Search Results: Formulary Products

Name/Package Size	NDC/Manufacturer	Product Group	Program(s)
GENABIO COVID-19 RAPID AT-HOME 1 EA	60008095486 GENABIO DIAGNOS		Medicaid CHIP
BIOTIN 5,000 MCG SOFTGEL 120 EA	31604002918 PHARMAVITE		Medicaid CSHCN
MICRODOT READYGARD NDL 31G 5MM 100 EA	47713000076 CAMBRIDGE SENSO	Insulin Needles	Medicaid CHIP CSHCN KHC
EASY CMFT SFTY PEN NDL 31G 5MM 100 EA	60006037787 HOME AIDE DIAGN	Insulin Needles	Medicaid CHIP CSHCN KHC
MICRODOT READYGARD NDL 31G 5MM 100 EA	47713000077 CAMBRIDGE SENSO	Insulin Needles	Medicaid CHIP CSHCN KHC
ONE-A-DAY WOMEN'S 50 PLUS TAB 65 EA	16500058703 BAYER INC.		Medicaid CSHCN
ONE-A-DAY WOMEN'S 50 PLUS TAB 100 EA	16500056531 BAYER INC.		Medicaid CSHCN
VITAMIN B COMPLEX TABLET 100 EA	00536141401 RUGBY		Medicaid CSHCN
OMNIPOD 5 G6 PODS (GEN 5) 5PK 5 EA	08508300021 INSULET CORPORA	Insulin Syringes	Medicaid CHIP
OMNIPOD 5 G6 INTRO KIT (GEN 5) 1 EA	08508300001 INSULET CORPORA	Insulin Syringes	Medicaid CHIP
TRUE FERROUS SULF EC 324 MG TB 500 EA	83035185805 SINGULAR DREAME		Medicaid CSHCN
BLU LINK GLUCOSE TEST STRIP 100 EA	68196040110 SAM'S WEST INC	Diabetic Test Strip	Medicaid CHIP CSHCN KHC
BLU LINK GLUCOSE TEST STRIP 50 EA	68196040105 SAM'S WEST INC	Diabetic Test Strip	Medicaid CHIP CSHCN KHC
VITAMIN C 500 MG TABLET 200 EA	57896084120 GERI-CARE		Medicaid CSHCN
VERIFINE PL PN NDL 32G4MM-SHRP 100 EA	50011083387 PROMISEMED	Insulin Needles	Medicaid CHIP CSHCN KHC
VERIFINE PL PN NDL 32G4MM-SHRP 50 EA	50011083386 PROMISEMED	Insulin Needles	Medicaid CHIP CSHCN KHC
RELION PLATINUM TEST STRIP 50 EA	81131040327 WAL-MART STORES	Diabetic Test Strip	Medicaid CHIP CSHCN KHC
MULTIVITAMIN WITH IRON TABLET 250 EA	00761036250 BASIC DRUGS, IN		Medicaid CSHCN
VITAMIN E 45 MG SOFTGEL 100 EA	00761030020 BASIC DRUGS, IN		Medicaid CSHCN
VITAMIN B COMPLEX-VIT C CAP 100 EA	00761010230 BASIC DRUGS, IN		Medicaid CSHCN
SELENIUM 50 MCG TABLET 100 EA	00761002120 BASIC DRUGS, IN		Medicaid CSHCN
TRUE VITAMIN C 1,000 MG TABLET 1 EA	83035184001 SINGULAR DREAME		Medicaid CSHCN
EASY CMFT SFTY PEN NDL 31G 6MM 100 EA	60006037788 HOME AIDE DIAGN	Insulin Needles	Medicaid CHIP CSHCN KHC
EASY CMFT SFTY PEN NDL 32G 4MM 100 EA	60006037786 HOME AIDE DIAGN	Insulin Needles	Medicaid CHIP CSHCN KHC
OYSTER SHELL CALCIUM 500 MG TB 100 EA	57896074101 GERI-CARE		Medicaid CSHCN