Search Results: Formulary Products

Name/Package Size	NDC/Manufacturer	Product Group	Program(s)
DROPLET PEN NEEDLE 29GX1/2" 100 EA	08489830810 HTL-STREFA, S.A	Insulin Needles	Medicaid CHIP CSHCN KHC
DROPLET PEN NEEDLE 31GX5/16" 100 EA	08489830910 HTL-STREFA, S.A	Insulin Needles	Medicaid CHIP CSHCN KHC
DROPLET PEN NEEDLE 31GX3/16" 100 EA	08489831010 HTL-STREFA, S.A	Insulin Needles	Medicaid CHIP CSHCN KHC
DROPLET PEN NEEDLE 31GX1/4" 100 EA	08489831110 HTL-STREFA, S.A	Insulin Needles	Medicaid CHIP CSHCN KHC
DROPLET PEN NEEDLE 32GX5/16" 100 EA	08489831210 HTL-STREFA, S.A	Insulin Needles	Medicaid CHIP CSHCN KHC
AEROCHAMBER PLUS FLOW-VU 1 EA	00456315467 ABBVIE/MONAGHAN	Aerosol Chamber	Medicaid CHIP CSHCN
DROPLET PEN NEEDLE 32GX1/4" 100 EA	08489831310 HTL-STREFA, S.A	Insulin Needles	Medicaid CHIP CSHCN KHC
DROPLET PEN NEEDLE 32GX3/16" 100 EA	08489831410 HTL-STREFA, S.A	Insulin Needles	Medicaid CHIP CSHCN KHC
DROPLET PEN NEEDLE 32GX5/32" 100 EA	08489831510 HTL-STREFA, S.A	Insulin Needles	Medicaid CHIP CSHCN KHC
PEN NEEDLE 29G 12MM 100 EA	08489846710 HTL-STREFA, S.A	Insulin Needles	Medicaid CHIP CSHCN KHC
PEN NEEDLE 31G 5MM 100 EA	08489846810 HTL-STREFA, S.A	Insulin Needles	Medicaid CHIP CSHCN KHC
PEN NEEDLE 31G 6MM 100 EA	08489846910 HTL-STREFA, S.A	Insulin Needles	Medicaid CHIP CSHCN KHC
PEN NEEDLE 31G 8MM 100 EA	08489847010 HTL-STREFA, S.A	Insulin Needles	Medicaid CHIP CSHCN KHC
PEN NEEDLE 32G 4MM 100 EA	08489847110 HTL-STREFA, S.A	Insulin Needles	Medicaid CHIP CSHCN KHC
PEN NEEDLE 33G 4MM 100 EA	08489847210 HTL-STREFA, S.A	Insulin Needles	Medicaid CHIP CSHCN KHC
EASY TOUCH GLUCOSE TEST STRIP 50 EA	08496080705 MHC MEDICAL PRO	Diabetic Test Strip	Medicaid CHIP CSHCN KHC
APATATE FORTE LIQUID 237 ML	00482001608 KENWOOD LAB.		Medicaid CSHCN
EASY TOUCH LANCING DEVICE 1 EA	08496080801 MHC MEDICAL PRO	Spring Powered Device- Lancet	Medicaid CHIP CSHCN
HEALTHPRO GLUCOSE TEST STRIPS 25 EA	08496080902 MHC MEDICAL PRO	Diabetic Test Strip	Medicaid CHIP CSHCN KHC
HEALTHPRO GLUCOSE TEST STRIPS 50 EA	08496080905 MHC MEDICAL PRO	Diabetic Test Strip	Medicaid CHIP CSHCN KHC
HEALTHPRO GLUCOSE TEST STRIPS 100 EA	08496080910 MHC MEDICAL PRO	Diabetic Test Strip	Medicaid CHIP CSHCN KHC
GNP EASY TOUCH GLUC TEST STRIP 50 EA	08496081905 MHC MEDICAL PRO	Diabetic Test Strip	Medicaid CHIP CSHCN KHC
EASY TOUCH SAFETY 21G LANCETS 100 EA	08496212201 MHC MEDICAL PRO	Diabetic Lancets	Medicaid CHIP CSHCN KHC
EASY TOUCH SAFETY 21G LANCETS 100 EA	08496212401 MHC MEDICAL PRO	Diabetic Lancets	Medicaid CHIP CSHCN KHC
EASY TOUCH SAFETY 23G LANCETS 100 EA	08496231801 MHC MEDICAL PRO	Diabetic Lancets	Medicaid CHIP CSHCN KHC