Drug Benefit List 2010

36:00 DIAGNOSTIC AGENTS (DX)

36:00.00 DIAGNOSTIC AGENTS (DX)

THYROTROPIN ALFA

0.9mg/mL Powder for Solution

2246016 THYROGEN GEE

36:26.00 DX - DIABETES MELLITUS

GLUCOSE OXIDASE, PEROXIDASE

Glucose Control Solution

909556 ADVANTAGE ROD

977943 ASCENSIA AUTODISC BAY

977307 ASCENSIA ELITE BAY

920143 FASTTAKE JAJ

99463968 GLUCOFILM * BAY

906867 MEDISENSE AUC

977845 ONE TOUCH JAJ

99480004 ONE TOUCH * JAJ

99925768 ONE TOUCH * JAJ

Accu-Chek Advantage Strip

905348 ACCU-CHEK ADVANTAGE ROD

921076 ACCU-CHEK ADVANTAGE * ROD

950883 ACCU-CHEK ADVANTAGE ROD

9854002 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

901370 ACCU-CHEK COMPACT ROD

950900 ACCU-CHEK COMPACT ROD

965960 ACCU-CHEK COMPACT ROD

965979 ACCU-CHEK COMPACT ROD

9854282 ACCU-CHEK COMPACT * ROD

44123026 ACCU-CHEK COMPACT ROD

97799962 ACCU-CHEK COMPACT ROD

99004364 ACCU-CHEK COMPACT ROD

Accutrend Strip

906697 ACCUTREND ROD

977031 ACCUTREND ROD

9853162 ACCUTREND ROD

44123006 ACCUTREND ROD

Advantage Strip

908290 ADVANTAGE ROD

924061 ADVANTAGE ROD

950661 ADVANTAGE ROD

44123008 ADVANTAGE ROD

GLUCOSE OXIDASE, PEROXIDASE

Ascensia Autodisc Strip

904945 ASCENSIA AUTODISC BAY

950878 ASCENSIA AUTODISC BAY

9853693 ASCENSIA AUTODISC BAY

44123019 ASCENSIA AUTODISC BAY

97799926 ASCENSIA AUTODISC BAY

99002604 ASCENSIA AUTODISC BAY

Ascensia Breeze 2 Strip

964816 ASCENSIA BREEZE 2 BAY

977119 ASCENSIA BREEZE 2 BAY

9991084 ASCENSIA BREEZE 2 BAY

44123038 ASCENSIA BREEZE 2 BAY

99100388 ASCENSIA BREEZE 2 BAY

Ascensia Contour Strip

950924 ASCENSIA CONTOUR BAY

964476 ASCENSIA CONTOUR BAY

9857127 ASCENSIA CONTOUR BAY

44123037 ASCENSIA CONTOUR BAY

97799702 ASCENSIA CONTOUR BAY

97799877 ASCENSIA CONTOUR (100) BAY

97799878 ASCENSIA CONTOUR (50) BAY

Ascensia Elite Strip

920363 ASCENSIA ELITE BAY

950572 ASCENSIA ELITE BAY

980100 ASCENSIA ELITE BAY

9854088 ASCENSIA ELITE BAY

44123002 ASCENSIA ELITE BAY

97799923 ASCENSIA ELITE BAY

BD Test Strip

900142 BD TEST BTD

950911 BD TEST BTD

9857132 BD TEST BTD

44123030 BD TEST BTD

99100002 BD TEST BTD

99401067 BD TEST BTD

Chemstrip-BG for Accu-Chek Strip

9853189 CHEMSTRIP BG ROD

990027 CHEMSTRIP-BG ROD

44123009 CHEMSTRIP-BG ROD

97799958 CHEMSTRIP-BG ROD

Encore Strip

920371 ENCORE BAY

980200 ENCORE BAY

9853103 ENCORE BAY

44123003 ENCORE BAY

97799922 ENCORE BAY

EZ Health Strip

97799564 EZ HEALTH ORACLE (100) TRE

97799565 EZ HEALTH ORACLE (50) TRE

GLUCOSE OXIDASE, PEROXIDASE

FastTake Strip

903531 FASTTAKE JAJ

950882 FASTTAKE JAJ

967084 FASTTAKE JAJ

967092 FASTTAKE JAJ

967106 FASTTAKE JAJ

9854029 FASTTAKE JAJ

44123017 FASTTAKE JAJ

97799982 FASTTAKE JAJ

99002809 FASTTAKE JAJ

Freestyle Strip

901388 FREESTYLE * ABB

905500 FREESTYLE ABB

950907 FREESTYLE * ABB

9857141 FREESTYLE ABB

44123028 FREESTYLE ABB

97799829 FREESTYLE ABB

99004704 FREESTYLE * ABB

99401062 FREESTYLE ABB

97799596 FREESTYLE LITE ABB

97799597 FREESTYLE LITE ABB

Itest Strip

97799770 ITEST AUC

Life Brand Strip

97799593 LIFE BRAND HOD

97799594 LIFE BRAND HOD

Novamax Strip

97799583 NOVAMAX NCA

97799584 NOVAMAX NCA

One Touch Strip

905399 ONE TOUCH JAJ

950459 ONE TOUCH JAJ

9853243 ONE TOUCH JAJ

44123011 ONE TOUCH JAJ

97799976 ONE TOUCH JAJ

One Touch Ultra Strip

907000 ONE TOUCH ULTRA JAJ

950893 ONE TOUCH ULTRA JAJ

9854290 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

906298 PRECISION PLUS ELECTRODES AUC

977057 PRECISION PLUS ELECTRODES AUC

977059 PRECISION PLUS ELECTRODES AUC

97799843 PRECISION PLUS ELECTRODES AUC

GLUCOSE OXIDASE, PEROXIDASE

Precision Xtra Strip

908437 PRECISION XTRA AUC

909300 PRECISION XTRA AUC

950894 PRECISION XTRA AUC

986763 PRECISION XTRA AUC

9854070 PRECISION XTRA AUC

97799840 PRECISION XTRA AUC

99004119 PRECISION XTRA AUC

Prestige Smart System Strip

99401066 PRESTIGE SMART SYSTEM THR

Sidekick Strip

950948 SIDEKICK HOD

44123035 SIDEKICK AUC

97799601 SIDEKICK HOD

99100412 SIDEKICK HOD

Surestep Strip

999482 SURESTEP JAJ

9853634 SURESTEP JAJ

44123012 SURESTEP JAJ

97799979 SURESTEP JAJ

99000318 SURESTEP * JAJ

Truetrack Strip

950957 TRUETRACK HOD

97799602 TRUETRACK HOD

97799603 TRUETRACK HOD

99100413 TRUETRACK HOD

36:88.00 DX - URINE AND FECES CONTENTS

CUPRIC SULFATE

Tablet

35122 CLINITEST BAY

977314 CLINITEST * BAY

980420 CLINITEST BAY

99067017 CLINITEST * BAY

GLUCOSE OXIDASE, PEROXIDASE

Strip

35130 DIASTIX BAY

977160 DIASTIX * BAY

980641 DIASTIX BAY

99159954 DIASTIX * BAY

SODIUM NITROPRUSSIDE

Strip

35092 KETOSTIX BAY

977322 KETOSTIX * BAY

980595 KETOSTIX BAY

9853286 KETOSTIX * BAY

99067074 KETOSTIX * BAY

Tablet

35106 ACETEST BAY

977292 ACETEST * BAY

980560 ACETEST BAY

9853294 ACETEST * BAY