GLUCOSE METER | EACH | Y | |||
| blood-glucose meter | SURE-TEST EASYPLUS MINI | EACH | Y | |||
| blood-glucose meter | TRUENESS BLOOD GLUCOSE MONITOR | EACH | Y | |||
| blood-glucose meter | SOLUS V2 | EACH | Y | |||
| blood-glucose meter | EASY-TOUCH | EACH | Y | |||
| blood-glucose meter | TD GOLD BLOOD GLUCOSE MONITOR | EACH | Y | |||
| blood-glucose meter | ULTRATRAK PRO | EACH | Y | |||
| blood-glucose meter | EASYMAX L | EACH | Y | |||
| blood-glucose meter | VIVAGUARD INO SMART GLUC METER | EACH | Y | |||
| blood-glucose meter | VIVAGUARD INO GLUCOSE METER | EACH | Y | |||
| blood-glucose meter | TRUE METRIX GO | EACH | Y | |||
| blood-glucose meter | ULTRATRAK | EACH | Y | |||
| blood-glucose meter | ULTIMA | EACH | Y | |||
| blood-glucose meter | SMARTEST PERSONA | EACH | Y | |||
| blood-glucose meter | ULTRATRAK ULTIMATE | EACH | Y | |||
| blood-glucose meter | SMARTEST PRONTO | EACH | Y | |||
| blood-glucose meter | QUINTET AC | EACH | Y | |||
| blood-glucose meter | QUINTET | EACH | Y | |||
| blood-glucose meter | RELION MICRO | EACH | Y | |||
| blood-glucose meter | PRODIGY AUTOCODE | EACH | Y | |||
| blood-glucose meter | PRO VOICE V9 GLUCOSE MONITOR | EACH | Y | |||
| blood-glucose meter | PRO VOICE V8 GLUCOSE MONITOR | EACH | Y | |||
| blood-glucose meter | PRESTO PRO | EACH | Y | |||
| blood-glucose meter | PREMIUM V10 | EACH | Y | |||
| blood-glucose meter | PREMIUM BLOOD GLUCOSE | EACH | Y | |||
| blood-glucose meter | SMART SENSE MONITORING SYSTEM | EACH | Y | |||
| blood-glucose meter | SMART BLUETOOTH GLUCOSE MONITR | EACH | Y | |||
| blood-glucose meter | RIGHTEST MAX PLUS GLUCOSE MTR | EACH | Y | |||
| blood-glucose meter | RIGHTEST GM700SB GLUCOSE METER | EACH | Y | |||
| blood-glucose meter | RIGHTEST GM260 METER | EACH | Y | |||
| blood-glucose meter | RIGHTEST GM250S METER | EACH | Y | |||
| blood-glucose meter | RELION PRIME | EACH | Y | |||
| blood-glucose meter | RIGHTEST GT333 GLUCOSE METER | EACH | Y | |||
| blood-glucose meter | EMBRACE EVO | EACH | Y | |||
| blood-glucose meter | EMBRACE PRO BLOOD GLUCOSE MTR | EACH | Y | |||
| blood-glucose meter | EMBRACE TALK | EACH | Y | |||
| blood-glucose meter | EMBRACE WAVE PLUS GLUCOSE MTR | EACH | Y | |||
| blood-glucose meter | EVENCARE G2 | EACH | Y | |||
| blood-glucose meter | EVENCARE MINI MONITOR SYSTEM | EACH | Y | |||
| blood-glucose meter | FORA TEST N'GO VOICE | EACH | Y | |||
| blood-glucose meter | EMBRACE | EACH | Y | |||
| blood-glucose meter | FORA TN'G VOICE | EACH | Y | |||
| blood-glucose meter | FORA V12 | EACH | Y | |||
| blood-glucose meter | FORA PREMIUM V10 | EACH | Y | |||
| blood-glucose meter | FORA V30A | EACH | Y | |||
| blood-glucose meter | FORA GD50 | EACH | Y | |||
| blood-glucose meter | FORA G30A | EACH | Y | |||
| blood-glucose meter | EASYMAX T1 | KIT | Y | |||
| blood-glucose meter | EASYMAX NG | KIT | Y | |||
| blood-glucose meter | AGAMATRIX JAZZ WIRELESS 2 | KIT | Y | |||
| blood-glucose meter | BLULINK DIABETIC TEST BUNDLE | KIT | Y | |||
| blood-glucose meter | ACCU-CHEK III | KIT | Y | |||
| blood-glucose meter | ACCU-CHEK INSTANTPLUS | KIT | Y | |||
| blood-glucose meter | ACCU-CHEK SIMPLICITY | KIT | Y | |||
| blood-glucose meter | ACCU-CHEK VOICEMATE | KIT | Y | |||
| blood-glucose meter | ADVANCED ALL-IN-ONE METER | KIT | Y | |||
| blood-glucose meter | AT-LAST | KIT | Y | |||
| blood-glucose meter | ACCU-CHEK | KIT | Y | |||
| blood-glucose meter | BLOOD GLUCOSE MONITORING | KIT | Y | |||
| blood-glucose meter | CONTOUR NEXT GLUCOSE METER | KIT | Y | |||
| blood-glucose meter | CONTOUR NEXT ONE | KIT | Y | |||
| blood-glucose meter | EASY CHECK | KIT | Y | |||
| blood-glucose meter | CONTOUR NEXT EZ | KIT | Y | |||
| blood-glucose meter | EASY TOUCH HEALTHPRO SYSTEM | KIT | Y | |||
| blood-glucose meter | EASYGLUCO | KIT | Y | |||
| blood-glucose meter | EASYGLUCO METER STARTER KIT | KIT | Y | |||
| blood-glucose meter | EASYLIFE BLOOD GLUCOSE MONITOR | KIT | Y | |||
| blood-glucose meter | CARESENS N PLUS BT | KIT | Y | |||
| blood-glucose meter | CARETOUCH GLUCOSE MONITORING | KIT | Y | |||
| blood-glucose meter | CONTOUR NEXT GEN | KIT | Y | |||
| blood-glucose meter | CONTOUR | KIT | Y | |||
| blood-glucose meter | CONTOUR LINK | KIT | Y | |||
| blood-glucose meter | CLEVER CHEK BLOOD GLUCOSE SYST | KIT | Y | |||
| blood-glucose meter | ON CALL PLUS METER | KIT | Y | |||
| blood-glucose meter | ONETOUCH ULTRAMINI | KIT | Y | |||
| blood-glucose meter | ONETOUCH ULTRA2 | KIT | Y | |||
| blood-glucose meter | ON CALL VIVID PAL | KIT | Y | |||
| blood-glucose meter | MICRO | KIT | Y | |||
| blood-glucose meter | ON CALL EXPRESS METER | KIT | Y | |||
| blood-glucose meter | MYGLUCOHEALTH | KIT | Y | |||
| blood-glucose meter | MICRODOT | KIT | Y | |||
| blood-glucose meter | ON CALL VIVID METER | KIT | Y | |||
| blood-glucose meter | PLATINUM GLUCOSE METER | KIT | Y | |||
| blood-glucose meter | ONETOUCH VERIO FLEX STARTR KIT | KIT | Y | |||
| blood-glucose meter | OPTUMRX | KIT | Y | |||
| blood-glucose meter | ONETOUCH VERIO REFLECT KIT | KIT | Y | |||
| blood-glucose meter | ONETOUCH VERIO IQ SYSTEM KIT | KIT | Y | |||
| blood-glucose meter | JAZZ WIRELESS 2 | KIT | Y | |||
| blood-glucose meter | PIP BLOOD GLUCOSE MONITOR KIT | KIT | Y | |||
| blood-glucose meter | GE100 BLOOD GLUCOSE SYSTEM | KIT | Y | |||
| blood-glucose meter | GDRIVE | KIT | Y | |||
| blood-glucose meter | FREESTYLE SYSTEM | KIT | Y | |||
| blood-glucose meter | FREESTYLE SIDEKICK II | KIT | Y | |||
| blood-glucose meter | FREESTYLE LITE METER | KIT | Y | |||
| blood-glucose meter | GLUCOCARD 01 | KIT | Y | |||
| blood-glucose meter | FREESTYLE FREEDOM LITE | KIT | Y | |||
| blood-glucose meter | FREESTYLE FREEDOM | KIT | Y | |||
| blood-glucose meter | FREESTYLE FLASH SYSTEM | KIT | Y | |||
| blood-glucose meter | INFINITY | KIT | Y | |||
| blood-glucose meter | IHEALTH GLUCO PLUS METER | KIT | Y | |||
| blood-glucose meter | IGLUCOSE BLOOD GLUCOSE MONITOR | KIT | Y | |||
| blood-glucose meter | GLUCOCOM BLOOD GLUCOSE | KIT | Y | |||
| blood-glucose meter | GLUCO NAVII | KIT | Y | |||
| blood-glucose meter | GLUCOCARD SHINE | KIT | Y | |||
| blood-glucose meter | GLUCOCARD EXPRESSION | KIT | Y | |||
| blood-glucose meter | GLUCOCARD VITAL | KIT | Y | |||
| blood-glucose meter | STARTER KIT | KIT | Y | |||
| blood-glucose meter | TRUE METRIX AIR GLUCOSE METER | KIT | Y | |||
| blood-glucose meter | SOLUS V2 | KIT | Y | |||
| blood-glucose meter | SMARTEST TALKING | KIT | Y | |||
| blood-glucose meter | SMARTEST PROTEGE | KIT | Y | |||
| blood-glucose meter | ELEMENT PLUS | KIT | Y | |||
| blood-glucose meter | WAVESENSE PRESTO | KIT | Y | |||
| blood-glucose meter | WAVESENSE AMP | KIT | Y | |||
| blood-glucose meter | ULTRATRAK PRO | KIT | Y | |||
| blood-glucose meter | TRUE2GO BLOOD GLUCOSE SYSTEM | KIT | Y | |||
| blood-glucose meter | TRUETRACK SMART SYSTEM | KIT | Y | |||
| blood-glucose meter | TRUETRACK BLOOD GLUCOSE SYSTEM | KIT | Y | |||
| blood-glucose meter | TRUERESULT BLOOD GLUCOSE SYSTM | KIT | Y | |||
| blood-glucose meter | PRODIGY | KIT | Y | |||
| blood-glucose meter | RELION ALL-IN-ONE | KIT | Y | |||
| blood-glucose meter | REFUAH PLUS | KIT | Y | |||
| blood-glucose meter | PRODIGY VOICE | KIT | Y | |||
| blood-glucose meter | RELION MICRO | KIT | Y | |||
| blood-glucose meter | SMARTEST PRONTO | KIT | Y | |||
| blood-glucose meter | PRODIGY POCKET | KIT | Y | |||
| blood-glucose meter | RIGHTEST GM550 SYSTEM | KIT | Y | |||
| blood-glucose meter | PREMIER COMPACT GLUCOSE METER | KIT | Y | |||
| blood-glucose meter | SMARTEST EJECT | KIT | Y | |||
| blood-glucose meter | SMART BLUETOOTH GLUCOSE MONITR | KIT | Y | |||
| blood-glucose meter | RELION CONFIRM | KIT | Y | |||
| blood-glucose meter | SMARTEST PERSONA | KIT | Y | |||
| blood-glucose meter | RIGHTEST GM300 SYSTEM | KIT | Y | |||
| blood-glucose meter | RIGHTEST GM100 SYSTEM | KIT | Y | |||
| blood-glucose meter | REVEAL BLOOD GLUCOSE METER | KIT | Y | |||
| blood-glucose meter | EVENCARE | KIT | Y | |||
| blood-glucose meter | EMBRACE EVO | KIT | Y | |||
| blood-glucose meter | EMBRACE TALK | KIT | Y | |||
| blood-glucose meter | FORA V30A | KIT | Y | |||
| blood-glucose meter | SMARTEST SMART CODE | KIT | Y | |||
| blood-glucose meter | EVENCARE G3 | KIT | Y | |||
| blood-glucose meter | EVOLUTION BLOOD GLUCOSE METER | KIT | Y | |||
| blood-glucose meter | EZ SMART | KIT | Y | |||
| blood-glucose meter | FORA V20 | KIT | Y | |||
| blood-glucose meter | EZ SMART PLUS | KIT | Y | |||
| blood-glucose meter | FORA V10 | KIT | Y | |||
| blood-glucose meter | FORA V12 | KIT | Y | |||
| blood-glucose meter | FORA G20 | KIT | Y | |||
| blood-glucose meter | FORA D20 | KIT | Y | |||
| blood-glucose meter | FONDCIRCLE BLOOD GLUCOSE MONTR | KIT | Y | |||
| blood-glucose meter, drum-type | ACCU-CHEK | KIT | Y |