Search Results: Formulary Products

Name/Package Size	NDC/Manufacturer	Product Group	Program(s)
VORTEX VHC LADYBUG TODDLER MSK 1 EA	83490051037 PARI RESPIRATOR	Aerosol Chamber	Medicaid CHIP CSHCN
BD SAFTYGLD INS 0.5 ML 6MMX31G 100 EA	08290328447 BD DIABETES/EMB	Insulin Syringes	Medicaid CHIP CSHCN KHC
PEDIALYTE SOLUTION 1000 ML	70074000240 ABBOTT NUTRITIO	Oral Electrolyte	Medicaid CHIP CSHCN
EQ SPACE CHAMBER-SMALL MASK 1 EA	81131024068 WAL-MART STORES	Aerosol Chamber	Medicaid CHIP CSHCN
CLEVER CHOICE CHAMBER-SM MASK 1 EA	50002086045 SDI USA, INC.	Aerosol Chamber	Medicaid CHIP CSHCN
BD SAFTYGLD INS 0.5ML 29G 13MM 100 EA	08290593201 BD DIABETES	Insulin Syringes	Medicaid CHIP CSHCN KHC
EASY TOUCH 0.5 ML SYR 30GX5/16 100 EA	08496011801 MHC MEDICAL PRO	Insulin Syringes	Medicaid CHIP CSHCN KHC
EASY TOUCH 0.5 ML SYR 29GX1/2" 100 EA	08496011601 MHC MEDICAL PRO	Insulin Syringes	Medicaid CHIP CSHCN KHC
KINDERLYTE ELECTROLYTE PWD PKT 6 EA	50001080516 KINDERFARMS, LL	Oral Electrolyte	Medicaid CHIP CSHCN
KINDERLYTE ELECTROLYTE SOLN 1000 ML	50001080580 KINDERFARMS, LL	Oral Electrolyte	Medicaid CHIP CSHCN
INSUPEN PEN NEEDLE 31G 8MM 100 EA	12383003083 HTL-STREFA, INC	Insulin Needles	Medicaid CHIP CSHCN KHC
INSUPEN PEN NEEDLE 32G 4MM 100 EA	12383003084 HTL-STREFA, INC	Insulin Needles	Medicaid CHIP CSHCN KHC
INSUPEN PEN NEEDLE 31G 5MM 100 EA	12383003082 HTL-STREFA, INC	Insulin Needles	Medicaid CHIP CSHCN KHC
SV IRON 65 MG TABLET 200 EA	81131009371 WAL-MART STORES		Medicaid CSHCN
MOBILE 30G LANCETS 25 EA	11917018877 WALGREEN CO.	Diabetic Lancets	Medicaid CHIP CSHCN KHC
PRO COMFORT 30G SAFETY LANCET 100 EA	50027049454 HOME AIDE DIAGN	Diabetic Lancets	Medicaid CHIP CSHCN KHC
PEN NEEDLE 31G 8MM 100 EA	16784070252 DYNAREX CORP.	Insulin Needles	Medicaid CHIP CSHCN KHC
PEN NEEDLE 30G 8MM 100 EA	16784070263 DYNAREX CORP.	Insulin Needles	Medicaid CHIP CSHCN KHC
VITAMIN B-2 100 MG TABLET 100 EA	40093010589 PIPING ROCK HEA		Medicaid CSHCN
AQ INSULIN SYR 1 ML 31G 8MM 100 EA	10118089040 AQUILA HEALTHCA	Insulin Syringes	Medicaid CHIP CSHCN KHC
AQ INSULIN SYR 0.5 ML 30G 8MM 100 EA	10118089032 AQUILA HEALTHCA	Insulin Syringes	Medicaid CHIP CSHCN KHC
AQ INSULIN SYRIN 1 ML 29G 12MM 100 EA	10118089036 AQUILA HEALTHCA	Insulin Syringes	Medicaid CHIP CSHCN KHC
SWI TWIST TOP 30G LANCET 100 EA	50632000786 HOME AIDE DIAGN	Diabetic Lancets	Medicaid CHIP CSHCN KHC
VITAMIN E 45 MG SOFTGEL 100 EA	57896075401 GERI-CARE		Medicaid CSHCN
INSULIN SYRINGE 1 ML 30G 1/2" 100 EA	16784069583 DYNAREX CORP.	Insulin Syringes	Medicaid CHIP CSHCN KHC