diabetic supplies by name and ndc code … · diabetic supplies by name and ndc code effective july...

DIABETIC SUPPLIES BY NAME AND NDC CODE

Effective July 1, 2010

TRADE NAME DESCRIPTION NDC

1ST CHOICE LANCETS 8517015722

8517030722

8517035722

8517065722

1ST TIER UNIFINE PENTIPS 8517352936

8517353036

8517359036

61059052936

61059053036

61059059036

A1C NOW 8368300310

8368300401

ACCU-CHEK 50924001901

50924007920

50924035706

50924039002

50924041102

50924044601

50924045001

50924047602

50924047701

50924086001

50924091802

50924091901

50924098101

65702010110

65702010710

75537000550

75537000552

75537000555

75537000598

75537000788

75537000860

75537000919

75537000986

75537000989

75537025789

75537030357

75537030390

75537030403

75537030411

75537031465

75537031845

75537049070

75537098110

ACCU-CHEK ACTIVE 50924047550

1




54868359000

75537031463

ACCU-CHEK ADVANTAGE 50924055350

54868082400

75537000336

75537000553

75537031111

ACCU-CHEK AVIVA 65702010310

65702010410

65702010610

65702021210

ACCU-CHEK COMFORT CURVE 50924008310

50924036550

50924037350

50924038110

50924088110

50924088250

54868579600

65702021510

75537008049

75537008059

75537030365

75537030373

75537030381

75537031430

75537043881

75537043882

ACCU-CHEK COMPACT 50924030202

50924088401

50924098850

54868324300

54868324301

65702022310

75537040214

75537047419

75537059884

75537080200

ACCU-CHEK COMPACT BLUE CONTROL 65702036910

ACCU-CHEK D-TRON PLUS 15630001705

15630005235

ACCU-CHEK II 75537000575

ACCU-CHEK III 75537000765

75537000766

ACCU-CHEK INSTANT 50924091350

75537000913

ACCU-CHEK INSTANTPLUS 50924091125

2




ACCU-CHEK SIMPLICITY 75537093099

ACCU-CHEK VOICEMATE 50924066601

50924080201

75537023231

75537030802

ACCU-DROP 75537000522

ACCUSURE 603699721

603699821

603699921

603700021

603700121

603700221

ACCUTREND GLUCOSE 65702027410

65702027510

ACETEST REAGENT 193238121

ACTI-LANCE 51028000128

ACURA CONTROL SOLUTION 8463610501

ACURA CONTROL SOLUTION LOW 8463620501

ACURA CONTROL SOLUTION NORMAL 8463600501

ACURA METER KIT 8463610301

ACURA PLUS 8463700301

8463710300

8463710301

85325000015

85325000016

85325000017

ACURA STARTER KIT 8463600301

ACURA TEST STRIPS 8463620350

ADJUSTABLE LANCING DEVICE 8271310100

8271310200

8271310300

8347200001

42167001110

93351012710

ADVANCE 8317410000

8317410501

8317415050

8317420050

15482041005

15482041050

15482041100

15482042050

ADVANCE INTUITION 8317420001

8317420005

8317421100

15482042000

3




15482042005

15482042110

ADVANCE MICRO-DRAW 8317410001

8317410602

8317411100

15482041001

15482041006

15482041110

ADVANCED LANCING DEVICE 8214027020

8214027033

8214070729

35515095934

41415003178

ADVANCED TRAVEL LANCETS 8214048715

ADVOCATE BLOOD GLUCOSE MONITOR 94046000102

94046000103

94046000107

94046000133

94046000134

ADVOCATE CONTROL SOLUTION 94046000101

94046000104

94046000140

ADVOCATE DUO 94046000137

94046000138

ADVOCATE LANCET 94046000106

94046000109

ADVOCATE LANCING DEVICE 94046000105

ADVOCATE REDI-CODE 94046000111

94046000113

94046000124

94046000126

94046000135

94046000136

94046000139

94046001240

94046001264

ADVOCATE TEST STRIP 94046000100

94046000141

AIMSCO ULTRA THIN II 51709000622

51709000630

ALBERTSONS STARTER 56151022101

ALCOHOL 363702056

50428278796

64899054956

64899055056

64899055156

4




ALCOHOL PREP 536992001

904427760

10939009501

10939009511

10939057933

10939098922

11110038524

11110079449

11673060010

11822253720

11822333740

11822800040

11917003175

11917006104

11917007088

11917008216

12333947601

19283059475

19458985901

24385006578

30142001032

30142001033

30142001050

35515099989

37205015578

38415000011

40986001290

40986002413

49348007710

49348007753

49614062278

50428130344

50428297584

50428444797

50730001082

59707022201

63868098903

64899093801

68016001290

68016002413

68113099601

87701069817

87701088820

97807011049

98302000105

ALKALINE BATTERIES 11822439410

5




11822439430

11822439450

11822439460

50428289058

ALTERNATE SITE LANCET 8214043520

ALTERNATE SITE LANCING DEVICE 38415051002

ANTI-STICK INSULIN 8330131401

8330131501

8330137101

10475001314

10475001315

10475001371

ANTI-STICK LEUR LOCK 8330137301

10475001373

ANTI-STICK TUBERCULIN 8330138201

10475001372

10475001382

ASCENSIA AUTODISC 193361050

193362721

193364302

54868579700

ASCENSIA BREEZE 193611701

ASCENSIA BREEZE 2 193144001

193146550

193146621

193148901

193149001

193149101

ASCENSIA BRIO 193323501

ASCENSIA ELITE 193391125

193391850

193394002

193394221

193397201

ASCENSIA ELITE XL 193390101

ASSURE 3 8317550101

8317550602

8317551000

8317555050

15482055001

15482055006

15482055050

15482055100

ASSURE 4 8317560001

8317560006

8317560050

6




8317560100

15482056001

15482056006

15482056050

15482056100

ASSURE DOSE 8317500005

8317500006

15482050005

15482050006

ASSURE II 8317220501

8317220602

8317221000

8317225050

15482022000

15482022050

15482022060

15482022100

15482022110

15482022252

ASSURE LANCE 8317980125

8317980128

8317980225

8317980228

15482098018

15482098028

ASSURE PLATINUM 8317500001

8317500050

8317500100

15482050001

15482050050

15482050100

ASSURE PRO 8317460001

8317460006

8317460050

8317460100

15482046001

15482046050

15482046060

15482046100

AURORA HEALTHCARE LANCETS 32671020144

32671020244

AUTOJECT 2 8214130001

8214131001

8214131101

8470130001

8470131001

7




8470131101

61059130017

61059131014

61059131113

AUTO-LANCET 25294083100

AUTOLANCET DEVICE W-LANCETS 57599013401

93815080134

AUTOLET IMPRESSION 8470027001

8470027101

8470027401

38470002700

AUTOLET LITE 8214056901

8470056901

61059011415

AUTOLET LITE CLINISAFE 8214057601

8470057601

61059012313

AUTOLET MINI 8214026001

8214026501

8470026001

8470026501

61059026013

61059026518

AUTOLET MKII CLINISAFE 8214090001

8470090001

61059010111

AUTOLET PLATFORMS 8214030001

8214030101

8214030201

8470030001

8470030101

8470030201

61059013112

61059013419

61059013716

AUTOPEN 8214300001

8214310001

8214380001

8214381001

8470300001

8470310001

8470380001

8470381001

61059015116

61059015512

61059038001

8




61059038101

B-D AUTO INJECTOR 8290328245

BD AUTOSHIELD PEN NEEDLE 8290329300

8290329305

8290329308

BD ECLIPSE 8290305761

8290305762

8290305764

8290305765

8290305766

8290305767

8290305768

8290305771

8290305778

BD GENIE LANCET 8290366579

8290366583

BD INSULIN PEN NEEDLE UF MINI 8290320119

8290320882

BD INSULIN PEN NEEDLE UF ORIG 8290320880

8290328203

BD INSULIN PEN NEEDLE UF SHORT 8290320109

8290320881

B-D INSULIN SYRINGE 8290008413

8290009622

8290309301

8290309306

8290309310

8290309311

8290325657

8290328278

8290328279

8290328280

8290328289

8290328290

8290328291

8290328411

8290328418

8290328431

8290328438

8290328440

8290328466

8290328468

8290329411

8290329424

8290329430

8290329464

9




8290329466

8290329622

8290329650

8290329651

8290329652

8290841101

8290841201

8290841801

8290843101

8290843801

8290844001

8290846601

8290846801

BD INSULIN SYRINGE MF 8290328281

8290328282

8290328283

8290328410

8290328412

8290328430

8290328465

8290841002

8290843002

BD INTEGRA NEEDLE 8290305312

BD INTEGRA SYRINGE 8290305282

B-D LOGIC 8290322025

8290322029

8290322051

B-D MAGNI-GUIDE MAGNIFIER 8290328233

BD MICROTAINER LANCET 8290366592

8290366593

8290366594

B-D NEEDLES 8290305106

8290305109

8290305110

8290305111

8290305120

8290305122

8290305124

8290305127

8290305128

8290305129

8290305136

8290305143

8290305155

8290305156

8290305159

10




8290305165

8290305167

8290305175

8290305176

8290305178

8290305179

8290305186

8290305187

8290305188

8290305189

8290305195

8290305196

8290305197

8290305198

8290305199

B-D PRECISIONGLIDE NEEDLE 8290303005

8290303006

8290303007

8290303008

8290303009

8290303010

8290303011

8290303012

8290305101

8290305102

8290305103

8290305115

8290305141

8290305142

8290305145

8290305177

8290305185

8290305190

8290305193

8290305194

B-D SAFE CLIP 8290328235

B-D SAFETYGLIDE 8290305900

8290305901

8290305902

8290305915

8290305916

8290305917

8290305918

8290305921

8290305927

8290305930

11




8290305932

8290305934

8290305935

8290305937

8290593001

B-D TEST STRIPS 8290322027

8290322053

8290322054

B-D ULTRA FINE LANCETS 8290322057

8290325772

8290325773

54868580700

BILI-LABSTIX REAGENT 193218021

BIONIME RIGHTEST GM300 SYSTEM 8539000601

BIOSCANNER GLUCOSE TEST 8193102501

8193110001

8193110101

8193112001

8193112101

BIOSCANNER KETONE TEST 8193160001

8193160101

8193160501

8193161002

8193162001

BLOOD GLUCOSE 8525010601

50428147524

56151002502

56151020101

92896000008

BLOOD GLUCOSE MONITORING 8528067701

11822801460

38415042301

38415042310

38415423010

38415423240

49614000113

66004084718

BLOOD GLUCOSE MTR START KIT 56151020701

BLOOD GLUCOSE TEST 8626333350

BLOOD SUGAR DIAGNOSTIC 8554424001

BLUNT NEEDLE 8290305180

8881202389

8881202397

17191019007

BREEZE 2 193145001

193146001

12




193146101

BRITE LIFE STARTER 56151021001

CAREONE 8214015721

8214035721

8214070721

8474721901

8474723901

8474725901

8474731901

8474733901

8474735901

41520031420

41520031421

41520031422

41520031423

41520031424

41520031425

41520087047

41520087048

41520087049

CARESENS N 8617155104

8617155264

8617164104

8617164265

8617164301

8617187104

8617187301

85325000001

85325000002

85325000004

85325000005

85325000011

85325000019

85325000020

85925000004

85925000005

85925000011

85925000019

85925000020

CARRA SCENT 53303007010

53303007080

CARTRIDGE STAMPED 65781012410

CHECKMATE 8312361800

8312361803

41218036140

CHECKMATE PLUS 8312370007

13




8312371005

8312372006

8312373006

41218037000

41218037100

41218037200

CHEK-STIX 193136025

CHEMSTRIP 50924082810

75537031312

CHEMSTRIP 10 WITH SG 50924014510

75537017145

CHEMSTRIP 2 GP 50924074310

75537000743

CHEMSTRIP 50B 50924046706

75537001893

CHEMSTRIP 7 50924021807

75537067160

CHEMSTRIP 9 50924010910

54868242000

75537017109

CHEMSTRIP BG DIARY 50924050401

75537000504

CHEMSTRIP BG TEST KIT 75537000505

CHEMSTRIP K 50924051510

75537000515

CHEMSTRIP UG 75537000511

CHEMSTRIP UGK 50924051310

75537000513

CLEANLET KIDS 94542057950

CLEANLET LANCET 94542057550

94542058150

94542058200

94542058250

94542058300

94542058350

CLEANLET XL 94542057750

CLEVER CHEK BLOOD GLUCOSE SYST 98302000107

98302000111

98302000112

98302000116

98302000121

CLEVER CHEK CONTROL SOLUTION 98302000103

98302000109

98302000110

CLEVER CHEK LANCETS 98302000115

98302000127

14




CLEVER CHEK TEST STRIPS 98302000102

98302000108

98302000118

98302000120

CLEVER CHOICE 98302000131

CLEVER CHOICE PRO 98302000128

98302000129

CLICKFINE 8396900400

8396900500

38396070237

38396070264

38396070293

38396070637

38396070664

38396070693

CLINISTIX REAGENT 193284450

CLINITEST REAGENT 193212621

193212736

193215921

CLIP & STOR 51028000104

COAGUCHEK 50924004301

COMBISTIX REAGENT 193218321

8620218321

COMFORT 65781000610

65781100610

65781200610

65781300610

65781500610

COMFORT LANCETS 8189750510

8214065711

61059065711

COMFORT SHORT 65781124010

65781224010

65781324010

65781424010

65781524010

70524489251

70524489256

70524489258

CONTACT DETACH INFUSION SET 65781018710

65781218710

65781318710

CONTINUOUS GLUCOSE SENSOR 76300000204

76300000210

CONTOUR 193707025

193708050

15




193709021

193710901

193711001

193711101

193715101

193718201

193718301

193718401

193718901

193719001

193719101

CONTOUR USB 193739301

CONTROL 8463220350

8463220401

8463310301

8463320350

8463320401

CONTROL SOLUTION 8290322028

8463400501

8463410501

8463420301

8463430301

8484053350

98939000204

98939000205

98939000206

CURITY 8219515000

CURITY ALCOHOL PREPS 8080515000

8080575000

8225233300

DELTEC COZMO CLEO INFUSION SET 61058602833

61058602834

61058602835

61058602839

61058602840

61058602841

DIABETIC.COM STARTER 56151021601

DIABETIC.COM TEST STRIP 56151031650

DIASCREEN 10 8317110000

15482011000

DIASCREEN 1B REAGENT 8317131550

15482013150

DIASCREEN 1G REAGENT 8317111000

15482011100

DIASCREEN 1K REAGENT 8317121000

8317121550

16




15482012100

15482012150

DIASCREEN 2GK REAGENT 8317122000

15482012200

DIASCREEN 2GP 8317112000

15482011200

DIASCREEN 3 REAGENT 8317113000

15482011300

DIASCREEN 4NL REAGENT 8317134000

15482013400

DIASCREEN 4OBL 8317124000

15482012400

DIASCREEN 4PH 8317114000

15482011400

DIASCREEN 5 8317115000

15482011500


15482011600


15482011700


15482011800


15482011900

DIASTIX REAGENT 193280221

193280250

DIDGET 193618101

DRUG EMP STARTER 56151021801

DUANE READE LANCETS 36652030610

DUANE READE STARTER 56151020601

DUO-CARE 8536010000

8536011000

8536011500

8536012000

DY-O-DERM 299145002

EASY CHECK 89123700113

89123700114

91237000100

91237000102

91237000112

91237000113

91237000114

EASY CHECK TEST STRIP 91237000101

EASY CLICK 91237000105

EASY COMFORT INSULIN SYRINGE 91237000108

91237000109

17




91237000110

EASY PRO PLUS 8480492050

8480492101

EASY TALK 89123700147

89123700148

89123700149

89123700151

89123700152

EASY TEST 8385022650

EASY TEST II 8385110579

EASY TOUCH 8496281501

8496281511

8496285501

8496285511

8496290201

8496291501

8496291511

8496295501

8496295511

8496301601

8496301611

8496303601

8496303611

8496305601

8496305611

8496310101

8496310401

8496310601

8496311601

8496311611

8496313601

8496313611

8496315601

8496315611

8496791501

8496801501

8496805601

91237000104

91237000115

91237000116

EASY TRAK 89123700141

89123700142

89123700143

89123700144

89123700145

89123700146

18




EASYGLUCO 8463000301

8463010301

8463020350

8463020401

8463120350

8463120401

EASYMAX 47884017541

47884017542

85017000001

85017000003

85017000004

EASYMAX N 47884017500

47884017540

47884017550

85017000000

85017000002

EASYMAX SPEAKING 47884017100

47884017140

85017000005

85017000010

EASYMAX V 47884017101

85017000007

EASYPRO 8480490050

8480491100

ECKERD STARTER 19458976801

ECLIPSE 8522000001

8522000002

8522000003

ECLIPSE CONTROL SOLUTION 8522000004

8522000005

ELEMENT BLOOD GLUCOSE METER 8522000022

ELEMENT CONTROL SOLUTION 8522000024

8522000025

8522000026

ELEMENT TEST STRIPS 8522000023

EMBRACE 94030000201

94030000202

94030201001

94030201003

EMBRACE GLUCOSE CONTROL LOW 94030000207

94030201006

ENVISION 8522000010

8522000011

8522000012

8522000013

8522000014

19




EQUATE 57565090151

EVENCARE 8327048609

8327048629

8327048692

8327052029

80196073405

80196073413

80196073463

EVOLUTION BLOOD GLUCOSE METER 8522000016

EVOLUTION CONTROL SOLUTION 8522000018

EVOLUTION TEST STRIPS 8522000017

EXACTECH 57599710302

57599717402

93815097103

93815097174

EXACTECH RSG 57599754204

57599754305

93815097542

93815097543

EXCEL G 36652070475

36652070575

EXEL HUBER NEEDLE 8287126902

8287126904

EXEL HYPODERMIC NEEDLE 8287126400

8287126401

8287126402

8287126403

8287126405

8287126406

8287126407

8287126408

8287126409

8287126410

8287126411

8287126412

8287126414

8287126416

8287126417

8287126418

8287126419

8287126420

8287126422

8287126423

8287126424

8287126425

8287126426

20




8287126430

8287126437

8287126438

8287126440

EXEL INSULIN SYRINGE 8287126002

EXEL MTI DRAWING NEEDLE 8287126501

8287126503

8287126505

EXPRESS MED STARTER 56151020901

EXUBERA CHAMBER 69006119

EXUBERA INHALER 69005419

EXUBERA RELEASE UNIT 69009741

E-Z JECT ALCOHOL SWAB 8189605000

57565006511

E-Z JECT BLOOD LANCET 8189610001

8189610010

8189611000

57565006110

E-Z JECT LANCETS 904437525

8189610005

11822023660

11822023670

38396030114

38396030300

38396030400

38396030500

38396030514

38396030600

38396030800

38396030900

38396031114

38396031214

38396031614

57565006105

91899001884

96295011503

EZ SMART 53459000071

53459000072

53459000073

53459000100

53459000770

53459000780

53459000790

53459001727

53459001737

EZ SMART PLUS 53459000076

21




53459000077

EZ-LETS 25294000802

25294000803

25294000804

25294000805

25294000806

25294000807

25294087100

25294087200

FAST TAKE 53885004810

53885044450

FIFTY50 TEST STRIP 92896000009

FILTER NEEDLE 8021415025

8021415030

8021415035

8021415040

8021415042

8290305200

8290305201

8290305211

8881305018

8881305109

8881305117

8881305208

FINGERSTIX 193596531

FLOW-EZE 63323090490

FORA D10 98939000200

98939000201

FORA D15 98939000237

FORA D15C 98939000212

FORA D15G 98939000238

FORA D15Z 98939000216

FORA D20 98939000244

98939000245

FORA G20 98939000233

98939000234

FORA G71A 98939000256

98939000257

98939000265

98939000266

98939000267

FORA LANCETS 98939000261

FORA LANCING DEVICE 98939000258

FORA V10 98939000209

98939000210

98939000235

22




98939000236

FORA V12 98939000207

98939000226

98939000227

FORA V20 98939000217

98939000218

FREESTYLE CONTROL SOLUTION 99073014002

99073014003

FREESTYLE FLASH SYSTEM 99073017001

FREESTYLE FREEDOM 99073070847

FREESTYLE FREEDOM LITE 99073070914

99073070920

FREESTYLE LANCETS 99073013001

FREESTYLE LITE METER 99073070804

99073070805

FREESTYLE LITE STRIPS 99073070819

99073070822

99073070823

99073070827

FREESTYLE NAVIGATOR 99073070683

FREESTYLE SIDEKICK II 99073012051

FREESTYLE SYSTEM 99073011001

99073011003

99073011004

FREESTYLE TEST STRIPS 54868533000

99073012050

99073012101

99073012350

99073012401

99073012450

FREESTYLE UNISTIK 2 99073013022

99073070428

99073083003

G-4 8463400300

8463400301

8463410300

8463410301

8463420300

8463720350

GDRIVE 8626000101

GENTLE DRAW 56151014201

GIANT EAGLE PHARM 56151022602

GLUCOCARD 01 8317720001

8317721100

8317741100

15482072001

23




15482072110

15482074110

GLUCOCARD 01 CONTROL 8317720005

8317740006

15482072005

15482074006

GLUCOCARD 01 SENSOR 8317720050

8317740050

15482072050

15482074050

GLUCOCARD 01-MINI 8317731100

15482073110

GLUCOCARD VITAL 8317761100

8317761101

15482076110

GLUCOCARD VITAL SENSOR 8317760050

15482076050

GLUCOCARD X-METER 8317751100

15482075110

GLUCOCARD X-METER CONTROL 8317750005

15482075005

GLUCOCARD X-SENSOR 8317750050

15482075050

GLUCOCOM AUTOLINK 8525011401

GLUCOCOM BLOOD GLUCOSE 8525010001

8525011501

GLUCOCOM CONTROL SOLUTION 8525011001

8525011101

GLUCOCOM GLUCOSE 8525010150

GLUCOCOM LANCETS 8525010300

8525011200

GLUCOLAB 8522131100

8522191105

8522201950

GLUCOLAB CONTROL 8522031908

8522031912

8522031914

GLUCOLEADER 8476005101

8476005250

8476005301

8476005401

GLUCOLET 2 193597610

193597901

GLUCOMETER DEX 193362250

193362350

193364201

24




GLUCOMETER ELITE 193387050

193387150

193388501

GLUCOPRO 38384201022

41405129301

41405129310

41405129350

41405130301

41405130310

41405130350

41405130801

41405130810

41405130850

41405131810

41405131850

41405329301

41405329310

41405329350

41405330301

41405330310

41405330350

41405330810

41405330850

41405331801

41405331810

41405500101

41405500112

41405529301

41405529310

41405529350

41405530301

41405530310

41405530350

41405530801

41405530810

41405530850

41405531801

41405531810

41405531850

GLUCOSE CONTROL SOLUTION 8528003101

8528003301

8528003501

8528004101

8528004501

8528085601

92896000016

25




GLUCOSE TEST STRIP 8528085750

10939056211

10939082522

11822801770

11822801870

11917001668

11917003182

11917005075

11917005076

19458976901

24385065271

49348095050

49614000011

49614000012

50428147530

50428194178

56151030101

56151030150

56151030201

56151030250

56151030350

56151030450

56151030650

56151030850

56151030950

56151031001

56151031050

56151031101

56151031150

56151031250

56151031301

56151031350

56151031750

56151031850

56151031950

56151032150

56151032401

56151032450

56151032501

56151032550

56151032601

56151032650

56151032701

56151032750

64899091901

64899092050

26




66004085004

66004085018

66004085105

66004085118

66004953904

66004969105

87701033586

87701055289

GLUCOSOURCE 8278110011

8278220011

GLUCOSTIX REAGENT 54868086300

GLUCOWATCH 8197100110

8197100116

8197200101

GOOD NEIGH STARTER 56151021101

GRIPPER PLUS 61058060255

61058060256

61058060277

GUARDIAN REAL-TIME 76300007202

GUARDIAN RT CHARGER 76300070501

GUARDIAN RT SOFTWARE 76300031501

GUARDIAN RT STARTER KIT 76300000701

76300001101

GUARDIAN RT SYSTEM 76300010001

76300090001

GUARDIAN TEST PLUG 76300040001

76300070601

GUARDIAN TRANSMITTER 76300070001

GUARDIAN TRANSMITTER TAPE 76300000610

HAEMOLANCE 8317950000

8317955000

15482099050

15482099055

HAEMOLANCE PLUS 8317990200

8317990250

8317990400

8317990600

8317990700

8317990750

8317990800

8317990900

8317990950

15482099070

15482099075

15482099080

15482099090

27




15482099095

15482099200

15482099250

15482099400

15482099600

HAEMOLANCE, RETRACTABLE 8317015001

8317035050

15482099030

15482099035

15482990305

15482990350

59059015001

59059055001

HEMA-COMBISTIX 193218221

8620218221

HOSPITAL QUALITY CONTROL LOG 75537000576

HOSPITAL TEST STATION KIT 75537000571

75537000572

75537000579

HUBER POINT NEEDLE STRAIGHT 8021322015

8021322215

HUMAPEN LUXURA HD 2967301

HUMAPEN MEMOIR 2966001

HYPODERMIC NEEDLE 8080818100

8080818101

8080818112

8080818113

8080819100

8080819101

8080819112

8080819113

8080820100

8080820101

8080820112

8080820113

8080821100

8080821101

8080821112

8080821113

8080822100

8080822101

8080822112

8080822113

8080823012

8080823034

8080823100

28




8080825058

8080825100

8080825112

8080826012

8080826112

8080827012

8080830340

8287126421

8881200011

8881200029

8881200037

8881200045

8881200052

8881200060

8881200078

8881200086

8881200110

8881200136

8881200144

8881200151

8881200169

8881200185

8881200193

8881200219

8881200227

8881200235

8881200268

8881200292

8881200318

8881200326

8881200342

8881200383

8881200433

8881200441

8881200466

8881200508

8881200516

8881200573

8881200714

8881200755

8881200805

8881250016

8881250024

8881250032

8881250040

8881250057

29




8881250065

8881250073

8881250081

8881250099

8881250107

8881250115

8881250123

8881250131

8881250149

8881250172

8881250180

8881250198

8881250206

8881250214

8881250222

8881250230

8881250255

8881250289

8881250305

8881250313

8881250321

8881250362

8881250545

HYPOLANCE 8317410012

15482041012

IN CONTROL PEN NEEDLE 8214029727

8214030727

8214090727

INFINITY 8463500301

8463510301

8463520350

INFINITY CONTROL SOLUTION 8463500501

8463510501

8463520501

INFINITY TEST STRIPS 8463820350

INFUSION SET 8024390001

61058025291

61058025307

61058025314

65781021010

65781021110

65781021205

65781021305

65781022015

65781022115

65781022215

30




65781023012

65781023112

65781023212

65781023312

65781024025

65781024125

65781024225

65781024325

65781110610

65781118110

65781210610

65781218110

65781310610

65781318110

65781410610

65781418210

65781518210

65781618210

65781718310

65781818410

INJECT-EASE 25294087400

INJEX 30 AMPULE 5461010100

18270010030

INJEX 30 NEEDLE FREE 5461010000

18270000030

INNOVO 169185274

INPATIENT LOGBOOK 75537000578

INSET 30 INFUSION SET 65781439602

INSET INFUSION SET 65781036102

65781136102

INSTACLEAN 63921024004

63921024010

63921024016

63921024080

INSULIN CARTRIDGE 61058025352

INSULIN PEN NEEDLE 8287126003

8287126004

8287126005

20221026003

20221026004

20221026005

INSULIN PUMP RESERVOIR 8521307010

INSULIN- SYRINGE 536991501

536991601

603699521

603699621

31




8222082183

8222082589

8222092199

8222092397

8222092595

8222093196

8222093394

8222093592

8222094193

8222094391

8222094599

8287126001

8287126014

8287126015

8287126016

8287126018

8287126020

8287126022

8287126026

8287126027

8287126028

8287126029

8290309300

8290309305

8290309309

8290329420

8290329461

8326300210

8326300230

8329290110

8330131101

8330131201

8330131301

8330131601

8387280101

8387280501

8387290101

8387290501

8387300101

8387300501

8418099191

8418099201

8418099211

8418099221

8418099231

8418991901

32




8418992001

8418992101

8418992201

8418992301

8474925900

8474935900

8580301001

8580311101

8580500201

8580500501

8587183529

8587183530

8881701406

8970203031

10475001311

10475001312

10475001313

10475001316

10939007633

10939007733

10939007833

10939007933

10939008033

10939008133

10939008233

10939008333

10939062722

10939062822

10939062922

10939084533

10939084633

10939084733

10939090611

10939090711

10939090811

10939090911

10939091011

11110035222

11110035322

11110035323

11110035324

11110036176

11110036177

11110036178

11110037502

11110037503

33




11110037504

11822321570

11822321580

11822576430

11822576440

11917001487

11917001489

11917001492

11917002527

11917002528

11917002529

11917002536

11917004813

11917004814

11917004815

12333090170

12333090270

12333090370

12333091170

12333091270

12333091370

12333097001

12333097002

12333097003

12333097011

12333097012

12333097013

15127040101

15127040105

15127040201

15127040205

15127040301

19458026746

19458026747

19458026748

19458026749

19458026750

19458026751

20221026014

20221026015

20221026016

20221026018

20221026026

20221026027

20221026028

20221026029

34




21140070387

21140070388

21140070389

21140070642

21140070643

21140070644

35515094737

35515094738

35515095484

35515095485

35515097463

35515097464

35515097465

36652040318

36652040518

36652040618

36652040718

36652040818

36652400106

36652400107

36652401506

36652401507

37205608104

37205608204

37205608304

38396000506

38396000606

38396000706

38396040102

38396040105

38396040108

38396040202

38396040205

38396040208

38396040212

38396040218

38396040302

38396040305

38396040308

38396040318

38396040325

38396040405

38396040408

38396040412

38396040425

38396040501

35




38396040502

38396040503

38396040504

38396040505

38396040506

38396040507

38396040508

38396040512

38396040518

38396040525

38396040605

38396040608

38396040612

38396040618

38396040625

38396040708

38396040712

38396040718

38396040725

38396040801

38396040802

38396040803

38396040804

38396040805

38396040806

38396040807

38396040808

38396040812

38396040818

38396040825

38396040918

38396040970

38396041018

38396041070

38396041102

38396041118

38396041131

38396041140

38396041202

38396041231

38396041240

38396041302

38396041331

38396041340

38396041431

38396041440

36




38396041531

38396041540

38396041631

38396041640

38396041808

38396041908

38396041940

38396042003

38396042005

38396042008

38396042040

38396042108

38396042140

38396042190

38396042390

38396042490

38396042590

38396042690

38396042912

38396043012

38396043112

38396043277

38396043377

38396043477

38396044964

38396045064

38396045164

38396045339

38396046339

38396047339

38396076339

38396077339

38396078339

38396079339

38396080339

38396081339

38396082339

38396083339

38415001128

38415001129

38415001130

38415001528

38415001529

38415001530

38415001629

38415001630

37




38415001631

38415003128

38415003129

38415003130

38415003528

38415003529

38415003530

38415003531

38415003629

38415003630

38415003631

38415005128

38415005129

38415005130

38415005528

38415005529

38415005530

38415005629

38415005630

38415005631

40986002136

40986002137

40986002138

40986002139

40986002140

40986002141

40986002142

40986002143

40986002144

41163026310

41163026311

41163026312

41163026313

41163026314

41163026315

41163040141

41163040241

41163040341

41163042682

41163042683

41163042684

41163263109

41163402203

41163402205

41163402206

41163402207

38




41163402208

41318071768

41318071769

41415001578

41415001678

41415001778

41415001878

41415001978

41415002078

51709000169

51709000501

51709000502

51709000503

51709000504

51709000528

51709000529

51709000530

51709000531

51709000532

51709000534

51709000618

51709000619

51709000620

51709000621

51709000722

51709000723

51709000724

51709000725

51709000740

51709000741

51709000742

51709000743

54569250500

54868131100

57515008218

57515008258

57515008259

57515009219

57515009239

57515009259

57515009319

57515009339

57515009359

57515009419

57515009439

57515009459

39




59707013130

59707013150

59779114599

59779114796

59779114799

59779114803

59779114811

64899091201

64899091301

64899091401

64899091501

64899091601

64899091701

64899093101

64899093201

64899093501

64899093601

64899093701

68016065035

68016065055

68016065105

68016070055

68016070105

68016080055

68016080105

68016090055

68016090105

73913128270

73913128271

73913128273

73913128274

73913128277

73913192609

73913192610

73913192613

75450031301

75450031401

75450031501

75450031601

75450031701

75450031801

81131031162

81131031163

81131031164

81131031165

81131031166

40




81131031167

81131031168

81131031169

81131031170

81131031171

81131031172

81131031173

81131031174

81131031175

81131031176

81131031177

81131031178

81131031179

81306051423

81306051513

81306051523

81306051623

81306052413

81306052423

81306052513

81306052523

81306052613

81306052623

86227018525

86227018635

86227018745

86227018855

86227018995

86227019075

86227921625

86227921635

86227921645

86227921655

87701039972

87701039973

87701039974

90166005015

90166005035

90166005055

90166005615

90166005635

90166005655

90166015615

90166015635

90166015655

90166085015

41




90166085055

90166095015

90166095035

90166095055

91899042912

91899043012

91899043112

91899060778

91899060878

91899060978

91899062678

91899062778

91899062878

96295010494

96295010495

96295010496

96295010497

96295010498

96295010629

96295010643

96295010645

96295011261

96295011262

96295011263

97807011004

97807011005

97807011008

97807011009

97807011038

97807011039

97807011046

97807011047

97807011048

INSUL-TOTE 25294087500

25294087501

INSUMED 8271352000

8271352100

8271352200

8271352300

INSUPEN 8271450000

8271450100

8271450200

8271450300

8271450400

8271450500

28465004500

42




28465004501

28465004502

28465004503

28465004504

28465004505

INTRAVENOUS,ARTERIAL & BLOOD 8290001178

ISOLYSER SYRNG DISPOSAL SYSTEM 48426010001

48426024001

ISOPROPYL ALCOHOL 295113716

295113728

295113816

295113928

363080443

363081043

363081045

395124316

395124328

395124904

395124928

395125928

406303103

406303107

574006610

574006616

574006710

574006716

904604516

10106908001

10106908003

10106908007

10135010608

10939000101

10939000201

10939000211

10939000401

10939000411

10939000501

10939000511

10939000601

10939013733

10939013833

10939013933

10939014033

10939080611

11822313810

11822313820

43




11822313830

11822370590

11822393580

11917001514

11917001515

11917001517

11917006196

11917006276

11917006277

11917006278

12333925401

12333926101

17317030101

17317030105

17317030108

17317134901

17317134905

17317134908

19458919001

19458919101

19458961701

24385024916

30142080443

30142081043

30142081045

30142084543

33261007316

33261007328

33261007332

33261007416

33261007616

33261007628

35515094768

35515094818

35515098296

36800003871

36800091718

36800093340

36800093341

37205001243

37205001245

37205022743

37205097443

40986001016

40986001017

40986001018

44




40986001020

41250008834

49348000438

49348000538

49348003038

49348003040

49452381001

49452381002

49452382001

49452382002

49614030343

49614030443

50428141077

50428149450

50428152074

50428216440

50428480960

51552040408

51927330500

52380000501

52380177104

52380177108

59085010416

59085010516

62991154201

62991154202

63868092532

63868093316

63868093916

68016001016

68016001017

68016001018

68016001020

70418120700

70418120900

70418199000

70418400200

70418400300

70418400700

87701040195

96295010915

96295011467

IV PREP ANTISEPTIC 50484021000

IV PREP WIPES 50484021200

IV TRANSFER NEEDLES 17191016001

17191016010

45




17191019001

KERR STARTER 56151020401

KETOCARE 56151060101

56151060150

96295011268

KETO-DIASTIX REAGENT 193288221

193288250

KETONE 193252350

KETOSTIX REAGENT 193264020

193288021

193288050

KEYNOTE 8554131701

8554132801

8554226502

KINRAY 56151022702

LABSTIX REAGENT STRIPS 193218121

8620218121

LADY LITE 32671020122

32671020222

LANCET 8189001666

8189630220

8189750110

8189850720

8193008912

8214015720

8214015724

8214018718

8214020718

8214025714

8214030720

8214035720

8214035729

8214043514

8214065714

8214065720

8214065724

8214465714

8214515714

8214535714

8271033100

8271035100

8271036100

8271036200

8271053100

8271055100

8271056100

46




8271056200

8290322065

8321000123

8321000170

8321081028

8321081030

8321081038

8321081128

8321240110

8321240128

8321240130

8321240160

8321240228

8326200001

8347100010

8385086501

8385086601

8385086701

8385610001

8385850501

8429111101

8463701228

8463702930

8464010001

8521081030

8525011300

8525011301

8565015915

8565016915

8565017915

8565044415

8565045415

8565054015

8565134415

8565135415

10939007033

10939007133

10939007233

10939007333

10939007433

10939007533

10939033122

10939033222

10939056311

10939091111

10939091211

47




11110079503

11822399280

11822871860

11822989400

11822989410

11917001648

11917006109

11917006111

12333097301

12333097331

12333947401

12333947501

12333973201

15127099010

15127099020

15127099110

15127099120

19458959102

24385065483

30142010082

35515094739

35515094740

35515098871

36652030118

36652030122

36652030131

36652030132

36652030143

36652030145

36652030152

36652030218

36652030228

36652030231

36652030232

36652030331

36652030332

36652030343

36652030345

36652030418

36652030428

36652030432

36652030433

36652030522

36652030622

36652030633

36652030852

48




36652030952

38396000010

38396001078

38396016201

38396030100

38396030108

38396030112

38396030113

38396030120

38396030140

38396030157

38396030200

38396030208

38396030212

38396030213

38396030220

38396030240

38396030312

38396030316

38396030320

38396030412

38396030416

38396030418

38396030420

38396030508

38396030512

38396030513

38396030520

38396030540

38396030557

38396030608

38396030613

38396030640

38396030740

38396031156

38396031225

38396031506

38396031618

38396032225

38396032300

38396032325

38396032490

38396032590

38396032690

38396032870

38396033277

49




38396033577

38396034264

38396034364

38396034464

38396034564

38396035506

38396036606

38396044902

38396045002

38396045102

38396045202

38396045302

38396050132

38396050175

38396050178

38396050275

38396050375

38396050432

38396052175

38396052275

38396070339

38396071339

38396072339

38396073339

38396074339

38396075339

38396090002

38396090178

38396090180

38396091825

38396091925

38415010021

38415010026

38415010028

38415010029

38415010030

38415010031

38415020028

38415030021

38415030026

38415030028

38415030030

38415040028

38415060001

38415060023

38415060025

50




40986001669

41163263000

41163302201

41163302202

41163302205

41163302206

41250088304

41250088305

41250088306

41415003278

42167000640

42167001090

49614063081

50428001771

50428001772

50428001773

50428235155

50428235157

51709000726

51709000727

51709000728

51709000729

51774050100

51774050200

53885010207

56151014260

56151040101

57565006096

57599004305

57599868102

57599868105

57599868205

57599868206

58859020001

58859020005

59779032301

59779032302

59779032304

61059015714

61059015724

61059025714

61059035714

61059043514

61059065714

61059065724

68016030754

51




68115073000

73913128267

73913128268

73913146222

73913146235

75450031095

75450031195

81306021214

81306021314

81306022114

81306022314

87701044671

87701057044

87701057046

87701085887

87701095986

91899062178

91899062181

91899063078

91899063081

91899063178

92896000810

93815070043

93815098681

93815098682

94542055100

94542055110

94542055150

96295010295

96295010677

96295010841

96295011105

98302000104

98302000106

LANCET DEVICE 8290325775

LANCETS,THIN 11110037673

11110038466

11110376703

11917006105

11917006110

12333097321

12333097541

19458959101

30142009682

36652030210

38396030118

52




38396030218

38396032970

38396033070

38396050232

38396050332

57565090150

64899093401

64899093411

97807011044

97807011045

LANCING DEVICE 8214027001

8214027101

8214070720

8214070726

8214070734

8321083225

8463382001

8464010090

8521080001

8528010001

11110033822

32671020044

32671020055

38396000425

38396050101

38396051075

38396060118

38415051001

40986001670

50428008873

51709000760

56151020160

56151040201

58859020008

61059027010

61059027119

61059070726

64899090299

68016001670

68016051054

92896000800

96295011708

97807011003

98302000100

LANCING SYSTEM 87701052620

LIBERTY MONITOR 56151129801

53




LIBERTY TEST STRIP 56151109950

LIFE MEDICAL STARTER 56151021401

LIFE MEDICAL TEST STRIP 56151031450

LIFESCAN 53885004610

LIFESHIELD BLUNT CANNULA 8881202017

LINEARITY TEST KIT 75537000510

75537000512

75537000987

LITE TOUCH 32671000020

32671000500

32671000501

32671000502

32671000503

32671000504

32671000505

32671000506

32671000507

32671000508

32671000509

32671000514

32671000520

32671020133

32671020233

LITE TOUCH INSULIN PEN NEEDLES 32671000532

LONG STARTER 56151021201

LUER-LOK SYRINGE 8290309629

MAGELLAN INSULIN SAFETY SYRNG 8881892910

8881892950

MAJOR COMFORT 904437560

MAX BLOOD GLUCOSE METER 8548043435

8548043436

MAX GLUCOSE CONTROL SOLUTION 8548043446

MAX GLUCOSE TEST STRIPS 8548043416

8548043423

8548043437

8548043523

MAXIMA 8463420350

MEDI-JECTOR ADAPTER 55948097002

MEDI-JECTOR NEEDLE-FREE SYR A 55948029510

55948030010

55948030510

MEDI-JECTOR VISION 55948012310

55948031010

55948031510

MEDI-LANCE 32671020100

32671020200

54




MEDISENSE 57599055001

57599055101

57599055201

93815070550

93815070551

93815070552

MEDISENSE CONTROL 93815097432

MEDISENSE GLUCOSE KETONE CONTR 57599013801

57599013901

57599031201

93815080138

93815080139

93815080312

MEDLANCE PLUS 8271138100

8271138200

8271138300

8271138400

28465001381

28465001382

28465001383

51028000102

51028000103

51028000121

51028000125

MEDTRONIC REMOTE CONTROL 76300050001

MEIJER STARTER 56151021901

MICRO 8317710001

8317710050

MICRO THIN LANCETS 38396031632

38396031775

MICRODOT 51028000158

51028000171

51028000172

51028000175

MICROLET 193654001

193654621

193658621

193660601

MICROLET VACULANCE 193341601

MICROTAINER SAFETY FLOW LANCET 8290365759

8290366356

8290366357

MINILANCE BLOOD LANCET 8290365757

MINILINK REAL-TIME TRANSMITTER 76300070701

MINIMED 76300039010

76300039110

55




76300039210

76300039310

76300039501

76300039610

76300039710

76300039810

76300039910

MINIMED RESERVOIR 76300010310

76300010324

MIO INFUSION SET 76300092110

76300092310

76300092510

76300094110

76300094310

76300094510

76300096510

76300097510

MONOJECT 8080852801

MONOJECT BLUNT FILTER CANNULA 8881540199

MONOJECT INSULIN SYRINGE 8080200280

8080200290

8080200300

8080300290

8080300300

8080400280

8080400290

8080400300

8080810055

8080812505

8080812701

8080812801

8881500014

8881501210

8881501384

8881501822

8881501970

8881511110

8881511136

8881511144

8881511310

8881511336

8881511344

8881600004

8881600145

8881600350

8881600700

56




8881600800

8881601101

8881601358

8881601600

8881609131

8881609231

8881609331

8881700408

37867099246

37867099247

37867099248

MONOJECT SYRINGE 8080601358

MONOJECTOR LANCET DEVICE 8881602117

MONOLET LANCETS 8881602018

8881602034

8881602075

8881602125

8881602141

8881602190

MONOLET THIN LANCETS 8881602208

8881602216

MULTI-LANCET DEVICE 8317660015

15482066015

MULTISTIX 8620217921

MULTISTIX 10 SG 193216121

8620216121

58016906101

MULTISTIX 2 193216821



8620216521


8620216421


8620216221


8620216321

MULTISTIX REAGENT 193217921

MYGLUCOHEALTH 60171097001

60171097003

NANO PEN NEEDLE 8290320122

8290320883

NAVARRO STARTER 56151020801

NEEDLE FREE INSULIN SYR KIT 55948003710

NEEDLE FREE SYRINGE KIT 55948012210

55948012410

57




55948012610

55948022210

55948022410

55948022610

NEEDLE-PRO EDGE 8609431726

8609431927

8609433030

8609442801

8609442805

8609442901

8609442903

8609442905

8609443003

8609443005

NEEDLES 38396047202

NEEDLES, STERILE 8881260064

8881260072

NEWTEK 8317450100

N-MULTISTIX-SG 193217621

NOKOR ADMIX NEEDLE 8290305215

NOKOR NEEDLE 8290305214

NOVA MAX BLOOD GLUCOSE METER 8548045824

NOVA SUREFLEX 8548043421

NOVALANCE 8456402100

8456402600

NOVAMAX PLUS 8548048607

NOVOFINE 169185189

169185250

169185255

54868136900

54868137500

NOVOFINE AUTOCOVER 169185275

NOVOPEN 3 169185242

169185290

NOVOPEN JR 169185258

169185259

OMNIPOD 8508112010

ONE TOUCH BASIC SYSTEM 53885032501

ONE TOUCH DELICA 53885000692

53885000693

53885014201

53885014301

ONE TOUCH GLUCOSE CONTROL SOLN 53885027202

ONE TOUCH II TEST STRIPS 68115072650

ONE TOUCH LANCETS 53885039310

54868579800

58




ONE TOUCH SURESOFT 53885013920

53885014020

53885014110

ONE TOUCH TEST STRIPS 53885019725

53885019850

53885028550

53885037410

54569420800

ONE TOUCH ULTRA 2 53885044801

ONE TOUCH ULTRA CONTROL SOLN 53885041601

53885045802

ONE TOUCH ULTRA SMART 53885052401

ONE TOUCH ULTRA SYSTEM 53885024701

ONE TOUCH ULTRA TEST STRIPS 53885024450

53885024510

53885099425

54569608000

54868526500

68115071800

ONE TOUCH ULTRALINK 53885055101

53885055201

ONE TOUCH ULTRAMINI 53885020801

53885041901

53885042001

53885042101

53885091101

53885091201

OPTIUM 57599089901

57599913201

57599913404

57599913505

93815099132

93815099134

93815099135

OPTIUM EZ 57599104104

57599104205

93815071041

93815071042

ORSINI INSULIN SYRINGE 8474592590

8474593191

8474593597

57515059259

57515059319

57515059359

PARADIGM 76300032610

76300032620

59




76300033210

PARADIGM INFUSION 76300031221

76300031222

PARADIGM INSULIN PUMP PATHWAY 76300012201

76300022201

76300052201

PARADIGM LINK BLOOD GLUCOSE 8290333200

8290333201

8290333202

8290333203

PARADIGM REAL-TIME 76300001701

PARADIGM REMOTE CONTROL 76300050301

PARADIGM SILHOUETTE 76300036810

76300038110

76300038210

76300038310

76300038410

PEN- NEEDLE 8214029724

8214029726

8214029735

8214029737

8214030724

8214030725

8214030726

8214030735

8214030737

8214056717

8214057717

8214058717

8214090724

8214090725

8214090726

8214090735

8214090737

8214352933

8214353033

8214359033

8214998901

8214998911

8214998921

8396901034

8396901134

8396901234

11110033823

11110033824

11822576450

60




11822576460

19283041222

19283041223

19283041224

35515095937

35515095938

35515095939

37205041778

37205041878

37205070278

38396047001

38396047002

38396062102

38396062103

38396070118

38396070218

38396070601

38396070618

40986002367

40986002368

40986002369

41163044418

41163044419

41415000778

41415002778

54868606000

61059029724

61059029726

61059029735

61059029737

61059030724

61059030726

61059030735

61059030737

61059090724

61059090726

61059090735

61059090737

68016029728

68016030728

68016090725

68016090728

81306004701

81306004702

91899099890

91899099891

61




91899099892

96295011243

96295011244

96295011392

PENLET PLUS BLOOD SAMPLER 53885035601

PENWEL COMFORT INSULIN SYRINGE 77090090055

77090090105

PHARMACIST CHOICE 98302000132

98302000133

PHASEAL PROTECTOR 33031000003

33031000006

33031000009

33031000066

33031000067

33031000069

33031000078

POCKETCHEM EZ 8317630005

8317630050

8317631101

15482063005

15482063050

15482063110

POLYFIN 76300010624

76300010724

76300012824

76300013324

76300030624

76300030724

POLYFIN QR 76300016524

76300016624

76300016724

76300036524

76300036624

76300036724

PRECISION 57599854601

57599854701

57599854801

57599854901

57599855001

57599889401

57599889501

93815098411

93815098546

93815098547

93815098548

93815098549

62




93815098550

93815098894

93815098895

93815098929

93815974116

PRECISION GLUCOSE CONTROL 93815099121

PRECISION LINK 57599744301

93815097443

PRECISION PCX 57599875705

57599956505

93815099565

PRECISION PCX PLUS 57599006305

57599033901

93815080063

93815080339

PRECISION POINT OF CARE 57599011605

93815080116

PRECISION Q-I-D 57599740004

57599740105

57599832801

57599833501

57599833601

57599873204

57599873305

93815097400

93815097401

93815097402

93815098328

93815098732

93815098733

PRECISION SOF-TACT 57599958604

93815080340

93815080343

93815099575

93815099586

PRECISION XTRA 57599051201

57599074501

57599881401

57599972804

57599983804

57599987705

57599987805

93815070512

93815070745

93815098814

93815098815

63




93815099728

93815099838

93815099877

93815099878

93815099879

PRECISIONGLIDE 8290305125

PRESTIGE 21292055050

56151014301

56151050501

56151052501

56151055001

56151055050

56151055550

56151056301

56151056601

56151057801

PRESTIGE LANCETS 56151024260

56151074301

PRESTIGE LX 56151052701

PRESTIGE METER 56151050401

PRESTIGE SMART SYSTEM 56151090090

56151091001

56151092002

56151095050

56151099902

PRESTIGE SMART SYSTEM IQ 56151099901

56151099990

PRODIGY 8484051600

8484051650

8484051720

8484051750

8484051850

8484051880

8484051885

8484051890

8484052300

8484052400

8484052835

8484070120

PRODIGY AUTOCODE 8484052870

PRODIGY CONTROL SOLUTION 8484053310

8484990310

PRODIGY DUO 8484051970

PRODIGY EJECT 8484051800

8484052410

PRODIGY INSULIN SYRINGE 8484990430

64




8484990432

8484990435

8484990437

8484990438

8484990480

PRODIGY LANCETS 8484082026

8484082316

8484082321

8484082341

8484990338

PRODIGY LANCING DEVICE 8484083225

8484990355

PRODIGY NO CODING 8484052800

8484072500

8484990235

8484990250

PRODIGY PEN NEEDLE 8484312913

8484313105

8484313108

PRODIGY POCKET 8484050300

8484050301

8484050302

8484050303

8484050304

8484050360

8484050361

8484050362

8484050363

8484050364

8484070800

8484070801

8484070802

8484070803

8484070804

PRODIGY PREFERRED 8484056100

8484056150

PRODIGY TWIST TOP LANCET 8484081028

8484990328

PRODIGY VOICE 8484051900

8484052900

8484052970

8484071950

8484072900

PROTECTED NEEDLE 264943289

264943489

PTS PANELS 8193100576

65




8193100579

PUBLIX LANCET 8326281101

8326281102

QUICK RELEASE SOFT TEFLON 76300031512

76300031612

QUICK-CHECK FILM 8189609000

57565006090

QUICK-CHECK II 8189608000

57565006080

QUICK-CHECK ONE 8189607000

57565006070

QUICK-SET PARADIGM 76300038610

76300038710

76300039410

QUICKTEK 8317330000

8317330001

8317330501

8317331100

8317335050

15482033005

15482033050

15482033100

15482033110

REAL-TIME STARTER KIT 76300000601

REFUAH PLUS 37654049726

37654049727

REFUAH PLUS GLUCOSE CONTROL 37654049728

RELIEF PLUS 57565090001

57565090002

57565090003

57565090004

RELION 66004013201

66004953801

RELION CONFIRM 8317712002

8317712003

RELION ULTRA THIN PLUS 38396031402

RENEW ADVANCED LANCING SYSTEM 38396051155

RENEW ADVANCED MICRO-LANCETS 38396044455

REPLACEMENT PEDIATRIC MONITOR 76300010002

RESERVOIR 66581001300

RIGHTEST CONTROL SOLUTION 8539001201

8539001301

RIGHTEST GD500 8539002001

RIGHTEST GM100 SYSTEM 8539010001

RIGHTEST GM300 SYSTEM 8539000101

RIGHTEST GS100 TEST STRIPS 8539105002

66




RIGHTEST GS300 TEST STRIPS 8539000501

SAFESNAP INSULIN SYRINGE 8595013001

8595013010

8595022901

8595022910

8595023001

8595023010

8595032801

8595032810

8595032901

8595032910

13774020200

13774020202

13774020210

13774020212

13774020218

13774020220

13774020226

13774020228

13774020234

13774020236

SAFETY-LET 38415010001

SECUREGARD 8462101270

8462101290

8462108251

8462108275

SELECT-LITE 8317660001

8317661201

15482066600

SENOVA 8456100101

8456200150

SENTRY BLOOD GLUCOSE METER 56151022290

SENTRY STARTER 56151022201

SENTRY TEST STRIP 56151032250

SEVEN PLUS 8627073001

8627073101

8627073201

SEVEN SYSTEM SENSOR 8627074104

SHOPRITE VALUE PACK 56151022401

SIDEKICK 56151088050

SILHOUETTE 76300036910

76300037010

76300037110

76300037205

76300037310

76300037405

67




76300037410

76300037710

76300037810

76300037905

76300037910

76300038005

76300038010

SIL-SERTER 76300038501

SINGLE USE SWAB 8290326895

SINGLE VISION 55948009710

55948029710

SINGLE-LET 193656801

SMART CARESENS N 8617192104

8617192303

SMARTEST 8524000201

SMARTEST EJECT 8524001201

8524002201

SMARTEST LANCET 8524000403

SMARTEST PERSONA 8524001802

8524002802

SMARTEST PRONTO 8524001702

8524002702

SMARTEST PROTEGE 8524001301

8524002301

SMARTEST SMART CODE 8524001401

8524002401

SMARTEST TALKING 8524001501

8524002501

SMARTEST TEST 8524000103

SMITHFIELD DIABETIC KIT I 11822659840

SMITHFIELD DIABETIC KIT II 11822659850

SOF-SENSOR 76300000211

76300000214

SOF-SERTER 76300030001

SOF-SET 76300011124

76300011224

76300031712

76300031812

76300032412

76300032512

SOF-SET MICRO 76300032012

76300032112

SOFT TOUCH 50924058001

50924058510

50924093720

50924095120

68




75537000580

75537000585

75537000937

75537009512

SOF-TACT 57599958601

SOFTCLIX 50924095701

50924097110

50924098820

54868493100

65702012410

65702015610

75537000957

75537000971

75537000988

SOLO V2 8611501001

SOLO V2 CONTROL SOLUTION 8611506001

8611506101

SOLO V2 LANCETS 8611504000

SOLO V2 LANCING DEVICE 8611505001

SOLO V2 TEST STRIPS 8611503050

SPECIAL NEEDLE 8290001168

8290001169

STARTER KIT 56151020201

96295010948

STAT-LET 8427811729

STERILE TWO-FER NEEDLE 17191016004

17191016045

17191019002

17191019003

17191019020

17191019035

SUPER THIN LANCETS 8189850920

8214046520

8214046533

8214065726

8214065735

8214535716

11110035873

35515095935

38396030318

38396031132

38396045532

38396054764

41163041558

41163041559

41163302207

69




41163302208

41250036930

41735003771

61059065726

61059065735

64899093301

64899093311

87701039908

97807011042

97807011043

SUPREME GLUCOSE CONTROL 59059000502

SUPREME II 8317882501

8317882801

15482088205

SUPREME METER 59059010001

SUPREME TEST STRIPS 8317885050

15482088005

SURE COMFORT 86227010105

86227011155

86227012105

86227012155

86227062035

86227062055

86227062105

86227065035

86227065045

86227065055

86227065105

86227070035

86227070055

86227070105

86227080055

86227080105

86227090035

86227090055

86227090105

SURE COMFORT ALCOHOL PREP PADS 86227012205

86227012305

SURE COMFORT LANCETS 86227028105

86227028205

86227030105

86227030205

SURE COMFORT LANCING PEN 86227052205

SURE EDGE BLOOD GLUCOSE METER 38415042401

38415424010

SURE EDGE GLUCOSE CONTROL SOLN 38415042440

70




38415042460

38415042480

38415424410

38415424620

38415424830

SURE EDGE TEST STRIPS 38415042402

38415424110

SURE ONE 8284011102

8284011202

8284012102

8284012202

8284013202

8284014202

8284051102

8284051202

8284052102

8284052202

8284053202

8284054202

SURECHEK GLUCOSE CONTROL 38415042308

38415423830

SURECHEK TEST STRIPS 38415042302

38415423120

SURE-DOSE 8970210541

8970211041

SURE-DOSE PLUS 8970210531

8970211031

8970213031

SURE-FINE PEN NEEDLES 59707000130

59707000150

59707000152

59707002912

59707003105

59707003108

SUREFLEX 8548043433

8548043447

SURE-JECT INSULIN SYRINGE 59707000100

59707000101

59707000102

59707000103

59707000104

59707000105

59707000106

59707000107

59707012801

59707012850

71




59707012901

59707012930

59707012950

59707013001

59707013030

59707013050

59707013101

SURE-LANCE 59707000110

59707000112

59707000166

59707026101

59707028101

59707028128

59707030101

SURELET 94542051000

94542055000

SURELITE 94542050050

94542051150

94542055050

SURELITE XL 94542051300

SURE-PEN 59707010001

SURE-PREP ALCOHOL PREP PADS 59707000120

59707011101

SURESHARP DENTAL NEEDLE 94542082521

94542082532

94542082721

94542082732

94542083011

94542083021

SURESHARP MULTI-SAMPLE NEEDLE 94542072025

94542072038

94542072125

94542072138

94542072225

94542072238

SURESTEP 53885005210

53885034101

53885035950

53885063702

53885085002

53885085102

SURESTEP PRO 53885079325

53885079425

53885079525

53885079750

53885079805

72




SURE-T 76300084010

76300087210

SURE-T PARADIGM 76300086210

76300086410

76300086610

76300087410

76300087610

76300088610

SURE-TEST EASYPLUS MINI 59707000155

59707000156

59707000157

59707051001

59707055001

59707055101

SURGILANCE LANCETS 48825000049

SWIFTCHECK 38502055000

38502055005

TECHLITE BLOOD LANCET 8317880125

8317880128

8317880225

8317880228

8317880300

15482088012

15482088018

15482088022

15482088028

15482088030

TENDERLETT 11743011001

11743011005

11743110001

TENDERLETT JUNIOR 11743021001

11743021005

11743210001

TENDERLETT TODDLER 11743031001

11743031005

11743310001

TERUMO INSULIN SYRINGE 8970100160

8970100161

8970100827

8970200521

8970200531

8970200541

8970201021

8970201031

8970201041

8970202531

73




TERUMO SURGUARD 8970100635

8970100636

8970100637

8970100638

8970100639

8970100640

8970100641

8970100642

8970100643

8970100644

8970100645

8970100646

8970100647

8970100648

8970100649

8970100650

8970100651

8970100652

8970230531

8970230541

8970231031

8970231041

8970233031

8970605001

8970605002

8970605003

8970605004

8970605005

8970605006

8970605007

8970605008

8970605009

8970605010

8970605011

8970605012

8970605013

8970605014

8970605015

8970605016

8970605017

8970605018

TEST STRIPS 54868580600

56151030750

THINPRO INSULIN SYRINGE 8970100861

8970100863

8970100864

74




8970100869

8970100870

8970100871

8970100872

8970100873

8970100874

8970100875

8970100876

THINSET 8521010310

8521032610

8521033210

92896000000

92896000055

92896000062

TOPCARE ULTRA COMFORT 38396041137

38396041237

38396041337

38396041437

38396041537

38396041637

38396041937

38396042037

38396042137

TOPCARE UNIVERSAL1 THIN LANCET 38396030137

38396030537

TRACER BG 75537000596

TRANSFER NEEDLE 8021415017

8881204005

17191019010

TRUE CARE STARTER 56151021701

TRUE2GO BLOOD GLUCOSE SYSTEM 11822367950

11917010002

56151134001

TRUECONTROL 56151086401

56151086501

TRUERESULT BLOOD GLUCOSE SYSTM 11917010003

56151124001

TRUETEST GLUCOSE CONTROL 56151087101

56151087201

56151087301

TRUETEST TEST STRIPS 11822003714

11822037140

11822037143

11822371430

11917009960

11917009961

75




11917011158

21292000294

56151103001

56151103025

56151103050

56151181350

TRUETRACK 11917010488

21292000103

21292000104

21292000105

21292000106

21292000291

56151081001

56151081350

56151082525

56151085050

56151086001

56151086101

56151086301

TRUETRACK BLOOD GLUCOSE SYSTEM 11917009921

TRUETRACK SMART SYSTEM 11917005059

40986001676

40986001677

40986001678

56151088801

56151088880

68016001676

68016001677

68016001678

ULTICARE 8222072016

8222093158

8222093356

8222093554

8222095121

8222095633

8222095831

57515007201

57515009315

57515009335

57515009355

57515009512

57515009563

57515009583

ULTIGUARD 8222072191

8222072399

8222072597

76




8222073150

8222073198

8222073358

8222073396

8222073556

8222073594

8222074195

8222074393

8222074591

57515007219

57515007239

57515007259

57515007315

57515007319

57515007335

57515007339

57515007355

57515007359

57515007419

57515007439

57515007459

ULTI-LANCE 43820000008

ULTILET 8326280001

8326280002

8326412801

43820050100

43820050200

43820060100

ULTILET ALCOHOL SWAB 43820060200

ULTILET CLASSIC 8326261001

8326281001

8326281002

8326284001

8326284101

8326301001

8326304001

8326304101

ULTILET INSULIN SYRINGE 8326290110

8326290130

8326290150

8326290310

8326290330

8326290350

8326300310

8326300330

8326300350

77




8326310310

8326310330

8326310350

ULTILET PEN NEEDLE 8326300810

ULTIMA 66004005501

66004012104

66004012205

66004097309

ULTIMATE COMFORT 64899090301

64899090311

ULTRA COMFORT 8396800100

8396800200

8396800300

8396800400

8396800500

8396800600

8396800700

8396800800

8396800900

8396801000

8396801100

8474010078

8474010178

8474010278

8474010378

8474010478

8474010578

8474010678

8474010778

8474010878

8474010978

8474011078

8474011178

8474011278

8474011378

8881600904

8881609004

8881609101

8881609145

8881609350

8881609358

8881609600

8881609700

8881609800

38396041157

38396041357

78




38396041457

38396041557

38396041657

38396041957

38396042057

38396044164

38396044264

38396044364

38396044464

38396044564

38396044664

38396044764

38396044864

49614062878

87701065343

87701065352

87701065354

87701074702

87701074723

87701074725

87701074728

87701074745

ULTRA THIN PLUS LANCETS 38396031702

ULTRATHIN LANCETS 8214025720

8214025735

8214035726

8214053533

35515095936

38396045402

40986001668

61059025735

61059035726

68016030554

98302000125

98302000126

ULTRATLC LANCETS 93815097137

93815097138

ULTRATLC LANCETS-DEVICE 57599710101

93815097101

ULTRATRAK PRO 8593211002

8593211102

8593211202

8593211302

38593011001

38593011002

38593011003

79




UNI-CHECK 8196010250

8196010850

UNIFINE PENTIPS 8214056716

8214057716

8214058716

8214352714

8214352719

8214352901

8214353001

8214353714

8214353719

8214359001

8214359714

8214359719

8470202901

8470203001

8470209001

8470352901

8470353001

8470353002

8470359001

41735003772

41735003773

41735003774

61059035301

61059035891

61059035901

61059052714

61059052719

61059053714

61059053719

61059059714

61059059719

UNILET COMFORTOUCH 8214046001

8214046501

8470043001

8470043501

8470046001

8470046501

61059046011

61059046516

UNILET EXCELITE 8214051001

8214051501

8470051001

8470051501

61059051015

80




61059051510

UNILET EXCELITE II 8214053001

8214053501

8470053001

8470053501

61059005301

61059005351

UNILET GP LANCET 8214041401

8214041801

8214045001

8214045501

8214092001

8214092501

8470041401

8470041801

8470045001

8470045501

8470092001

8470092501

61059000419

61059000914

61059001119

61059001515

UNILET LANCET 8214040001

8214044001

8214044501

8470040001

8470044001

8470044501

61059002116

61059003113

61059003519

UNISTIK 8214060001

8214061001

8470060001

8470061001

61059005711

61059006718

UNISTIK 2 8214070001

8214070201

8214071001

8214071201

8214074201

8214075201

8214076201

8470070001

81




8470070201

8470070401

8470071001

8470071201

8470071401

8470074001

8470074201

8470074701

8470075201

8470076201

61059007517

61059007715

61059008514

61059008712

61059009511

61059074212

61059076216

UNISTIK 2 EXTRA 57599874705

61059000851

UNISTIK 2 NORMAL 57599874605

61059000751

UNISTIK 3 8214100201

8214104201

8214106201

8470100201

8470100401

8470100701

8470101801

8470104201

8470104401

8470104701

8470106201

8470106401

61059100219

61059104217

61059106211

UNISTIK 3 EXTRA 8470101201

8470101401

UNISTIK CZT 8470100801

8470104801

URIN-TEK 193420221

URISTIX 4 8620216621

URISTIX REAGENT 193216621

193218421

8620218421

VALUE PLUS LANCETS 8189610601

82




8189750310

8189850420

57565006106

VALUSTRIP TEST STRIPS 8510010050

VANISHPOINT 13703010210

13703010211

13703010212

VICTORY 94030000209

94030000210

94030000211

WAVESENSE AMP 8554402401

8554403601

WAVESENSE CONTROL SOLUTION 8554133301

WAVESENSE JAZZ 8554229701

8554232001

8554318802

WAVESENSE LANCETS 8554197101

WAVESENSE PRESTO 8554264901

8554332901

8554333702

8554362901

8554386401

W-D STARTER 56151021301

WEBCOL ALCOHOL PREPS 8080503300

8080511000

8080681800

8219503300

8219511000

8219681800

WINN DIXIE MEDIC 56151021302

YALE NEEDLE 8290001000

8290001001

8290001002

8290001005

8290001011

8290001012

8290001013

8290001015

8290001017

8290001019

8290001021

8290001022

8290001023

8290001025

8290001027

8290001032

83




8290001034

8290001035

8290001037

8290001042

8290001045

8290001047

8290001048

8290001055

8290001057

8290001058

8290001059

8290001065

8290001067

8290001075

8290001077

8290001078

8290001087

8290001095

8290001097

8290001098

8290001100

8290001103

8290001104

8290001106

8290001107

8290001108

8290001109

8290001110

8290001211

8290001256

8290001258

8290305144

8290305157

8290305158

8290305166

8290305168

8290305169

8290511005

8290511012

8290511252

84

diabetic supplies by name and ndc code … · diabetic supplies by name and ndc code effective july...

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