Search Results: Formulary Products

Name/Package Size	NDC/Manufacturer	Product Group	Program(s)
VERIFINE SYRNG 0.3ML 31G 5/16" 100 EA	50011083375 PROMISEMED	Insulin Syringes	Medicaid CHIP CSHCN KHC
VERIFINE SYRNG 0.5ML 31G 5/16" 100 EA	50011083377 PROMISEMED	Insulin Syringes	Medicaid CHIP CSHCN KHC
VERIFINE INS SYR 1 ML 29G 1/2" 100 EA	50011083378 PROMISEMED	Insulin Syringes	Medicaid CHIP CSHCN KHC
VERIFINE UNIVERSAL 30G LANCET 100 EA	50011083350 PROMISEMED	Diabetic Lancets	Medicaid CHIP CSHCN KHC
EQL IRON 65 MG TABLET 125 EA	41163042886 EQUALINE VITAMI		Medicaid CSHCN
VERIFINE UNIVERSAL 33G LANCET 100 EA	50011083344 PROMISEMED	Diabetic Lancets	Medicaid CHIP CSHCN KHC
GNP ELECTROLYTE POWDER PACKET 6 EA	87701043387 AMERISOURCE-GNP	Oral Electrolyte	Medicaid CHIP CSHCN
VERIFINE PEN NEEDLE 31G 5MM 100 EA	50011083342 PROMISEMED	Insulin Needles	Medicaid CHIP CSHCN KHC
VERIFINE UNIVERSAL 28G LANCET 100 EA	50011083360 PROMISEMED	Diabetic Lancets	Medicaid CHIP CSHCN KHC
VERIFINE PEN NEEDLE 29G 12MM 100 EA	50011083348 PROMISEMED	Insulin Needles	Medicaid CHIP CSHCN KHC
VERIFINE PEN NEEDLE 32G 6MM 100 EA	50011083326 PROMISEMED	Insulin Needles	Medicaid CHIP CSHCN KHC
SM CALCIUM 600MG-D3 20MCG TAB 300 EA	10939095359 SM-STRATEGIC SO		Medicaid CSHCN
CENTRUM SILVER WOMEN TABLET 65 EA	00573475665 GSK-HALEON		Medicaid CSHCN
EQL BIOTIN 5,000 MCG SOFTGEL 60 EA	41163049723 EQUALINE VITAMI		Medicaid CSHCN
CENTRUM MULTIVIT-MINERAL LIQ 236 ML	00573051330 GSK-HALEON		Medicaid CSHCN
VITAMIN B COMPLEX SOFTGEL 100 EA	00536137801 RUGBY		Medicaid CSHCN
VERIFINE PEN NEEDLE 31G 8MM 100 EA	50011083343 PROMISEMED	Insulin Needles	Medicaid CHIP CSHCN KHC
VERIFINE PEN NEEDLE 32G 4MM 100 EA	50011083304 PROMISEMED	Insulin Needles	Medicaid CHIP CSHCN KHC
EQL VITAMIN B-12 1,000 MCG TAB 75 EA	41163049000 EQUALINE VITAMI		Medicaid CSHCN
KINDERLYTE ELECTROLYTE SOLN 1000 ML	50001080508 KINDERFARMS, LL	Oral Electrolyte	Medicaid CHIP CSHCN
COMPACT SPACE CHAMBER-MED MASK 1 EA	42135010009 MEDICAL DEVELOP	Aerosol Chamber	Medicaid CHIP CSHCN
EASY TOUCH 0.5 ML SYR 30GX5/16 100 EA	08496011801 MHC MEDICAL PRO	Insulin Syringes	Medicaid CHIP CSHCN KHC
COMPACT SPACE CHAMBER-SM MASK 1 EA	42135010008 MEDICAL DEVELOP	Aerosol Chamber	Medicaid CHIP CSHCN
AEROCHAMBER PLUS FLOW-VU MED 1 EA	04351088910 MONAGHAN MEDICA	Aerosol Chamber	Medicaid CHIP CSHCN
PEDIATRIC ELECTROLYTE SOLUTION 1000 ML	96295013816 LEADER	Oral Electrolyte	Medicaid CHIP CSHCN