Formulary Product File Valid Values
HCPCS Description
- A4206 = Insulin Syringes
- A4215 = Insulin Needles
- A4253 = Diabetic Test Strips
- A4258 = Spring Powered Device for Lancet
- A4259 = Diabetic Lancets
- A4627 = Aerosol Holding Chamber
- A9275 = Diabetic Monitor & Test Strips
- B4103 = Oral Electrolyte
- E2100 = Diabetic Monitor (talking)
- T1999 = Hypertonic Saline