Drug Benefit List 2012

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

ACCU-CHEK ADVANTAGE Strip

97799824 ACCU-CHEK ADVANTAGE ROD

09853626 ACCU-CHEK ADVANTAGE ROD

ACCU-CHEK AVIVA Strip

97799814 ACCU-CHEK AVIVA ROD

09857178 ACCU-CHEK AVIVA (ON) ROD

ACCU-CHEK COMPACT Strip

97799962 ACCU-CHEK COMPACT ROD

09854282 ACCU-CHEK COMPACT (ON) ROD *

ACCUTREND Strip

97799959 ACCUTREND ROD

09853162 ACCUTREND (ON) ROD

ASCENSIA BREEZE 2 Strip

97799748 ASCENSIA BREEZE 2 BAY

09857293 ASCENSIA BREEZE 2 (ON) BAY

ASCENSIA CONTOUR Strip

97799702 ASCENSIA CONTOUR BAY

09857127 ASCENSIA CONTOUR (ON) BAY

EZ HEALTH ORACLE Strip

97799564 EZ HEALTH ORACLE TRE

09857357 EZ HEALTH ORACLE (ON) TRE

FREESTYLE Strip

97799829 FREESTYLE ABB

09857141 FREESTYLE (ON) ABB

FREESTYLE LITE Strip

97799597 FREESTYLE LITE ABB

09857297 FREESTYLE LITE (ON) ABB

ITEST Strip

97799692 ITEST AUC

09857348 ITEST (ON) AUC

NOVA MAX Strip

97799583 NOVA MAX NCA

09857313 NOVA MAX (ON) NCA

ONE TOUCH ULTRA Strip

97799985 ONE TOUCH ULTRA JAJ

09854290 ONE TOUCH ULTRA (ON) JAJ *

PRECISION XTRA Strip

97799840 PRECISION XTRA ABB

09854070 PRECISION XTRA (ON) ABB

TRUETEST Strip

97799532 TRUETEST HOD

TRUETRACK Strip

97799602 TRUETRACK HOD

09857283 TRUETRACK (ON) HOD

36:88.00 DX - URINE AND FECES CONTENTS

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 *