Search Results: Formulary Products

Name/Package Size	NDC/Manufacturer	Product Group	Program(s)
COMFORTSEAL SMALL MASK 10 EA	04351034010 MONAGHAN MEDICA	Aerosol Chamber	Medicaid CHIP CSHCN
AEROCHAMBER PLUS FLOW-VU LARGE 1 EA	04351050312 MONAGHAN MEDICA	Aerosol Chamber	Medicaid CHIP CSHCN
AEROCHAMBER PLUS FLOW-VU SMALL 1 EA	04351050112 MONAGHAN MEDICA	Aerosol Chamber	Medicaid CHIP CSHCN
ONETOUCH VERIO TEST STRIP 25 EA	53885000773 LIFESCAN	Diabetic Test Strip	Medicaid CHIP CSHCN KHC
LANCING DEVICE 1 EA	08214027417 OWEN MUMFORD US	Diabetic Lancets	Medicaid CHIP CSHCN KHC
HYDRALYTE ELECTROLYTE SOLN 1000 ML	56069000601 HYDRALYTE LLC	Oral Electrolyte	Medicaid CHIP CSHCN
ONETOUCH DELICA PLUS 30G LANCT 100 EA	12608003002 LIFESCAN	Diabetic Lancets	Medicaid CHIP CSHCN KHC
B-12 1,000 MCG TABLET 100 EA	69375000710 NATIONWIDE PHAR		Medicaid CSHCN
FERROUS SULF EC 324 MG TABLET 100 EA	72789032201 PD-RX PHARM		Medicaid CSHCN
FERROUS GLUCONATE 324 MG TAB 100 EA	50090026900 A-S MEDICATION		Medicaid CSHCN
ONETOUCH DELICA PLUS 33G LANCT 100 EA	12608003001 LIFESCAN	Diabetic Lancets	Medicaid CHIP CSHCN KHC
ONETOUCH DELICA PLUS LANC DEV 1 EA	12608003005 LIFESCAN	Diabetic Lancets	Medicaid CHIP CSHCN KHC
FORA 6CONN-GTEL-TN'G ADV STRIP 50 EA	16042001311 FORA CARE INC.	Diabetic Test Strip	Medicaid CHIP CSHCN KHC
NEPHRONEX LIQUID 237 ML	54859051608 LLORENS PHARM		Medicaid CSHCN
PTS PANELS EGLU TEST STRIP 50 EA	08193271301 POLYMER TECH	Diabetic Test Strip	Medicaid CHIP CSHCN KHC
SUPER THIN 30G LANCET 100 EA	08214057517 OWEN MUMFORD US	Diabetic Lancets	Medicaid CHIP CSHCN KHC
MICRO THIN 33G LANCET 100 EA	08214058517 OWEN MUMFORD US	Diabetic Lancets	Medicaid CHIP CSHCN KHC
VERIFINE PLUS PEN NDL 31G 8MM 100 EA	50011083368 PROMISEMED	Insulin Needles	Medicaid CHIP CSHCN KHC
VITAMIN B-12 500 MCG TABLET 300 EA	11917021979 WALGREEN CO.		Medicaid CSHCN
EASY COMFORT 0.3 ML 31G 5/16" 100 EA	50027049465 HOME AIDE DIAGN	Insulin Syringes	Medicaid CHIP CSHCN KHC
EASY COMFORT 0.3 ML 31G 1/2" 100 EA	50027049466 HOME AIDE DIAGN	Insulin Syringes	Medicaid CHIP CSHCN KHC
VERIFINE PLUS PEN NDL 31G 5MM 100 EA	50011083366 PROMISEMED	Insulin Needles	Medicaid CHIP CSHCN KHC
SLO-NIACIN 500 MG TABLET 180 EA	71610070580 APHENA PHARMA S		Medicaid CSHCN
COMFORT TOUCH PEN NDL 33G 4MM 100 EA	73317446204 SLV PHARMACEUTI	Insulin Needles	Medicaid CHIP CSHCN KHC
COMFORTTOUCH PLUS SAF 30G LANC 100 EA	73317468201 SLV PHARMACEUTI	Diabetic Lancets	Medicaid CHIP CSHCN KHC