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Formulary Product Search Results
Drug Name NDC Package Size HCPCS Description Programs
1ST TIER COMFORTOUCH 28G LANCT 08517025736 100 EA Diabetic Lancets Medicaid, CHIP, CSHCN, KHC
1ST TIER COMFORTOUCH 28G LANCT 61059025736 100 EA Diabetic Lancets Medicaid, CHIP, CSHCN, KHC
1ST TIER COMFORTOUCH 30G LANCT 08517065736 100 EA Diabetic Lancets Medicaid, CHIP, CSHCN, KHC
1ST TIER COMFORTOUCH 30G LANCT 61059065736 100 EA Diabetic Lancets Medicaid, CHIP, CSHCN, KHC
1ST TIER UNIFINE PENTP 5MM 31G 08517355036 100 EA Insulin Needles Medicaid, CHIP, CSHCN, KHC
1ST TIER UNIFINE PENTP 5MM 31G 61059055036 100 EA Insulin Needles Medicaid, CHIP, CSHCN, KHC
1ST TIER UNIFINE PNTIP 4MM 32G 08517354036 100 EA Insulin Needles Medicaid, CHIP, CSHCN, KHC
1ST TIER UNIFINE PNTIP 4MM 32G 61059054036 100 EA Insulin Needles Medicaid, CHIP, CSHCN, KHC
1ST TIER UNIFINE PNTIP 6MM 31G 08517359036 100 EA Insulin Needles Medicaid, CHIP, CSHCN, KHC
1ST TIER UNIFINE PNTIP 6MM 31G 61059059036 100 EA Insulin Needles Medicaid, CHIP, CSHCN, KHC
1ST TIER UNIFINE PNTIP 8MM 31G 08517353036 100 EA Insulin Needles Medicaid, CHIP, CSHCN, KHC
1ST TIER UNIFINE PNTIP 8MM 31G 08517383036 100 EA Insulin Needles Medicaid, CHIP, CSHCN, KHC
1ST TIER UNIFINE PNTIP 8MM 31G 61059053036 100 EA Insulin Needles Medicaid, CHIP, CSHCN, KHC
1ST TIER UNIFINE PNTIP 8MM 31G 61059083036 100 EA Insulin Needles Medicaid, CHIP, CSHCN, KHC
1ST TIER UNIFINE PNTP 12MM 29G 08517352936 100 EA Insulin Needles Medicaid, CHIP, CSHCN, KHC
1ST TIER UNIFINE PNTP 12MM 29G 61059052936 100 EA Insulin Needles Medicaid, CHIP, CSHCN, KHC
1ST TIER UNIFINE PNTP 29GX1/2 08517382936 100 EA Insulin Needles Medicaid, CHIP, CSHCN, KHC
1ST TIER UNIFINE PNTP 29GX1/2 61059082936 100 EA Insulin Needles Medicaid, CHIP, CSHCN, KHC
1ST TIER UNIFINE PNTP 31GX1/4 08517389036 100 EA Insulin Needles Medicaid, CHIP, CSHCN, KHC
1ST TIER UNIFINE PNTP 31GX1/4 61059089036 100 EA Insulin Needles Medicaid, CHIP, CSHCN, KHC