Hypertensive Drug List - procurement.sc.govprocurement.sc.gov/files/Co-Pay_Waiver_Drugs.pdf ·...

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Antihypertensive Drug List ITEMS ON THE LIST ARE SUBJECT TO CHANGE 1 Drug Name ACEBUTOLOL ADROLAZINE AFEDITAB CR ALDAREX PLUS ALTEX ALTEXIDE AMILORIDE AMILORIDE/HCTZ AMILORIDE/HCTZ AMLODIPINE BESYLATE AMLODIPINE/BENAZEPRIL AMLODIPINE/VALSARTAN AMLODIPINE/VALSARTAN/HCTZ APRESODEX APRESREX APREX 25 APREX 50 APROZIDE AQUA-CEN AQUAMET AQUAPRES AQUAPRES-R AQUASERP 25 AQUASERP 50 AQUATAG AQUAWAY AQUAZIDE AQUAZIDE-H AQUEX ATENOLOL ATENOLOL/CHLORTHALIDONE BART-SERP 50 BENAZEPRIL BENAZEPRIL/HCTZ BENZTHIAZIDE BETACHRON BISOPROLOL FUMARATE BISOPROLOL/HCTZ BUMETANIDE CAM-AP-ES CANDESARTAN CANDESARTAN/HCTZ CAPTOPRIL CAPTOPRIL/HCTZ CARTIA XT CARVEDILOL CHERAPAS CHLORO-RES CHLOROSERPINE CHLOROSERPINE-500 CHLOROTHIAZIDE (ONLY 500MG) CHLOROTHIAZIDE/RESERPINE CHLORULAN CLONIDINE CLONIDINE W/CHLORTHALIDONE CLORPRES

Transcript of Hypertensive Drug List - procurement.sc.govprocurement.sc.gov/files/Co-Pay_Waiver_Drugs.pdf ·...

Antihypertensive Drug List ITEMS ON THE LIST ARE SUBJECT TO CHANGE

1

Drug Name

ACEBUTOLOL

ADROLAZINE

AFEDITAB CR

ALDAREX PLUS

ALTEX

ALTEXIDE

AMILORIDE

AMILORIDE/HCTZ

AMILORIDE/HCTZ

AMLODIPINE BESYLATE

AMLODIPINE/BENAZEPRIL

AMLODIPINE/VALSARTAN

AMLODIPINE/VALSARTAN/HCTZ

APRESODEX

APRESREX

APREX 25

APREX 50

APROZIDE

AQUA-CEN

AQUAMET

AQUAPRES

AQUAPRES-R

AQUASERP 25

AQUASERP 50

AQUATAG

AQUAWAY

AQUAZIDE

AQUAZIDE-H

AQUEX

ATENOLOL

ATENOLOL/CHLORTHALIDONE

BART-SERP 50

BENAZEPRIL

BENAZEPRIL/HCTZ

BENZTHIAZIDE

BETACHRON

BISOPROLOL FUMARATE

BISOPROLOL/HCTZ

BUMETANIDE

CAM-AP-ES

CANDESARTAN

CANDESARTAN/HCTZ

CAPTOPRIL

CAPTOPRIL/HCTZ

CARTIA XT

CARVEDILOL

CHERAPAS

CHLORO-RES

CHLOROSERPINE

CHLOROSERPINE-500

CHLOROTHIAZIDE (ONLY 500MG)

CHLOROTHIAZIDE/RESERPINE

CHLORULAN

CLONIDINE

CLONIDINE W/CHLORTHALIDONE

CLORPRES

Antihypertensive Drug List ITEMS ON THE LIST ARE SUBJECT TO CHANGE

2

DECOZIDE

DELONE

DILT-CD

DILTIA XT

DILTIAZEM 24HR CD

DILTIAZEM 24HR ER

DILTIAZEM 24HR SR

DILTIAZEM ER

DILTIAZEM HCL

DILTIAZEM XR

DILT-XR

DILTZAC ER

DIURESE

DIURESE-R

DIURETIC AP-ES

DIURIGEN

DIURIGEN W/RESERPINE

DOXAZOSIN MESYLATE

D-PRES

ENALAPRIL MALEATE

ENALAPRIL/HCTZ

EPLERENONE

EZIDE

FELODIPINE ER

FLUIDIL

FLUMEZIDE

FOSINOPRIL SODIUM

FOSINOPRIL/HCTZ

FUMIDE

FUROBEN 40

FUROSEMIDE

GENUTENSIN

GUANABENZ ACETATE

GUANFACINE HCL

HCTZ/RESERPINE/HYDRALAZINE

HYAZIDE

HYCHLOR

HYCLAR 25

HYCLAR 50

HYDRALAZIDE

HYDRALAZINE HCL

HYDRALAZINE/HCTZ

HYDRALYN 25

HYDRALYN 50

HYDRAZIDE

HYDREX

HYDROACA

HYDROAP-ES

HYDROBEN

HYDROCHLOROTHIAZIDE

HYDROCHLOROTHIAZIDE PL

HYDROCHLOROTHIAZIDE/RE

HYDROCHLORULAN

HYDRO-D

HYDROFLUMETHIAZIDE

HYDROFLUMETHIAZIDE W/R

HYDROFLUMETHIAZIDE/RES

HYDRO-FLUSERPINE #1

HYDRO-FLUSERPINE #2

HYDROMAL

HYDROPINE

HYDROPINE HP

HYDROPLUS

HYDROPLUS-50

HYDROPRIN

HYDRO-RESERP

HYDRO-RESERPINE-25

HYDROSERPINE PLUS

Antihypertensive Drug List ITEMS ON THE LIST ARE SUBJECT TO CHANGE

3

HYDRO-RESERPINE-50

HYDROREX

HYDROSERP

HYDROSERPALAN

HYDROSERPAZINE

HYDROSERPINE

HYDROSINE

HYDRO-T

HYDROTENSIN-50

HYDROTONE

HYDRO-Z-50

HYDROZIDE

HYDROZIDE-50

HY-ES

HYLIDONE

HYSERP

HY-ZIDE

ICN-HYTHIDE

INDAPAMIDE

IRBESARTAN

IRBESARTAN/HCTZ

ISRADIPINE

KENAZIDE E

KENAZIDE H-25

KENAZIDE H-50

KENDACTAZIDE

KENDACTONE

KENURIL 250

KENURIL 500

LABETALOL HCL

LAQUA

LASIMIDE

L-DOPRES

L-DOPRES/HCTZ

LISINOPRIL

LISINOPRIL/HCTZ

LO-AQUA

LOQUA-25

LOQUA-50

LOROL

LOSARTAN POTASSIUM

LOSARTAN/HCTZ

MALLOPRESS

MARAZIDE

MARAZIDE II

MARPRES

MATZIM LA

MCTZ W/DESERPIDINE FOR

MESERPIDINE

MESERPIDINE PLUS

METHYCLODINE

METHYCLODINE FORTE

METHYCLOTHIAZIDE

METHYCLOTHIAZIDE W/DES

METHY-DESERPIDINE FORT

METHYDINE

METHYLDOPA

METHYLDOPA W/CHLOROTHI

METHYLDOPA/HCTZ

METOLAZONE

METOPROLOL SUCCINATE

METOPROLOL TARTRATE

METOPROLOL/HCTZ

MINOXIDIL

MOEXIPRIL HCL

Antihypertensive Drug List ITEMS ON THE LIST ARE SUBJECT TO CHANGE

4

MOEXIPRIL/HCTZ

MYROSEMIDE

M-ZIDE

NADOLOL

NADOLOL-BENDROFLUMETHI

NICARDIPINE HCL

NIFEDIAC CC

NIFEDICAL XL

NIFEDIPINE

NIFEDIPINE ER

NIFEDIPINE XL

NISOLDIPINE

PERINDOPRIL ERBUMINE

PINDOLOL

PRAZOSIN HCL

PROCARD

PRONOL

PROPRANOLOL HCL

PROPRANOLOL HCL/HCTZ

Q-PRES

QUINAPRIL

QUINAPRIL HCL

QUINAPRIL/HCTZ

QUINARETIC

RAMIPRIL

RAUSERPA

RAUTINA

RAUWOLFIA SERPENTINA

RAUWOLFIA/BENDROFLUMET

RAWFOLA

RE-AQUA

RESA

RESERPINE

RESERPINE/HCTZ

RESERPOID

RONOZIDE

ROPRES

ROSE-40

SAE

SALAZIDE

SALAZIDE DEMI

SENORMIN

SERAGEN

SER-A-GEN

SERALAZIDE

SERAPINE

SERATHIDE

SERFOLIA

SERGE

SERPALAN

SERPANRAY

SERPATAB

SERPATE

SERPAZIDE

SERPEX

SERTINA

SK-CHLOROTHIAZIDE

SK-FUROSEMIDE

SK-HYDROCHLOROTHIAZIDE

SK-RESERPINE

SONAZIDE

SPENZIDE

SPIRACTAZIDE

SPIRACTONE

SPIRAZONE

SPIROCHLOR

Antihypertensive Drug List ITEMS ON THE LIST ARE SUBJECT TO CHANGE

SPIRONOLACTONE

SPIRONOLACTONE W/HCTZ

SPIROZIDE

STERAPRES

TAZTIA XT

TELMISARTAN

TELMISARTAN/AMLODIPINE

TELMISARTAN/HCTZ

TENZIDE

TERAZOSIN

THALITONE

THIANAL-R

TOLAZOLINE

TORSEMIDE

TRANDOLAPRIL

ZEPINE

ZIDE-50

TRANDOLAPRIL-VERAPAMIL

TRIAMTAZIDE

TRIAMTERENE/HCTZ

TRICHLOREX

TRICHLORMAS

TRICHLORMETHIAZIDE

TRICHLORTENSIN

TRI-HYDROSERPINE

TRIMAX

TRI-ZIDE

UNI-SERP

VALSARTAN

VALSARTAN/HCTZ

VERAPAMIL ER

VERAPAMIL ER PM

VERAPAMIL HCL

WOLFINA

5

Cholesterol-lowering Drug List ITEMS ON THE LIST ARE SUBJECT TO CHANGE

Drug Name

AMLODIPINE-ATORVASTATIN

ATORVASTATIN CALCIUM

CHOLESTYRAMINE

CHOLESTYRAMINE LIGHT

CLOFIBRATE

COLESTIPOL HCL

COLESTRIN

FENOFIBRATE

FENOFIBRIC ACID

FLUVASTATIN SODIUM

GEMCOR

GEMFIBROZIL

LOVASTATIN

NIACIN (GENERIC FOR NIASPAN AND NIACOR ONLY)

PRAVASTATIN SODIUM

PREVALITE

SIMVASTATIN

1

1

Diabetes Drugs and Testing Supplies ITEMS ON THE LIST ARE SUBJECT TO CHANGE

1

Drug Name

1ST CHOICE LANCETS

1ST TIER UNIFINE PENTI

A1C NOW

ACARBOSE

ACCU-CHECK SAFE-T-PRO

ACCU-CHEK

ACCU-CHEK ACTIVE

ACCU-CHEK ADVANTAGE

ACCU-CHEK COMFORT CURVE

ACCU-CHEK COMPACT

ACCU-CHEK COMPACT BLUE

ACCU-CHEK D-TRON PLUS

ACCU-CHEK EASY

ACCU-CHEK FASTCLIX

ACCU-CHEK II

ACCU-CHEK II DIABETES

ACCU-CHEK II FREEDOM

ACCU-CHEK II MONITOR

ACCU-CHEK III

ACCU-CHEK IIM MONITOR

ACCU-CHEK INSTANT

ACCU-CHEK INSTANT PLUS

ACCU-CHEK SAFE-T-PRO PLUS

ACCU-CHEK SIMPLICITY

ACCU-CHEK SOFTCLIX

ACCU-CHEK SPIRIT

ACCU-CHEK VOICEMATE

ACCU-DROP

ACCUTREND GLUCOSE

ACETOHEXAMIDE

ACTI-LANCE

ACTI-LANCE LITE

ACTI-LANCE SPECIAL

ACURA CONTROL SOLUTION

ACURA METER KIT

ACURA PLUS

ACURA STARTER KIT

ACURA TEST STRIPS

ADD-PRO ASPIRATING NEE

ADD-PRO VENTED NEEDLE

ADJUSTABLE LANCING DEVICE

ADVANCE

ADVANCE INTUITION

ADVANCE MICRO-DRAW

ADVANCE TEST STRIPS

ADVANCED LANCING DEVIC

ADVANCED TRAVEL LANCET

ADVOCATE BLOOD GLUCOSE

ADVOCATE CONTROL SOLUT

ADVOCATE DUO

ADVOCATE LANCET

ADVOCATE LANCING DEVICE

ADVOCATE PEN NEEDLES

ADVOCATE REDI-CODE

ADVOCATE REDI-CODE+

ADVOCATE REDI-CODE+ CTRL

SOLN

ADVOCATE SYRINGES

ADVOCATE TEST STRIP

AIMSCO ULTRA THIN II

ALTERNATE SITE LANCING

AMES GLUCO HOSPTL WORK

ANSWER

ANSWER BLOOD GLUCOSE S

ASCENSIA AUTODISC

ASCENSIA BREEZE

ASCENSIA BRIO

1

Diabetes Drugs and Testing Supplies ITEMS ON THE LIST ARE SUBJECT TO CHANGE

2

ASCENSIA DEX2

ASCENSIA ELITE

ASCENSIA ELITE XL

ASCENSIA MICROFILL

ASSURE

ASSURE 3

ASSURE 4

ASSURE DOSE

ASSURE II

ASSURE PLATINUM

ASSURE PRO

ASTRAPRO

AT LAST

ATLAST

AT-LAST

AT-LAST LANCETS

AT-LAST TEST STRIPS

ATRAUCAN SPINAL NEEDLE

AURORA HEALTHCARE LANC

AUTO INJECTOR

AUTOCLIX AUTOMATIC LAN

AUTOCLIX LANCETS

AUTOCLIX LANCETS DEVIC

AUTODISC NORMAL

AUTOJECT

AUTOJECT 2

AUTOJECT E.D.

AUTOJECTOR

AUTO-LANCET

AUTOLANCET DEVICE W-LA

AUTOLET

AUTOLET II

AUTOLET II LANCING DEV

AUTOLET IMPRESSION

AUTOLET LITE

AUTOLET LITE CLINISAFE

AUTOLET MINI

AUTOLET MKII CLINISAFE

AUTOLET PLATFORMS

AUTOPEN

BARD DISP. NEEDLE 20GX

B-D AUTOLANCE

BD FILTER NEEDLES 18G

BD GENIE LANCET

B-D LATITUDE

B-D LOGIC

B-D MICRO-FINE LANCETS

BD NEEDLES HYPO RESUAB

B-D PEN

B-D PEN MINI

B-D PRECISIONGLIDE NEE

B-D SAFE-CLIP NEEDLE C

BD TEST STRIPS

B-D ULTRA FINE LANCETS

BD-SYRINGES

BENEDICT’S

BREEZE 2

BG-STAR

BIONIME RIGHTEST GM300

BIOSCANNER GLUCOSE TES

BLOOD GLUCOSE

BLOOD GLUCOSE 3 TEST

BLOOD GLUCOSE METER

BLOOD GLUCOSE MONITOR

BLOOD GLUCOSE MONITORI

BLOOD GLUCOSE TEST

BLOOD SUGAR DIAGNOSTIC

BLOOD-GLUCOSE METER

BREEZE 2

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Diabetes Drugs and Testing Supplies ITEMS ON THE LIST ARE SUBJECT TO CHANGE

3

BUSHER AUTOMATIC INJEC

CAREONE

CARESENS N

CHECKMATE

CHECKMATE BLOOD GLUCOS

CHECKMATE PLUS

CHEMSTRIP BG

CHEMSTRIP BG TEST KIT

CHEMSTRIP MATCHMAKER

CHEMSTRIP UG

CHLORABETIC 250

CHLORPROPAMIDE

CHOICEDM CLARUS

CHOICEDM CLARUS CONTRO

CHOICEDM CLARUS TEST S

CLEANLET

CLEANLET KIDS

CLEANLET LANCET

CLEANLET XL

CLEVER CHEK BLOOD GLUC

CLEVER CHEK BLOOD GLUCOSE

SYST

CLEVER CHEK CONTROL SO

CLEVER CHEK LANCETS

CLEVER CHEK TEST STRIP

CLEVER CHEK TEST STRIPS

CLEVER CHOICE

CLEVER CHOICE PRO

CLICKFINE

CLINISTIX REAGENT

CLINITEST ANALYSIS SET

CLINITEST REAGENT

COLOR LANCETS

COMFORT EZ

COMFORT LANCETS

COMFORT SHORT

COMPANION 2

COMPANION 2 SENSOR

CONTINUOUS GLUCOSE SEN

CONTOUR

CONTOUR NEXT

CONTOUR NEXT EZ

CONTOUR TOTAL SIMPLIC

CONTROL

CONTROL G3

CONTROL SOLUTION

CONTROL SOLUTIONS

DAHEDI

DELTEC COZMO

DEX TEST STRIPS

DEX4 GLUCOSE

DEXCOM G4

DEXTRO-CHEK CALIBRATOR

DEXTRO-CHEK HIGH CONTR

DEXTRO-CHEK LOW CONTRO

DEXTRO-CHEK NORMAL CON

DEXTROMETER CALIBRATIO

DEXTROMETER REFLECT CO

DEXTROSTIX REAG STRIPS

DEXTROSTIX REAGENT

DEXTRO-SYSTEM LANCETS

DIABETIC KIT

DIABETIC.COM STARTER

DIABETIC.COM TEST STRI

DIALET

DIALET LANCING DEVICE

DIASCAN

DIASCAN CONTROL

DIASCAN DUAL PAD STRIP

DIASCAN DUAL PAD TEST

DIASCAN FIRST CHOICE

1

Diabetes Drugs and Testing Supplies ITEMS ON THE LIST ARE SUBJECT TO CHANGE

4

DIASCAN METER

DIASCAN PARTNER

DIASCAN STARTER

DIASCAN TEST STRIPS

DIASCAN-S

DIASCAN-SVM

DIASCREEN 1G REAGENT

DIASTIX 5

DIASTIX REAGENT

DIASTIX REAGENT STRIP

DIBATROL

DISETRONIC BRA/PANT PO

DISETRONIC LUER NEEDLE

DISETRONIC PEN

DISETRONIC PENFINE NEE

DOUBLE ‘D’ NEEDLE

DROPLET LANCETS

DROPLET LANCING DEVICE

D-TRON

D-TRON PLUS

DUANE READE COLORED LA

DUET

DUO-CARE

EASY CHECK

EASY CHECK CONTROL SOL

EASY CHECK TEST STRIP

EASY CLICK

EASY GLUCO G2

EASY PRO PLUS

EASY READER STRIP GUID

EASY TALK

EASY TEST

EASY TEST II

EASY TOUCH

EASY TRAK

EASYGLUCO

EASYMAX

EASYMAX N

EASYMAX SPEAKING

EASYMAX V

EASYMAX V SPEAKING

EASYPRO

ECKERD STARTER

ECLIPSE

ECLIPSE CONTROL SOLUTI

ELEMENT BLOOD GLUCOSE

ELEMENT CONTROL SOLUTI

ELEMENT TEST STRIPS

EMBRACE

EMBRACE GLUCOSE CONTRO

ENVISION

EQUATE

EVENCARE

EVOLUTION BLOOD GLUCOS

EVOLUTION CONTROL SOLU

EVOLUTION TEST STRIPS

EXACTECH

EXACTECH BLOOD GLUCOSE

EXACTECH COMPANION

EXACTECH CONTROLS

EXACTECH JUNIOR

EXACTECH PEN

EXACTECH PEN SENSOR

EXACTECH RSG

EXACTECH SENSOR

EXACTECH ULTRA TLC LAN

EXACTECH-STRIP

EXCEL G

EXCEL GE

EXEL HYPODERMIC NEEDLE

1

Diabetes Drugs and Testing Supplies ITEMS ON THE LIST ARE SUBJECT TO CHANGE

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EXEL MTI DRAWING NEEDL

EXPRESS VIEW

EXPRESS VIEW CONTROL S

EXPRESS VIEW GLUCOSE T

E-Z JECT BLOOD LANCET

E-Z JECT JUNIOR LANCET

E-Z JECT LANCETS

EZ SMART

EZ SMART PLUS

EZ/TT ADAPTER

E-ZJECT LANCETS

EZ-LETS

EZ-LETS II

FAST TAKE

FAST TAKE MONITORING S

FEATHER-TOUCH

FIFTY50 TEST STRIP

FINGERSTIX

FIRST CHOICE

FIRST CHOICE COLORED L

FIRST CHOICE THIN LANC

FLOW-EZE

FORA D10

FORA D15

FORA D15C

FORA D15G

FORA D15Z

FORA D20

FORA G20

FORA G71A

FORA LANCETS

FORA LANCING DEVICE

FORA V10

FORA V12

FORA V20

FREESTYLE CONTROL SOLU

FREESTYLE FLASH SYSTEM

FREESTYLE FREEDOM

FREESTYLE FREEDOM LITE

FREESTYLE INSULINX

FREESTYLE LANCETS

FREESTYLE LITE METER

FREESTYLE LITE STRIPS

FREESTYLE NAVIGATOR

FREESTYLE SIDEKICK II

FREESTYLE SYSTEM

FREESTYLE TEST STRIPS

FREESTYLE TRACKER

FREESTYLE TRACKER SYST

FREESTYLE UNISTIK 2

GA TEST STRIPS

GENTLE DRAW

GENTLE-LET

GENTLE-LET 1

GENTLE-LET PC

GIANT EAGLE PHARM

GLIMEPIRIDE

GLIPIZIDE

GLIPIZIDE ER

GLIPIZIDE XL

GLIPIZIDE-METFORMIN

GLUCAMIDE

GLUCO BURST

GLUCO HIGH CONTROL

GLUCO LOW CONTROL

GLUCO NORMAL CONTROL

GLUCO SYSTEM LANCET

GLUCOCARD 01

GLUCOCARD 01 CONTROL

GLUCOCARD 01 SENSOR

1

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6

GLUCOCARD 01-MINI

GLUCOCARD VITAL

GLUCOCARD VITAL SENSOR

GLUCOCARD X-METER

GLUCOCARD X-METER CONT

GLUCOCARD X-SENSOR

GLUCOCOM AUTOLINK

GLUCOCOM BLOOD GLUCOSE

GLUCOCOM CONTROL SOLUT

GLUCOCOM GLUCOSE

GLUCOCOM LANCETS

GLUCOFILM

GLUCOLAB

GLUCOLAB CONTROL

GLUCOLEADER

GLUCOLET

GLUCOLET 2

GLUCOLET ENDCAPS

GLUCOMETER 3

GLUCOMETER CALIBRATION

GLUCOMETER DEX

GLUCOMETER DEX SYSTEM

GLUCOMETER ELITE

GLUCOMETER ENCORE

GLUCOMETER ENCORE QA S

GLUCOMETER II

GLUCOMETER II BLOOD GL

GLUCOMETER II CHECK PA

GLUCOMETER II MONITORI

GLUCOMETER M+

GLUCOMETER QA

GLUCOMETER REFLECT PHO

GLUCOMETER-M

GLUCOPROTEIN

GLUCOSCAN

GLUCOSCAN 200 METER

GLUCOSCAN 3000 METER

GLUCOSCAN GLUCOSE CONT

GLUCOSCAN HOSPITAL SYS

GLUCOSCAN POCKET SIZE

GLUCOSCAN STARTER KIT

GLUCOSCAN TEST STRIPS

GLUCOSCAN/GM GLUCOSE C

GLUCOSCAN/GM TEST STRI

GLUCOSCAN-TEST-STRIPS

GLUCOSE ALERT

GLUCOSE CONTROL

GLUCOSE CONTROL SOLUTI

GLUCOSE GEL

GLUCOSE HIGH CONTROL

GLUCOSE LOW CONTROL

GLUCOSE LOW-NORMAL CON

GLUCOSE MONITOR

GLUCOSE TEST STRIP

GLUCOSE TEST STRIPS

GLUCOSOURCE

GLUCOSTIX

GLUCOSTIX REAGENT

GLUTOSE

GLYBURIDE

GLYBURIDE 2.5MG

GLYBURIDE MICRONIZED

GLYBURIDE-METFORMIN HCL

GP LANCETS

GP LITE LANCETS

HEALTH ALLIANCE STARTE

HM LANCETS

HOSPITAL QUALITY CONTR

HOSPITAL TEST STATION

HTRON PLUS

1

Diabetes Drugs and Testing Supplies ITEMS ON THE LIST ARE SUBJECT TO CHANGE

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IN CONTROL PEN NEEDLE

INFINITY CONTROL SOLUT

INFINITY TEST STRIPS

INJECT-EASE

INJEX 30 NEEDLE FREE

INSTA GLUCOSE

INSTA-GLUCOSE

INSTAJECT

INSULASE

INSUL-EZE

INSULIN PEN NEEDLE

INSULIN REACTION GEL

INSULIN SYRINGE

INSULIN TRAVEL KIT

INSUL-TOTE

INSUPEN

INTEGRA NEEDLE

KETONE CARE

KETOSTIX REAGENT

KEYNOTE

KYODEX NORMAL CONTROL

KYODEX REAGENT

KYOTEST UG REAGENT

LADY LITE

LANCET

LANCET DEVICE

LANCETS

LANCETS

LANCETS CARELET 1.5MM

LANCETS CARELET 1MM PI

LANCETS CARELET 2.25MM

LANCETS CARELET 2MM BL

LANCETS MICROTAINER

LANCETS TECHLITE 100’S

LANCETS TECHLITE 200’S

LANCING DEVICE

LANCING SYSTEM

LASETTE

LEGEND LANCET

LIBERTY BLOOD GLUCOSE

LIBERTY CONTROL SOLUTI

LIBERTY LEV 1 GLUCOSE

LIBERTY LEV 2 GLUCOSE

LIBERTY MONITOR

LIBERTY TEST STRIPS

LIFE MEDICAL STARTER

LIFE MEDICAL TEST STRI

LIFESCAN

LIFESCAN UNISTIK 2

LINEARITY KIT

LINEARITY TEST KIT

LITE TOUCH

LITE TOUCH INSULIN PEN

LOCK RING

LOGIC GLUCOSE MONITOR

LONGS BLOOD GLUCOSE ST

LONGS LANCETS

LUER-LOK SYRINGE-NEEDLE

MAGNI-GUIDE MAGNIFIER

MAGNI-GUIDE SCALE MAGN

MAJOR COMFORT

MEDI-LANCE

MEDISENSE

MEDISENSE 2 CARD SENSO

MEDISENSE 2 PEN SENSOR

MEDISENSE 2 TEST STRIP

MEDISENSE CONTROL

MEDISENSE GLUCOSE KETO

1

Diabetes Drugs and Testing Supplies ITEMS ON THE LIST ARE SUBJECT TO CHANGE

8

MEDLANCE PLUS

METER-CHECK

METFORMIN HCL

METFORMIN HCL ER

MICRO

MICRO THIN LANCET

MICRO THIN LANCETS

MICRODOT

MICROLET

MICROLET 2

MINI PEN INSULIN DELIV

MINILANCE BLOOD LANCET

MINILET

MONOJECTOR LANCET DEVI

MONOLET LANCETS

MONOLET NEOLET

MONOLET ORIGINAL LANCE

MONOLET THIN LANCETS

MULTI-LANCET DEVICE

MYGLUCOHEALTH

NATEGLINIDE

NEEDLE

NEEDLE FREE INSULIN SY

NEEDLE FREE SYRINGE KI

NEEDLES

NEEDLES, STERILE

NOVA MAX BLOOD GLUCOSE

NOVA MAX GLUCOSE CONTR

NOVA MAX GLUCOSE TEST

NOVA MAX GLUCOSE TEST

STRIPS

NOVA SUREFLEX

NOVALANCE

NOVOFINE

NOVOFINE 30

NOVOFINE AUTOCOVER

NOVOLINPEN

NOVOPEN

NOVOPEN 1.5

NOVOPEN 3

NOVOPEN JR

NOVOTWIST

OMNIPOD

ONE TOUCH

ONE TOUCH BASIC SYSTEM

ONE TOUCH COMBO

ONE TOUCH DELICA

ONE TOUCH GLUCOSE CONT

ONE TOUCH II METER

ONE TOUCH II SYSTEM

ONE TOUCH II TEST STRI

ONE TOUCH INDUO

ONE TOUCH LANCETS

ONE TOUCH METER

ONE TOUCH PATIENT STAR

ONE TOUCH PROFILE SYST

ONE TOUCH SURESOFT

ONE TOUCH SYSTEM

ONE TOUCH TEST STRIP H

ONE TOUCH TEST STRIPS

ONE TOUCH ULTRA

ONE TOUCH ULTRA 2

ONE TOUCH ULTRA CONTRO

ONE TOUCH ULTRA SMART

ONE TOUCH ULTRA SYSTEM

ONE TOUCH ULTRA TEST S

ONE TOUCH ULTRA TEST STRIPS

ONE TOUCH ULTRAMINI

ONE TOUCH ULTRASMART

1

Diabetes Drugs and Testing Supplies ITEMS ON THE LIST ARE SUBJECT TO CHANGE

9

ONE TOUCH/ONE TOUCH II

OPTIUM

OPTIUM EZ

PARADIGM

PEN 2/COMPANION 2

PEN NEEDLE

PEN NEEDLES

PENFINE

PENLET AUTO BLOOD SAMPLER

PENLET PLUS BLOOD SAMPLER

PENLET BLOOD SAMPLING

PENLET II AUTO BLOOD S

PENLET II REPLACEMENT

PENNEEDLE

PHARMACIST CHOICE

PIOGLITAZONE HCL

PIOGLITAZONE-GLIMEPIRIDE

PIOGLITAZONE-METFORMIN

POCKETCHEM EZ

PRECISION

PRECISION GLUCOSE CONT

PRECISION LINK

PRECISION PCX

PRECISION PCX PLUS

PRECISION POINT OF CAR

PRECISION Q.I.D

PRECISION QID

PRECISION SOF-TACT

PRECISION THINS

PRECISION XTRA

PRECISIONGLIDE

PRESTIGE

PRESTIGE LANCETS

PRESTIGE LX

PRESTIGE METER

PRESTIGE TEST STRIPS

PRODIGY NO CODING

PRODIGY PEN NEEDLE

PUBLIX LANCET

QUICK-CHECK FILM

QUICK-CHECK II

QUICK-CHECK ONE

QUICKLANCE

QUICK-SET PARADIGM

QUICKTEK

RA LANCETS

REAGENT

REALITY

REALITY LANCETS

REFUAH PLUS GLUCOSE CO

REGULAR BEVEL NEEDLES

RELIAMED SAFETY SEAL LAN-

CETS

RELIEF PLUS

RELIAMED SAFETY SEAL LAN-

CETS

REPAGLINIDE

RENEW ADVANCED LANCING

RENEW ADVANCED MICRO-L

RIGHTEST CONTROL SOLUT

RIGHTEST GD500

RIGHTEST GM100 SYSTEM

RIGHTEST GM300 SYSTEM

RIGHTEST GM550 SYSTEM

RIGHTEST GS100 TEST ST

RIGHTEST GS300 TEST ST

RIGHTEST GS550 TEST ST

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Diabetes Drugs and Testing Supplies ITEMS ON THE LIST ARE SUBJECT TO CHANGE

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ROSENTHAL

RUBBER BODY RING 1.75”

SAFELINE NEEDLE FREE I

SAFE-T-LANCE

SAFETY LANCETS

SAFETY SEAL LANCETS

SAFETYGLIDE NEEDLE

SAFETY-LET

SENTRY BLOOD GLUCOSE M

SENTRY STARTER

SENTRY TEST STRIP

SERALYZER GLUCOSE

SEVEN PLUS

SEVEN SYSTEM SENSOR

SIDEKICK

SIL-SERTER

SINGLE-LET

SK-TOLBUTAMIDE

SMARTEST LANCET

SMARTEST PERSONA

SMARTEST PRONTO

SMARTEST PROTEGE

SMARTEST TEST

SMITHFIELD DIABETIC KI

SOF-SENSOR

SOF-SERTER

SOFT TOUCH

SOFT TOUCH II

SOFT TOUCH SAFE-T-PRO

SOF-TACT

SOFTCLIX

STARTER KIT

STAT-LET

SUPER THIN LANCET

SUPER THIN LANCETS

SUPREME CONFIDENCE STR

SUPREME GLUCOSE CONTRO

SUPREME II

SUPREME METER

SUPREME METER KIT

SUPREME TEST STRIPS

SURE COMFORT

SURE COMFORT LANCETS

SURE COMFORT LANCING P

SURE COMFORT LANCING PEN

SURE EDGE BLOOD GLUCOS

SURE EDGE GLUCOSE CONT

SURE EDGE TEST STRIPS

SURECHEK GLUCOSE CONTR

SURECHEK TEST STRIPS

SURE-FINE PEN NEEDLES

SURE-LANCE

SURELET

SURELITE

SURELITE XL

SURE-PEN

SURESTEP

SURESTEP CONTROL SOLUT

SURESTEP PRO

SURESTEP TEST STRIPS

SURE-T PARADIGM

SURE-TEST EASYPLUS MIN

SURGILANCE

SURGILANCE LANCETS

SWIFTCHECK

TARGET LANCETS

TECHLITE

TECHLITE BLOOD LANCET

TENDER TOUCH PEDIATRIC

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Diabetes Drugs and Testing Supplies ITEMS ON THE LIST ARE SUBJECT TO CHANGE

11

TENDERLETT

TENDERLETT JUNIOR

TEST STRIP

TES-TAPE DISPENSER

THERMAKIT

THIN LANCETS

THINLETS

TOLAMIDE

TOLAZAMIDE

TOLBUTAMIDE

TOPCARE CLICKFINE

TRACER

TRACER BG

TRACER BG DIABETES CAR

TRACER BLOOD GLUCOSE M

TRACER II BG

TRACKEASE

TRENDSLANCET

TRENDSTRIPS

TRUE2GO BLOOD GLUCOSE

TRUE2GO BLOOD GLUCOSE SYS-

TEM

TRUEBALANCE TEST STRIP

TRUECONTROL

TRUERESULT BLOOD GLUCO

TRUERESULT BLOOD GLUCOSE

SYSTM

TRUETEST GLUCOSE CONTR

TRUETEST TEST STRIPS

TRUETEST TEST STRIPS

TRUETRACK

TRUETRACK BLOOD GLUCOS

TRUETRACK BLOOD GLUCOSE

SYSTEM

TRUETRACK SMART SYSTEM

TRUETRACK TEST STRIP

TT DIAB MONITOR

TT STRIPS

ULTICARE

ULTI-LANCE

ULTILET

ULTILET CLASSIC

ULTILET DEVICE

ULTILET PEN NEEDLE

ULTIMA

ULTIMATE COMFORT LANCE

ULTRA

ULTRA +

ULTRA COMFORT

ULTRA FINE LANCETS

ULTRA GLUCOSE CONTROL

ULTRA STANDARD STRIPS

ULTRA STARTER KIT

ULTRA THIN

ULTRA THIN II LANCETS

ULTRA THIN LANCETS

ULTRA THIN PLUS

ULTRA THIN PLUS LANCET

ULTRA TRAVEL BAG

ULTRACOMFORT

ULTRA-THIN II LANCETS

ULTRATHIN LANCETS

ULTRATLC

ULTRATLC LANCETS

ULTRATLC LANCETS-DEVIC

ULTRATRAK PRO

UNI-CHECK

UNIFINE PENTIPS

UNILET COMFORTOUCH

UNILET EXCELITE

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Diabetes Drugs and Testing Supplies ITEMS ON THE LIST ARE SUBJECT TO CHANGE

UNILET EXCELITE II

UNILET GP LANCET

UNILET LANCET

UNILET LANCETS

UNILET LITE LANCETS

UNILET SUPERLITE LANCE

UNISTIK

UNISTIK 2

UNISTIK 2 EXTRA

UNISTIK 2 NORMAL

UNISTIK 3

UNISTIK 3 COMFORT

UNISTIK 3 EXTRA

UNISTIK CZT

UNIVERSAL 1

VALUE PLUS LANCETS

VALUSTRIP TEST STRIPS

VITALET

VITALET PRO

VITALET PRO PLUS

WAVESENSE CONTROL SOLU

WAVESENSE JAZZ

WAVESENSE LANCETS

WAVESENSE PRESTO

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