Drug Benefit List
36:00 DIAGNOSTIC AGENTS (Dx)
36:00.00 DIAGNOSTIC AGENTS (DX)
THYROTROPIN ALFA
- 0.9MG/ML Powder for Solution
- 02246016 THYROGEN GEE
36:26.00 DX - DIABETES MELLITUS
GLUCOSE OXIDASE, PEROXIDASE
- Glucose Control Solution
- 00909556 ADVANTAGE ROD
- 00977943 ASCENSIA AUTODISC BAY
- 00977307 ASCENSIA ELITE BAY
- 00920143 FASTTAKE JAJ
- 99463968 GLUCOFILM BAY *
- 00906867 MEDISENSE AUC
- 00977845 ONE
TOUCH JAJ
- 99480004 ONE
TOUCH JAJ *
- 99925768 ONE
TOUCH JAJ *
- Accu-Chek Advantage Strip
- 00905348 ACCU-CHEK ADVANTAGE ROD
- 00921076 ACCU-CHEK ADVANTAGE ROD *
- 00950883 ACCU-CHEK ADVANTAGE ROD
- 09854002 ACCU-CHEK ADVANTAGE ROD
- 44123021 ACCU-CHEK ADVANTAGE ROD
- 97799960 ACCU-CHEK ADVANTAGE ROD
- 99002884 ACCU-CHEK ADVANTAGE ROD
- Accu-Chek Aviva Strip
- 97799814 ACCU-CHEK AVIVA
(100) ROD
- 97799815 ACCU-CHEK AVIVA
(50) ROD
- Accu-Chek Compact Strip
- 00901370 ACCU-CHEK COMPACT ROD
- 00950900 ACCU-CHEK COMPACT ROD
- 00965960 ACCU-CHEK COMPACT ROD
- 00965979 ACCU-CHEK COMPACT ROD
- 09854282 ACCU-CHEK COMPACT ROD *
- 44123026 ACCU-CHEK COMPACT ROD
- 97799962 ACCU-CHEK COMPACT ROD
- 99004364 ACCU-CHEK COMPACT ROD
- Accutrend Strip
- 00906697 ACCUTREND ROD
- 00977031 ACCUTREND ROD
- 09853162 ACCUTREND ROD
- 44123006 ACCUTREND ROD
- Advantage Strip
- 00908290 ADVANTAGE ROD
- 00924061 ADVANTAGE ROD
- 00950661 ADVANTAGE ROD
- 44123008 ADVANTAGE ROD
- Ascensia Autodisc Strip
- 00904945 ASCENSIA AUTODISC BAY
- 00950878 ASCENSIA AUTODISC BAY
- 09853693 ASCENSIA AUTODISC BAY
- 44123019 ASCENSIA AUTODISC BAY
- 97799926 ASCENSIA AUTODISC BAY
- 99002604 ASCENSIA AUTODISC BAY
- Ascensia Elite Strip
- 00920363 ASCENSIA ELITE BAY
- 00950572 ASCENSIA ELITE BAY
- 00980100 ASCENSIA ELITE BAY
- 09854088 ASCENSIA ELITE BAY
- 44123002 ASCENSIA ELITE BAY
- 97799923 ASCENSIA ELITE BAY
- Ascensia Microfill Strip
- 00950924 ASCENSIA MICROFILL BAY
- 00964476 ASCENSIA MICROFILL BAY
- 09857127 ASCENSIA MICROFILL BAY
- 97799877 ASCENSIA MICROFILL
(100) BAY
- 97799878 ASCENSIA MICROFILL
(50) BAY
- BD Test Strip
- 00900142 BD
TEST BTD
- 00950911 BD
TEST BTD
- 44123030 BD
TEST BTD
- 99100002 BD
TEST BTD
- 99401067 BD
TEST BTD
- Chemstrip-BG for Accu-Chek Strip
- 09853189 CHEMSTRIP BG ROD
- 00990027 CHEMSTRIP-BG ROD
- 44123009 CHEMSTRIP-BG ROD
- 97799958 CHEMSTRIP-BG ROD
- Encore Strip
- 00920371 ENCORE BAY
- 00980200 ENCORE BAY
- 09853103 ENCORE BAY
- 44123003 ENCORE BAY
- 97799922 ENCORE BAY
- FastTake Strip
- 00903531 FASTTAKE JAJ
- 00950882 FASTTAKE JAJ
- 00967084 FASTTAKE JAJ
- 00967092 FASTTAKE JAJ
- 00967106 FASTTAKE JAJ
- 09854029 FASTTAKE JAJ
- 44123017 FASTTAKE JAJ
- 97799982 FASTTAKE JAJ
- 99002809 FASTTAKE JAJ
- Freestyle Strip
- 00901388 FREESTYLE THS *
- 00905500 FREESTYLE THS
- 00950907 FREESTYLE THS *
- 09857141 FREESTYLE THS
- 44123028 FREESTYLE THS
- 97799829 FREESTYLE THS
- 99004704 FREESTYLE THS *
- 99401062 FREESTYLE THS
- One Touch Strip
- 00905399 ONE
TOUCH JAJ
- 00950459 ONE
TOUCH JAJ
- 09853243 ONE
TOUCH JAJ
- 44123011 ONE
TOUCH JAJ
- 97799976 ONE
TOUCH JAJ
- One Touch Ultra Strip
- 00907000 ONE
TOUCH ULTRA JAJ
- 00950893 ONE
TOUCH ULTRA JAJ
- 09854290 ONE
TOUCH ULTRA JAJ *
- 44123025 ONE
TOUCH ULTRA JAJ
- 97799985 ONE
TOUCH ULTRA JAJ
- 99004240 ONE
TOUCH ULTRA JAJ *
- 99401057 ONE
TOUCH ULTRA JAJ
- Precision Plus Strip
- 00906298 PRECISION PLUS
ELECTRODES AUC
- 00977057 PRECISION PLUS
ELECTRODES AUC
- 00977059 PRECISION PLUS
ELECTRODES AUC
- 97799843 PRECISION PLUS
ELECTRODES AUC
- Precision Xtra Strip
- 00908437 PRECISION XTRA AUC
- 00909300 PRECISION XTRA AUC
- 00950894 PRECISION XTRA AUC
- 00986763 PRECISION XTRA AUC
- 09854070 PRECISION XTRA AUC
- 97799840 PRECISION XTRA AUC
- 99004119 PRECISION XTRA AUC
- Prestige Smart System Strip
- 99401066 PRESTIGE SMART
SYSTEM THR
- Surestep Strip
- 00999482 SURESTEP JAJ
- 09853634 SURESTEP JAJ
- 44123012 SURESTEP JAJ
- 97799979 SURESTEP JAJ
- 99000318 SURESTEP JAJ *
36:88.00 DX - URINE AND FECES CONTENTS
CUPRIC SULFATE
- Tablet
- 00035122 CLINITEST BAY
- 00977314 CLINITEST BAY *
- 00980420 CLINITEST BAY
- 99067017 CLINITEST BAY *
GLUCOSE OXIDASE, PEROXIDASE
- Strip
- 00035130 DIASTIX BAY
- 00977160 DIASTIX BAY *
- 00980641 DIASTIX BAY
- 99159954 DIASTIX BAY *
SODIUM NITROPRUSSIDE
- Strip
- 00035092 KETOSTIX BAY
- 00977322 KETOSTIX BAY *
- 00980595 KETOSTIX BAY
- 09853286 KETOSTIX BAY *
- 99067074 KETOSTIX BAY *
- Tablet
- 00035106 ACETEST BAY
- 00977292 ACETEST BAY *
- 00980560 ACETEST BAY
- 09853294 ACETEST BAY *
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