ucare’s minnesota senior health options (msho) (hmo snp ......allison medical sure comfort 0.3 ml...

UCare’s Minnesota Senior Health Options (MSHO) (HMO SNP) Covered Diabetic Supplies

This is a list of diabetic supplies covered for UCare’s MSHO members. This list is subject to change and was last updated September, 2017. Please visit our website at ucare.org for further information. You may also call Customer Services at 612-676-6868 or 1-866-280-7202 (toll free), TTY/TDD 612-676-6810 or 1-800-688-2534 (toll free), 8 a.m. to 8 p.m., seven days a week.

Meters

Manufacturer Name Product Name

LifeScan ONETOUCH VERIO LifeScan ONETOUCH VERIO IQLifescan ONETOUCH VERIO FLEXLifescan ONETOUCH ULTRAMINI Lifescan ONETOUCH ULTRA 2

Test strips


Lifescan ONETOUCH ULTRA TEST STRIPSLifescan ONETOUCH VERIO TEST STRIPS

Miscellaneous supplies (cont.)


Abbott Diabetes FREESTYLE PREC 0.5 ML 30GX5/16”Abbott Diabetes FREESTYLE PREC 0.5 ML 31GX5/16”Abbott Diabetes FREESTYLE PREC 1 ML 30GX5/16”Abbott Diabetes FREESTYLE PREC 1 ML 31GX5/16”Access LLC RELI-ON INSULIN 0.3 ML SYRINGEAccess LLC RELI-ON INSULIN 0.5 ML SYRINGEAccess LLC RELI-ON INSULIN 1 ML SYRINGEAllison Medical SURE COMFORT 0.3 ML SYRINGEAllison Medical SURE COMFORT 0.5 ML SYRINGEAllison Medical SURE COMFORT 1 ML SYRINGE

U7273 (10/17)H2456_091417 DHS/CMS Approved (10042017)

Miscellaneous supplies

2 UCare's MSHO Covered Diabetic Supplies



Allison Medical SURE COMFORT 3/10 ML SYRINGEAllison Medical SURE COMFORT 30G PEN NEEDLE”Allison Medical SURE COMFORT 31G PEN NEEDLE”Allison Medical SURE COMFORT ALCOHOL PREP PADSAllison Medical SURE COMFORT INSULIN 0.3ML 31GX1/4”Allison Medical SURE COMFORT PEN NEEDLE 29GX1/2”Allison Medical SURE COMFORT PEN NEEDLE 31GX3/16”Allison Medical SURE COMFORT PEN NEEDLE 32GX1/4”Allison Medical SURE COMFORT PEN NEEDLE 32GX5/32”American Sales CAREONE SYRINGE 0.3 ML 30GX1/2”American Sales CAREONE SYRINGE 0.3 ML 31GX5/16”American Sales CAREONE SYRINGE 0.5 ML 30GX1/2”American Sales CAREONE SYRINGE 0.5 ML 31GX5/16”American Sales CAREONE SYRINGE 1 ML 30GX1/2”American Sales CAREONE SYRINGE 1 ML 31GX5/16”AmerisourceBergen ALCOHOL SWABAmerisourceBergen ISOPROPYL ALCOHOL 70% WIPESArkray USA ASSURE ID SYRINGE 0.5 ML 29GX1/2”Arkray USA ASSURE ID SYRINGE 1 ML 29GX1/2”Arkray USA TECHLITE PEN NEEDLE 31GX1/4”Arkray USA TECHLITE PEN NEEDLE 31GX5/16”Arkray USA TECHLITE PEN NEEDLE 32GX1/4”Arkray USA TECHLITE PEN NEEDLE 32GX5/16”Arkray USA TECHLITE PEN NEEDLE 32GX5/32”Aurora Health UNIFINE PENTIPS 12MM 29G”Aurora Health UNIFINE PENTIPS PLUS 31GX1/4”Aurora Health UNIFINE PENTIPS PLUS 31GX5/16”BD Diabetes BD AUTOSHIELD DUO NEEDLE 5MMX30G”BD Diabetes BD AUTOSHIELD NEEDLE 5MMX29G”BD Diabetes BD AUTOSHIELD NEEDLE 8MMX29G”BD Diabetes BD INSULIN SYRINGE 0.3 ML 31GX15/64”BD Diabetes BD INSULIN SYRINGE 0.5 ML 31GX15/64”BD Diabetes BD INSULIN SYRINGE 0.3 ML 28GX1/2”BD Diabetes BD INSULIN SYRINGE 0.3 ML 29GX1/2”BD Diabetes BD INSULIN SYRINGE 0.3 ML 30GX1/2”BD Diabetes BD INSULIN SYRINGE 0.3 ML 31GX5/16”BD Diabetes BD INSULIN SYRINGE 0.3 ML 6MMX31G”BD Diabetes BD INSULIN SYRINGE 0.3 ML 8MMX31G”BD Diabetes BD INSULIN SYRINGE 0.3ML 31GX5/16”

UCare's MSHO Covered Diabetic Supplies 3



BD Diabetes BD INSULIN SYRINGE 0.5 ML 28GX1/2”BD Diabetes BD INSULIN SYRINGE 0.5 ML 29GX1/2”BD Diabetes BD INSULIN SYRINGE 0.5 ML 30GX1/2”BD Diabetes BD INSULIN SYRINGE 0.5 ML 6MMX31G”BD Diabetes BD INSULIN SYRINGE 0.5 ML 8MMX31G”BD Diabetes BD INSULIN SYRINGE 0.5ML 31GX5/16”BD Diabetes BD INSULIN SYRINGE 1 ML 12.7MMX30G”BD Diabetes BD INSULIN SYRINGE 1 ML 25GX1”BD Diabetes BD INSULIN SYRINGE 1 ML 25GX5/8”BD Diabetes BD INSULIN SYRINGE 1 ML 26GX1/2”BD Diabetes BD INSULIN SYRINGE 1 ML 27GX5/8”BD Diabetes BD INSULIN SYRINGE 1 ML 28GX1/2”BD Diabetes BD INSULIN SYRINGE 1 ML 30GX1/2”BD Diabetes BD INSULIN SYRINGE 1 ML 31GX15/64”BD Diabetes BD INSULIN SYRINGE 1 ML 31GX5/16”BD Diabetes BD INSULIN SYRINGE 1 ML 6MMX31G”BD Diabetes BD INSULIN SYRINGE 1 ML 8MMX31G”BD Diabetes BD INSULIN SYRINGE 1 MLBD Diabetes BD INSULIN U100-3/10 ML SYRINGEBD Diabetes BD SINGLE USE SWABBD Diabetes BD SYRINGE 0.3 ML 6MMX31G (1/2)BD Diabetes BD SYRINGE 0.3 ML 8MMX31G (1/2)BD Diabetes BD SYRINGE 0.3 ML 12.7MMX30GBD Diabetes BD SYRINGE 0.5 ML 12.7MMX30GBD Diabetes BD ULTRA-FINE NEEDLE 12.7MMX29G”BD Diabetes BD ULTRA-FINE PEN NEEDLE 4MMX32G”BD Diabetes BD ULTRA-FINE PEN NEEDLE 5MMX31G”BD Diabetes BD ULTRA-FINE PEN NEEDLE 8MMX31G”BD Medical Surgical Systems BD ECLIPSE 30GX1/2” SYRINGEBD Medical Surgical Systems BD INSULIN SYRINGE 1 ML 29GX1/2”BD Medical Surgical Systems BD INTEGRA SYRINGE 1 ML 29GX1/2”BD Medical Surgical Systems BD LUER-LOK SYRINGE 1 MLBD Medical Surgical Systems BD SAFTGLD INSULIN SYRINGE 0.3 ML 29GBD Medical Surgical Systems BD SAFTGLD INSULIN SYRINGE 0.5 ML 30GBecton Dickinson BD SAFETYGLIDE SYRINGE 27GX5/8Becton Dickinson BD SAFETYGLIDE INS 0.3 ML 31GX5/16Boca Medical INSULIN SYRINGE 0.3 MLBoca Medical INSULIN SYRINGE 0.5 MLBoca Medical INSULIN SYRINGE 1 ML




Boca Medical ULTILET INSULIN SYRINGE 0.3 MLBoca Medical ULTILET INSULIN SYRINGE 0.5 MLBoca Medical ULTILET INSULIN SYRINGE 1 MLBoca Medical ULTILET PEN NEEDLEBoca Medical ULTILET PEN NEEDLE 4MM 32G”Boca Pharmacal ULTILET ALCOHOL STERILE SWABSCan-Am/Access MONOJECT SYRINGE 0.3 MLCan-Am/Access MONOJECT SYRINGE 0.5 MLCan-Am/Access ULTRA COMFORT 0.3 ML 29GX1/2”Can-Am/Access ULTRA COMFORT 0.3 ML SYRINGECan-Am/Access ULTRA COMFORT 0.5 ML SYRINGECan-Am/Access ULTRA COMFORT 1 ML SYRINGEChain Drug QC ALCOHOL 70% SWABSCovidien/Kendal CURITY ALCOHOL PREPSCovidien/Kendal CURITY GAUZE SPONGECovidien/Kendal CURITY GAUZE PADSCovidien/Kendal DERMACEA 2”X2” GAUZECovidien/Kendal DERMACEA GAUZE 2”X2” SPONGECovidien/Kendal DERMACEA NON-WOVEN 2”X2” SPONGECovidien/Kendal LISCO SPONGECovidien/Kendal MAGELLAN INSULIN SYRINGE 0.3 MLCovidien/Kendal MAGELLAN INSULIN SYRINGE 0.5 MLCovidien/Kendal MAGELLAN INSULIN SYRINGE 0.3 MLCovidien/Kendal MAGELLAN INSULIN SYRINGE 0.5 MLCovidien/Kendal MAGELLAN INSULIN SYRINGE 1 MLCovidien/Kendal MONOJECT 0.5 ML SYRINGE 28GX1/2”Covidien/Kendal MONOJECT 1 ML SYRINGE 27X1/2”Covidien/Kendal MONOJECT 1 ML SYRINGE 28GX1/2”Covidien/Kendal MONOJECT SYRINGE 1 MLCovidien/Kendal VERSALON ALL PURPOSE SPONGECovidien/Kendal WEBCOL ALCOHOL PREPSCVS CVS ALCOHOL 70% PREP PADSCVS CVS ALCOHOL 70% PREP SWABSCVS CVS ISOPROPYL ALCOHOL 70% WIPEDelta Hi-Tech MAXI-COMFORT INSULIN 0.5 ML 28GDelta Hi-Tech MAXI-COMFORT INSULIN 1 ML 28 GX1/2”Delta Hi-Tech MINI ULTRA-THIN II PEN NEEDLE 31GDelta Hi-Tech ULTRA-THIN II 1 ML 31GX5/16”Delta Hi-Tech ULTRA-THIN II INSULIN 0.3 ML 29G




Delta Hi-Tech ULTRA-THIN II INSULIN 0.3 ML 30GDelta Hi-Tech ULTRA-THIN II INSULIN 0.3 ML 31GDelta Hi-Tech ULTRA-THIN II INSULIN 0.5 ML 29GDelta Hi-Tech ULTRA-THIN II INSULIN 0.5 ML 30GDelta Hi-Tech ULTRA-THIN II INSULIN 0.5 ML 31GDelta Hi-Tech ULTRA-THIN II INSULIN SYRINGE 1 ML 29GDelta Hi-Tech ULTRA-THIN II INSULIN SYRINGE 1 ML 30GDelta Hi-Tech ULTRA-THIN II PEN NEEDLE 29GX1/2”Delta Hi-Tech ULTRA-THIN II PEN NEEDLE 31GX5/16Diabetic Supply ADVOCATE INSULIN 0.3 ML 30GX5/16”Diabetic Supply ADVOCATE INSULIN 0.3 ML 31GX5/16”Diabetic Supply ADVOCATE INSULIN 0.5 ML 30GX5/16”Diabetic Supply ADVOCATE INSULIN 0.5 ML 31GX5/16”Diabetic Supply ADVOCATE INSULIN 1 ML 31GX5/16”Diabetic Supply ADVOCATE INSULIN SYRINGE 0.3ML29GX1/2Diabetic Supply ADVOCATE INSULIN SYRINGE 0.5ML 29GX1/2Diabetic Supply ADVOCATE INSULIN SYRINGE 1 ML 29GX1/2”Diabetic Supply ADVOCATE INSULIN SYRINGE 1 ML 30GX5/16Diabetic Supply ADVOCATE PEN NEEDLE 12.7MM 29GDiabetic Supply ADVOCATE PEN NEEDLE 5MM 31GDiabetic Supply ADVOCATE PEN NEEDLE 8MM 31GExel Int’l Inc. COMFORT POINT PEN NEEDLE 29GX1/2”Exel Int’l Inc. COMFORT POINT PEN NEEDLE 31GX1/3”Exel Int’l Inc. COMFORT POINT PEN NEEDLE 31GX1/4”Exel Int’l Inc. COMFORT POINT PEN NEEDLE 31GX1/6”Exel Int’l Inc. EXEL INSULIN SYRINGE U100 1 ML 28GX1/2Exel Int’l Inc. EXEL U100 0.3 ML 29GX1/2”Exel Int’l Inc. EXEL U100 0.3 ML 30GX5/16”Exel Int’l Inc. EXEL U100 0.5 ML 28GX1/2”Exel Int’l Inc. EXEL U100 0.5 ML 29GX1/2”Exel Int’l Inc. EXEL U100 0.5 ML 30GX5/16”Exel Int’l Inc. EXEL U100 1 ML 30GX5/16”Exel Int’l Inc. EXEL U100 INSULIN SYRINGE 1 ML 29GX1/2Facet Technology CAREFINE PEN NEEDLE 12.7MM 29GFacet Technology CAREFINE PEN NEEDLE 4MM 32GFacet Technology CAREFINE PEN NEEDLE 5MM 32GFacet Technology CAREFINE PEN NEEDLE 6MM 31GFacet Technology CAREFINE PEN NEEDLE 8MM 30GFacet Technology CAREFINE PEN NEEDLE 6MM 32G




Facet Technology CAREFINE PEN NEEDLE 8MM 31GFIFTY50 Pharmacy FIFTY50 ALCOHOL PREP PADSFIFTY50 Pharmacy FIFTY50 INSULIN 0.3 ML 31GX5/16”FIFTY50 Pharmacy FIFTY50 INSULIN 0.5 ML 31GX5/16”FIFTY50 Pharmacy FIFTY50 INSULIN SYRINGE 1 ML 31GX5/16”FIFTY50 Pharmacy FIFTY50 PEN NEEDLE 31G X 3/16”FIFTY50 Pharmacy FIFTY50 PEN NEEDLE 31G X 5/16”FIFTY50 Pharmacy FIFTY50 PEN NEEDLE 32G X 1/4”FIFTY50 Pharmacy FIFTY50 PEN NEEDLE 32G X 5/32”Global Diabetic PEN NEEDLE 4MM 32GGlobal Diabetic PEN NEEDLE 5MM 31GGlobal Diabetic PREP EASE ALCOHOL PADSGood Neighbor GNP CLICKFINE PEN NEEDLE 31GX1/4”Good Neighbor GNP CLICKFINE PEN NEEDLE 31GX5/16Good Neighbor GNP ULTRA COMFORT 0.3ML 29GX1/2” (1/2)Good Neighbor GNP ULTRA COMFORT 0.5 ML 29GX1/2”Good Neighbor GNP ULTRA COMFORT 0.5 ML 28GX1/2”Good Neighbor GNP ULTRA COMFORT 0.5 ML 30GX5/16Good Neighbor GNP ULTRA COMFORT 1 ML 29GX1/2”Good Neighbor GNP ULTRA COMFORT 1 ML 28GX1/2”HEB Grocery Company HEB INCONTROL ALCOHOL 70% PADSHome Aide Diagnostics ALCOHOL 70% PADSHome Aide Diagnostics EASY COMFORT 0.3 ML SYRINGEHome Aide Diagnostics EASY COMFORT 0.5 ML 30GX1/2”Home Aide Diagnostics EASY COMFORT 0.5 ML 31GX5/16”Home Aide Diagnostics EASY COMFORT 0.5 ML SYRINGEHome Aide Diagnostics EASY COMFORT 1 ML 31GX5/16”Home Aide Diagnostics EASY COMFORT INSULIN 1 ML SYRINGEHome Aide Diagnostics EASY COMFORT PEN NEEDLE 31GX1/4”Home Aide Diagnostics EASY COMFORT PEN NEEDLE 31GX3/16”Home Aide Diagnostics EASY COMFORT PEN NEEDLE 31GX5/16”Home Aide Diagnostics EASY COMFORT PEN NEEDLE 32GX5/32”Home Aide Diagnostics EASY COMFORT SYRINGE 1 ML 30GX1/2”Home Aide Diagnostics PRO COMFORT ALCOHOL 70% PADSHome Aide Diagnostics SAPS CARE ALCOHOL PREP PADSHTL-STREFA, S.A. DROPLET PEN NEEDLE 29GX1/2”HTL-STREFA, S.A. DROPLET PEN NEEDLE 29GX3/8”HTL-STREFA, S.A. DROPLET PEN NEEDLE 31GX1/4”HTL-STREFA, S.A. DROPLET PEN NEEDLE 31GX3/16”




HTL-STREFA, S.A. DROPLET PEN NEEDLE 31GX5/16”HTL-STREFA, S.A. DROPLET PEN NEEDLE 32GX1/4”HTL-STREFA, S.A. DROPLET PEN NEEDLE 32GX3/16”HTL-STREFA, S.A. DROPLET PEN NEEDLE 32GX5/16”HTL-STREFA, S.A. DROPLET PEN NEEDLE 32GX5/32”J&J Cons Prod BAND-AID GAUZE PADS 2”X2”Leader LEADER PEN NEEDLE 6MM 31GLeader LEADER PEN NEEDLE 12MM 29GLeader LEADER PEN NEEDLE 31GLeader STERILE PADS 2” X 2”Mckesson Drug SM INSULIN SYRINGE 0.5 ML 29GX1/2”Mckesson Drug SM INSULIN SYRINGE 0.5 ML 30GX5/16”Mckesson Drug SM INSULIN SYRINGE 1 ML 28GX1/2”Mckesson Drug SM INSULIN SYRINGE 1 ML 30GX5/16”Mckesson Drug SM INSULIN SYRINGE 0.5 ML 28GX1/2”Mckesson Drug SM INSULIN SYRINGE 1 ML 31GX5/16”Mckesson Drug SM ULT CFT 0.3ML 31GX5/16(1/2)Mckesson Drug V-R ALCOHOL PREP PADSMed Plastic Development INSUPEN 29G ULTRAFINE NEEDLEMed Plastic Development INSUPEN 30G ULTRAFINE NEEDLEMed Plastic Development INSUPEN 31G ULTRAFINE NEEDLEMed Plastic Development INSUPEN 32G 4MM PEN NEEDLEMed Plastic Development INSUPEN 32G 6MM PEN NEEDLEMed Plastic Development INSUPEN 32G 8MM PEN NEEDLEMed Plastic Development INSUPEN 33G 4MM PEN NEEDLEMediCore LITE TOUCH 31GX1/4” PEN NEEDLEMediCore LITE TOUCH INSULIN 0.3 ML SYRINGEMediCore LITE TOUCH INSULIN 0.5 ML SYRINGEMediCore LITE TOUCH INSULIN 1 ML SYRINGEMediCore LITE TOUCH INSULIN SYRINGE 0.3 MLMediCore LITE TOUCH INSULIN SYRINGE 0.5 MLMediCore LITE TOUCH INSULIN SYRINGE 1 MLMediCore LITE TOUCH PEN NEEDLE 29GMediCore LITE TOUCH PEN NEEDLE 31GMedline Indus. BORDERED GAUZE 2”X2”MHC Medical Products EASY TOUCH 0.3 ML SYRINGE 30GX1/2”MHC Medical Products EASY TOUCH 0.5 ML SYRINGE 27GX1/2”MHC Medical Products EASY TOUCH 0.5 ML SYRINGE 29GX1/2”MHC Medical Products EASY TOUCH 0.5 ML SYRINGE 30GX1/2”




MHC Medical Products EASY TOUCH 0.5 ML SYRINGE 30GX5/16MHC Medical Products EASY TOUCH 1 ML SYRINGE 27GX1/2”MHC Medical Products EASY TOUCH 1 ML SYRINGE 29GX1/2”MHC Medical Products EASY TOUCH 1 ML SYRINGE 30GX1/2”MHC Medical Products EASY TOUCH ALCOHOL 70% PADSMHC Medical Products EASY TOUCH INSULIN 1 ML 29GX1/2MHC Medical Products EASY TOUCH INSULIN 1 ML 30GX1/2MHC Medical Products EASY TOUCH INSULIN SYRINGE 0.3 MLMHC Medical Products EASY TOUCH INSULIN SYRINGE 0.5 MLMHC Medical Products EASY TOUCH INSULIN SYRINGE 1 MLMHC Medical Products EASY TOUCH INSULIN 1 ML 29GX1/2”MHC Medical Products EASY TOUCH INSULIN 1 ML 30GX1/2”MHC Medical Products EASY TOUCH INSULIN 1 ML 30GX5/16MHC Medical Products EASY TOUCH INSULIN 1 ML 31GX5/16MHC Medical Products EASY TOUCH LUER LOK INSULIN 1 MLMHC Medical Products EASY TOUCH PEN NEEDLE 29GX1/2”MHC Medical Products EASY TOUCH PEN NEEDLE 31GX1/4”MHC Medical Products EASY TOUCH PEN NEEDLE 31GX3/16MHC Medical Products EASY TOUCH PEN NEEDLE 31GX5/16MHC Medical Products EASY TOUCH PEN NEEDLE 32GX1/4”MHC Medical Products EASY TOUCH PEN NEEDLE 32GX3/16MHC Medical Products EASY TOUCH PEN NEEDLE 32GX5/32MHC Medical Products EASY TOUCH UNI-SLIP SYRINGE 1 MLNipro Diag/Triv TRUEPLUS SYRINGE 0.3 ML 29GX1/2”Nipro Diag/Triv TRUEPLUS SYRINGE 0.3 ML 30GX5/16”Nipro Diag/Triv TRUEPLUS SYRINGE 0.3 ML 31GX5/16”Nipro Diag/Triv TRUEPLUS SYRINGE 0.5 ML 28GX1/2”Nipro Diag/Triv TRUEPLUS SYRINGE 0.5 ML 29GX1/2”Nipro Diag/Triv TRUEPLUS SYRINGE 0.5 ML 30GX5/16”Nipro Diag/Triv TRUEPLUS SYRINGE 0.5 ML 31GX5/16”Nipro Diag/Triv TRUEPLUS SYRINGE 1 ML 28GX1/2”Nipro Diag/Triv TRUEPLUS SYRINGE 1 ML 29GX1/2”Nipro Diag/Triv TRUEPLUS SYRINGE 1 ML 30GX5/16”Nipro Diag/Triv TRUEPLUS SYRINGE 1 ML 31GX5/16”Novo Nordisk NOVOFINE 30G X 1/3” NEEDLENovo Nordisk NOVOFINE 32G NEEDLENovo Nordisk NOVOFINE AUTOCOVER 30G NEEDLENovo Nordisk NOVOFINE PLUS PEN NEEDLE 32GX1/6”Novo Nordisk NOVOTWIST NEEDLE 32G 5 MM




One Pharmaceutical ALCOHOL PREP PADSOne Pharmaceutical SURE-FINE PEN NEEDLE 12.7 MMOne Pharmaceutical SURE-FINE PEN NEEDLE 5 MMOne Pharmaceutical SURE-FINE PEN NEEDLE 8 MMOne Pharmaceutical SURE-JECT INSULIN 0.3 ML 31GX5/16”One Pharmaceutical SURE-JECT INSULIN 0.5 ML 31GX5/16”One Pharmaceutical SURE-JECT INSULIN SYRINGE U100 0.3 MLOne Pharmaceutical SURE-JECT INSULIN SYRINGE U100 0.5 MLOne Pharmaceutical SURE-JECT INSULIN SYRINGE U100 1 MLOne Pharmaceutical SURE-JECT INSULIN SYRINGE U100 1 MLOne Pharmaceutical SURE-JECT INSULIN SYRINGE 1 MLOne Pharmaceutical SURE-PREP ALCOHOL PREP PADSOwen Mumford US 1ST TIER UNIFINE PENTIP 5 MM 31GOwen Mumford US 1ST TIER UNIFINE PENTIP 4 MM 32GOwen Mumford US 1ST TIER UNIFINE PENTIP 6 MM 31GOwen Mumford US 1ST TIER UNIFINE PENTIP 8 MM 31GOwen Mumford US 1ST TIER UNIFINE PENTIP 12 MM 29GOwen Mumford US 1ST TIER UNIFINE PENTIP 29GX1/2”Owen Mumford US 1ST TIER UNIFINE PENTIP 31GX1/4”Owen Mumford US 1ST TIER UNIFINE PENTIP 31GX3/16Owen Mumford US 1ST TIER UNIFINE PENTIP 31GX5/16Owen Mumford US 1ST TIER UNIFINE PENTIP 32GX5/32Owen Mumford US CAREONE UNIFINE PENTIP 4 MM 32GOwen Mumford US CAREONE UNIFINE PENTIP 5 MM 31GOwen Mumford US CAREONE UNIFINE PENTIP 6 MM 31GOwen Mumford US CAREONE UNIFINE PENTIP 8 MM 31GOwen Mumford US CAREONE UNIFINE PENTIP 29GX1/2”Owen Mumford US CAREONE UNIFINE PENTIP 31GX1/4”Owen Mumford US CAREONE UNIFINE PENTIP 12 MM 29GOwen Mumford US CAREONE UNIFINE PENTIP 31GX3/16”Owen Mumford US CAREONE UNIFINE PENTIP 31GX5/16”Owen Mumford US CAREONE UNIFINE PENTIP 32GX5/32”Owen Mumford US DR UNIFINE PENTIP 12 MM IOwen Mumford US DR UNIFINE PENTIP 6 MM IOwen Mumford US DR UNIFINE PENTIP 8 MM IOwen Mumford US EQL PEN NEEDLE 8 MM 31G X 5/16”Owen Mumford US EQL PEN NEEDLE 6 MM 31GOwen Mumford US HEALTHY ACCENTS PENTIP 4 MM 32GOwen Mumford US HEALTHY ACCENTS PENTIP 5 MM 31G




Owen Mumford US HEALTHY ACCENTS PENTIP 6 MM 31GOwen Mumford US HEALTHY ACCENTS PENTIP 8 MM 31GOwen Mumford US HEALTHY ACCENTS PENTIP 12 MM 29GOwen Mumford US HEB UNIFINE PENTIP PLUS 31GX3/16Owen Mumford US INCONTROL PEN NEEDLE 12 MM 29GOwen Mumford US INCONTROL PEN NEEDLE 4 MM 32GOwen Mumford US INCONTROL PEN NEEDLE 5 MM 31GOwen Mumford US INCONTROL PEN NEEDLE 6 MM 31GOwen Mumford US INCONTROL PEN NEEDLE 8 MM 31GOwen Mumford US LIVE BETTER PEN NEEDLE 6 MM 31GOwen Mumford US LIVE BETTER PEN NEEDLE 12 MMOwen Mumford US LIVE BETTER PEN NEEDLE 8 MMOwen Mumford US MS PEN NEEDLE 6 MM 31GOwen Mumford US PC UNIFINE PENTIP NEEDLE 12 MMOwen Mumford US PC UNIFINE PENTIP NEEDLE 31GX3/16”Owen Mumford US PC UNIFINE PENTIP NEEDLE 6 MMOwen Mumford US PC UNIFINE PENTIP NEEDLE 8 MMOwen Mumford US PENTIP NEEDLE 6 MM 31GOwen Mumford US PENTIP NEEDLE 12 MM 29GOwen Mumford US PENTIP NEEDLE 6 MM 31GOwen Mumford US PENTIP NEEDLE 8 MM 31GOwen Mumford US PENTIP PEN NEEDLE 12 MM 29GOwen Mumford US PENTIP PEN NEEDLE 31GX3/16”Owen Mumford US PENTIP PEN NEEDLE 31GX5/16”Owen Mumford US PENTIP PEN NEEDLE 32GX5/32”Owen Mumford US PENTIP PEN NEEDLE 6 MM 31GOwen Mumford US PUB UNIFINE PENTIP PLUS 31GX3/16Owen Mumford US QC UNIFINE PENTIP 32GX5/32”Owen Mumford US SHOPKO UNIFINE PENTIP 4 MM 32GOwen Mumford US SHOPKO UNIFINE PENTIP 5 MM 31GOwen Mumford US SHOPKO UNIFINE PENTIP 8 MM 31GOwen Mumford US SHOPKO UNIFINE PENTIP 12 MM 29GOwen Mumford US TODAY’S HLT PEN NEEDLE 12 MM 29GOwen Mumford US TODAY’S HLTH PEN NEEDLE 6 MM 31GOwen Mumford US TODAY’S HLTH PEN NEEDLE 8 MM 31GOwen Mumford US UNIFINE PENTIP 0.5CC NEEDLEOwen Mumford US UNIFINE PENTIP NEEDLEOwen Mumford US UNIFINE PENTIPS 12 MM NEEDLEOwen Mumford US UNIFINE PENTIP 31GX3/16”




Owen Mumford US UNIFINE PENTIP 32GX5/32”Owen Mumford US UNIFINE PENTIP 6 MM 31GOwen Mumford US UNIFINE PENTIP 6 MM NEEDLEOwen Mumford US UNIFINE PENTIP 8 MM 31GOwen Mumford US UNIFINE PENTIP 8 MM NEEDLEOwen Mumford US UNIFINE PENTIP 8 MM NEEDLEOwen Mumford US UNIFINE PENTIP NEEDLE 29GOwen Mumford US UNIFINE PENTIP PLUS 29GX1/2”Owen Mumford US UNIFINE PENTIP PLUS 31GX3/16”Owen Mumford US UNIFINE PENTIP PLUS 32GX5/32”Owen Mumford US WM UNIFINE PENTIP PLUS 4 MM 32GOwen Mumford US WM UNIFINE PENTIP PLUS 5 MM 31GOwen Mumford US WM UNIFINE PENTIP PLUS 6 MM 31GOwen Mumford US WM UNIFINE PENTIP PLUS 8 MM 31GPerrigo Diabetes ALCOHOL 70% SWABSPerrigo Diabetes CA INS SYRINGE 0.3 ML 30GX5/16”Perrigo Diabetes CA INS SYRINGE 0.3 ML 31GX5/16”Perrigo Diabetes CA INS SYRINGE 0.5 ML 30GX5/16”Perrigo Diabetes CA INS SYRINGE 0.5 ML 31GX5/16”Perrigo Diabetes CA INSULIN SYRINGE 0.3 ML 29GX1/2”Perrigo Diabetes CA INSULIN SYRINGE 0.5 ML 29GX1/2”Perrigo Diabetes CA INSULIN SYRINGE 1 ML 29GX1/2”Perrigo Diabetes CA INSULIN SYRINGE 1 ML 30GX5/16”Perrigo Diabetes CA INSULIN SYRINGE 1 ML 31GX5/16”Perrigo Diabetes CLICKFINE 31G X 1/4” NEEDLEPerrigo Diabetes CLICKFINE 31G X 5/16” NEEDLEPerrigo Diabetes CLICKFINE PENTIP NEEDLE 32GX5/32”Perrigo Diabetes CLICKFINE UNIVERSAL 31G X 1/4”Perrigo Diabetes CLICKFINE UNIVERSAL 31GX5/16”Perrigo Diabetes DRUG MART ULTRA COMFORT SYRINGEPerrigo Diabetes EQL INS SYRINGE 1 ML 29GX1/2”Perrigo Diabetes EQL INSUL SYRINGE 0.3 ML 31GX5/16”Perrigo Diabetes EQL INSUL SYRINGE 0.5 ML 31GX5/16”Perrigo Diabetes EQL INSULIN 0.3 ML SYRINGEPerrigo Diabetes EQL INSULIN 0.5 ML SYRINGEPerrigo Diabetes EQL INSULIN 1 ML SYRINGEPerrigo Diabetes EQL INSULIN SYRINGE 1 ML 31GX5/16”Perrigo Diabetes GNP CLICKFINE 31G X 1/4” NEEDLEPerrigo Diabetes GNP CLICKFINE 31G X 5/16” NEEDLE




Perrigo Diabetes GNP INSULIN SYRINGE 0.3 ML 29GX1/2”Perrigo Diabetes GNP INSULIN SYRINGE 0.3 ML 31GX5/16”Perrigo Diabetes GNP INSULIN SYRINGE 0.5 ML 31GX5/16”Perrigo Diabetes GNP INSULIN SYRINGE 1 ML 31GX5/16”Perrigo Diabetes GNP ULTRA COMFORT 0.5 ML SYRINGEPerrigo Diabetes GNP ULTRA COMFORT 1 ML SYRINGEPerrigo Diabetes GNP ULTRA COMFORT 3/10 ML SYRINGEPerrigo Diabetes KINRAY INSULIN SYRINGE 1 ML 31GX5/16”Perrigo Diabetes KINRAY SYRINGE 0.3 ML 31GX5/16”Perrigo Diabetes KINRAY SYRINGE 0.5 ML 31GX5/16”Perrigo Diabetes KMART VALU PLUS SYRINGE 1/2 MLPerrigo Diabetes KMART VALU PLUS SYRINGE 1 MLPerrigo Diabetes KRO INSULIN SYRINGE 0.3 ML 29GX1/2”Perrigo Diabetes KRO INSULIN SYRINGE 1 ML 30GX5/16”Perrigo Diabetes KROGER INSULIN SYRINGE 0.3 ML 30GX5/16Perrigo Diabetes KROGER INSULIN SYRINGE 0.5 ML 29GX1/2”Perrigo Diabetes KROGER INSULIN SYRINGE 1 ML 29GX1/2”Perrigo Diabetes KROGER INSULIN SYRINGE 1 ML 31GX5/16”Perrigo Diabetes KROGER PEN NEEDLE 31G X 5/16”Perrigo Diabetes KROGER SYRINGE 0.5 ML 30GX5/16”Perrigo Diabetes KROGER SYRINGE 0.3 ML 31GX5/16”Perrigo Diabetes KROGER SYRINGE 0.5 ML 31GX5/16”Perrigo Diabetes LEADER INSULIN SYRINGE 0.3 ML 29GX1/2”Perrigo Diabetes LEADER INSULIN SYRINGE 0.5 ML 28GX1/2”Perrigo Diabetes LEADER INSULIN SYRINGE 0.5 ML 29GX1/2”Perrigo Diabetes LEADER INSULIN SYRINGE 0.5 ML 30GX1/2”Perrigo Diabetes LEADER INSULIN SYRINGE 1 ML 28GX1/2”Perrigo Diabetes LEADER INSULIN SYRINGE 1 ML 29GX1/2”Perrigo Diabetes LEADER INSULIN SYRINGE 1 ML 30GX5/16”Perrigo Diabetes LEADER INSULIN SYRINGE 1 ML 31GX5/16”Perrigo Diabetes LEADER INSULIN SYRINGE 0.3 MLPerrigo Diabetes LEADER SYRINGE 0.3 ML 31GX5/16”Perrigo Diabetes LEADER SYRINGE 0.5 ML 31GX5/16”Perrigo Diabetes MS INSULIN SYRINGE 0.5 ML 29GX1/2”Perrigo Diabetes MS INSULIN SYRINGE 1 ML 29GX1/2”Perrigo Diabetes MS INSULIN SYRINGE 1 ML 30GX1/2”Perrigo Diabetes MS INSULIN SYRINGE 0.3 ML 31GX5/16”Perrigo Diabetes MS INSULIN SYRINGE 0.5 ML 30GX1/2”Perrigo Diabetes MS INSULIN SYRINGE 0.5 ML 31GX5/16”




Perrigo Diabetes MS INSULIN SYRINGE 0.3 ML 29GX1/2”Perrigo Diabetes MS INSULIN SYRINGE 1 ML 31GX5/16”Perrigo Diabetes MS INSULIN SYRINGE 0.3 MLPerrigo Diabetes PEN NEEDLE 31G X 1/4”Perrigo Diabetes PEN NEEDLE 31G X 5/16”Perrigo Diabetes PEN NEEDLE 32G X 5/32”Perrigo Diabetes PREF PLUS INS 0.3 ML 29GX1/2”Perrigo Diabetes PREF PLUS SYRINGE 0.5 ML 30GX5/16”Perrigo Diabetes PREF PLUS SYRINGE 1 ML 29GX1/2”Perrigo Diabetes PREFERRED PLUS 0.3 ML 30GX5/16Perrigo Diabetes PREFERRED PLUS 0.5 ML 29GX1/2”Perrigo Diabetes PREFERRED PLUS SYRINGE 0.5 MLPerrigo Diabetes PREFERRED PLUS SYRINGE 1 MLPerrigo Diabetes PREFPLS INS SYRINGE 1 ML 30GX5/16”Perrigo Diabetes PUB PEN 12MM 29G NEEDLEPerrigo Diabetes PUB PEN 8MM 31G NEEDLEPerrigo Diabetes PUB PEN NEEDLE 6MM 31GPerrigo Diabetes RELION 31G X 1/4” NEEDLEPerrigo Diabetes RELION INS SYRINGE 0.3 ML 29GX1/2”Perrigo Diabetes RELION INS SYRINGE 1 ML 29GX1/2”Perrigo Diabetes RELION INS SYRINGE 1 ML 31GX5/16”Perrigo Diabetes RELION INSULIN SYRINGE 0.5 MLPerrigo Diabetes RELION MINI PEN 31G X 1/4” NDLPerrigo Diabetes RELION PEN 29G NEEDLEPerrigo Diabetes RELION PEN 31G NEEDLEPerrigo Diabetes RELION PEN NEEDLE 29GX1/2”Perrigo Diabetes RELION PEN NEEDLE 31GX1/4”Perrigo Diabetes RELION PEN NEEDLE 31GX5/16”Perrigo Diabetes RELION PEN NEEDLE 32GX5/32”Perrigo Diabetes RELION PEN NEEDLE 32GX5/32”Perrigo Diabetes RELION SYRINGE 0.3 ML 31GX5/16”Perrigo Diabetes RELION SYRINGE 0.5 ML 31GX5/16”Perrigo Diabetes SM INS SYRINGE 1 ML 29GX1/2”Perrigo Diabetes SM INSULIN SYRINGE 0.3 ML 30GX5/16”Perrigo Diabetes SM INSULIN SYRINGE 0.3 ML 31GX5/16”Perrigo Diabetes SM INSULIN SYRINGE 0.5 ML 31GX5/16”Perrigo Diabetes SM INSULIN SYRINGE 0.3 ML 29GX1/2”Perrigo Diabetes TOPCARE CLICKFINE 31G X 1/4”Perrigo Diabetes TOPCARE CLICKFINE 31G X 5/16”




Perrigo Diabetes TOPCARE ULTRA COMFORT SYRINGEPerrigo Diabetes ULTRA COMFORT 0.3 ML 29GX1/2” (1/2)Perrigo Diabetes ULTRA COMFORT 0.3 ML 30GX5/16” (1/2)Perrigo Diabetes ULTRA COMFORT 0.3 ML 31GX5/16” (1/2)Perrigo Diabetes ULTRA COMFORT 0.5 ML 28GX1/2”Perrigo Diabetes ULTRA COMFORT 0.5 ML 29GX1/2”Perrigo Diabetes ULTRA COMFORT 0.5 ML 30GX5/16”Perrigo Diabetes ULTRA COMFORT 0.5 ML 31GX5/16”Perrigo Diabetes ULTRA COMFORT 1 ML 28GX1/2”Perrigo Diabetes ULTRA COMFORT 1 ML 29GX1/2”Perrigo Diabetes ULTRA COMFORT 1 ML 30GX5/16”Perrigo Diabetes ULTRA COMFORT 1 ML 31GX5/16”Perrigo Diabetes PRODIGY INSULIN SYRINGE 1ML 28GX1/2”Perrigo Diabetes PRODIGY SYRINGE 0.5 ML 31GX5/16”Perrigo Diabetes PRODIGY SYRINGE 0.3 ML 31GX5/16”Publix Supermkt PUB INS SYRINGE 0.3 ML 30GX1/2”Publix Supermkt PUB INS SYRINGE 1 ML 30GX1/2”Publix Supermkt PUB INSULIN SYRINGE 0.3 ML 31GX5/16”Publix Supermkt PUB INSULIN SYRINGE 0.5 ML 30GX1/2”Publix Supermkt PUB INSULIN SYRINGE 0.5 ML 31GX5/16”Publix Supermkt PUB INSULIN SYRINGE 1 ML 31GX5/16”Retractable Tec VANISHPOINT 0.5 ML 30GX1/2” SYRetractable Tec VANISHPOINT U-100 29X1/2 SYRRite Aid Corp. RA ALCOHOL SWABSRite Aid Corp. RA GAUZE PADS 2” X 2”Rite Aid Corp. RA ISOPROPYL ALCOHOL 70% WIPESRite Aid Corp. RA PEN NEEDLE 31GX3/16”Rite Aid Corp. RA PEN NEEDLE 31GX5/16”Rite Aid Corp. RA STERILE PADSRite Aid Corp. RA STERILE PADS 2”X 2”Rite Aid-BD RA INSULIN SYRINGE 0.5 ML 29GX1/2”Rite Aid-BD RA INSULIN SYRINGE 0.5 ML 30GX5/16”Rite Aid-BD RA INSULIN SYRINGE 1 ML 29GX1/2”Rite Aid-BD RA INSULIN SYRINGE 1 ML 30GX5/16”Rugby ALCOHOL 70% PREP PADSRugby EASY-TOUCH INSULIN 1 ML 31GX5/16”Rugby INSULIN SYRINGE U100 1 MLSherwood MONOJECT INSULIN SYRINGE U100Sherwood MONOJECT INSULIN SYRINGE U100 0.5 ML




Sherwood MONOJECT INSULIN SYRINGE U100 1 MLSherwood MONOJECT INSULIN SYRINGE 0.3 MLSherwood MONOJECT INSULIN SYRINGE 0.5 MLSherwood MONOJECT INSULIN SYRINGE 1 MLSherwood MONOJECT INSULIN SYRINGE U-100Sherwood MONOJECT INSULIN SYRINGE 3/10 MLSimple Diagnostics COMFORT EZ INSULIN 0.3ML 30GX1/2”Simple Diagnostics COMFORT EZ INSULIN 0.3ML 30GX5/16”Simple Diagnostics COMFORT EZ INSULIN SYRINGE 0.3 MLSimple Diagnostics COMFORT EZ INSULIN SYRINGE 0.5 MLSimple Diagnostics COMFORT EZ PEN NEEDLE 12 MM 29GSimple Diagnostics COMFORT EZ PEN NEEDLE 4 MM 32GSimple Diagnostics COMFORT EZ PEN NEEDLE 4 MM 33GSimple Diagnostics COMFORT EZ PEN NEEDLE 5 MM 31GSimple Diagnostics COMFORT EZ PEN NEEDLE 5 MM 32GSimple Diagnostics COMFORT EZ PEN NEEDLE 5 MM 33GSimple Diagnostics COMFORT EZ PEN NEEDLE 6 MM 31GSimple Diagnostics COMFORT EZ PEN NEEDLE 6 MM 32GSimple Diagnostics COMFORT EZ PEN NEEDLE 6 MM 33GSimple Diagnostics COMFORT EZ PEN NEEDLE 8 MM 31GSimple Diagnostics COMFORT EZ PEN NEEDLE 8 MM 32GSimple Diagnostics COMFORT EZ PEN NEEDLE 8 MM 33GSimple Diagnostics COMFORT EZ SYRINGE 0.3 ML 29GX1/2”Simple Diagnostics COMFORT EZ SYRINGE 0.5 ML 28GX1/2”Simple Diagnostics COMFORT EZ SYRINGE 0.5 ML 29GX1/2”Simple Diagnostics COMFORT EZ SYRINGE 0.5 ML 30GX1/2”Simple Diagnostics COMFORT EZ SYRINGE 1 ML 28GX1/2”Simple Diagnostics COMFORT EZ SYRINGE 1 ML 29GX1/2”Simple Diagnostics COMFORT EZ SYRINGE 1 ML 30GX1/2”Simple Diagnostics COMFORT EZ SYRINGE 1 ML 30GX5/16”Simple Diagnostics COMFORT EZ SYRINGE 1 ML 31GX5/16”Simple Diagnostics PHARM CHOICE ALCOHOL PREP PADSSmith&N/United IV PREP ANTISEPTIC WIPESSpecialty Med INSULIN SYRINGE 0.3 ML 30GX5/16”Specialty Med INSULIN SYRINGE 0.3 ML 29GX1/2”Specialty Med INSULIN SYRINGE 0.5 ML 30GX5/16”Specialty Med INSULIN SYRINGE 1 ML 29GX1/2”Specialty Med INSULIN SYRINGE 0.5 ML 29GX1/2”Specialty Med INSULIN SYRINGE 1 ML 30GX5/16”




Specialty Med PEN NEEDLE 30G X 5/16”Specialty Med PEN NEEDLE 31G X 3/16”Sunmark SM ALCOHOL 70% PREP PADSSunmark SM ALCOHOL PREP PADSSunmark SM STERILE PADS 2” X 2”Target Corp ALCOHOL SWABSTerumo BROOKS INSULIN 0.3 ML SYRINGETerumo TERUMO INSULIN SYRINGE 0.3 ML 29GX1/2”Terumo TERUMO INSULIN SYRINGE U100-1 MLTerumo TERUMO INSULIN SYRINGE U100-1/2 MLTerumo TERUMO INSULIN SYRINGE U100-1/3 MLTerumo TERUMO INSULIN SYRINGE U100-1/2 MLTerumo THINPRO INSULIN SYRINGE U100-0.3 MLTerumo THINPRO INSULIN SYRINGE U100-0.5 MLTerumo THINPRO INSULIN SYRINGE U100-1 MLUltimed Inc INSULIN SYRINGE 0.3 ML 30GX1/2”Ultimed Inc INSULIN SYRINGE 0.3 ML 30GX5/16”Ultimed Inc INSULIN SYRINGE 0.5 ML 28GX1/2”Ultimed Inc INSULIN SYRINGE 0.5 ML 29GX1/2”Ultimed Inc INSULIN SYRINGE 0.5 ML 30GX1/2”Ultimed Inc INSULIN SYRINGE 1 ML 28GX1/2”Ultimed Inc INSULIN SYRINGE 1 ML 29GX1/2”Ultimed Inc INSULIN SYRINGE 1 ML 30GX1/2”Ultimed Inc SCHNUCKS SYRINGE 0.5 ML 29GX1/2”Ultimed Inc SCHNUCKS SYRINGE 0.5 ML 30GX5/16”Ultimed Inc ULTICARE INSULIN SYRINGE 1 ML 31GX5/16”Ultimed Inc ULTICARE INSULIN 0.3 ML 31GX1/4(1/2)Ultimed Inc ULTICARE INSULIN 0.3 ML 30GX1/2”Ultimed Inc ULTICARE INSULIN 0.3 ML 31GX1/4”Ultimed Inc ULTICARE INSULIN 0.5 ML 30GX1/2”Ultimed Inc ULTICARE INSULIN 0.5 ML 31GX1/4”Ultimed Inc ULTICARE INSULIN 1 ML 31GX1/4”Ultimed Inc ULTICARE INSULIN SAFETY 1ML 29X1/2Ultimed Inc ULTICARE INSULIN SYRINGE 1 ML 28GX1/2”Ultimed Inc ULTICARE INSULIN SYRINGE 1 ML 29GX1/2”Ultimed Inc ULTICARE INSULIN SYRINGE 1 ML 30GX1/2”Ultimed Inc ULTICARE PEN NEEDLE 12.7 MM 29GUltimed Inc ULTICARE PEN NEEDLE 4 MM 32GUltimed Inc ULTICARE PEN NEEDLE 6 MM 31G




Ultimed Inc ULTICARE PEN NEEDLE 8 MM 31GUltimed Inc ULTICARE PEN NEEDLE 12MM 29GUltimed Inc ULTICARE PEN NEEDLE 4 MM 32GUltimed Inc ULTICARE PEN NEEDLE 6 MM 31 GUltimed Inc ULTICARE PEN NEEDLE 6 MM 31GUltimed Inc ULTICARE PEN NEEDLE 8 MM 31 GUltimed Inc ULTICARE PEN NEEDLE 8 MM 31GUltimed Inc ULTICARE SAFETY 0.5 ML 29GX1/2Ultimed Inc ULTICARE SYRINGE 0.3 ML 29GX1/2”Ultimed Inc ULTICARE SYRINGE 0.3 ML 30GX1/2”Ultimed Inc ULTICARE SYRINGE 0.3 ML 30GX5/16”Ultimed Inc ULTICARE SYRINGE 0.3 ML 31GX5/16”Ultimed Inc ULTICARE SYRINGE 0.5 ML 29GX1/2”Ultimed Inc ULTICARE SYRINGE 0.5 ML 30GX1/2”Ultimed Inc ULTICARE SYRINGE 0.5 ML 30GX5/16”Ultimed Inc ULTICARE SYRINGE 0.5 ML 31GX5/16”Ultimed Inc ULTICARE SYRINGE 1 ML 30GX5/16”Ultimed Inc ULTICARE SYRINGE 1 ML 31GX5/16”Ultimed Inc ULTICARE SYRINGE 0.3 ML 29GX1/2”Ultimed Inc ULTICARE SYRINGE 0.5 ML 28GX1/2”Ultimed Inc ULTICARE SYRINGE 1 ML 29GX1/2”Ultimed Inc ULTICARE SYRINGE 1 ML 30GX1/2”US Medical Inst SAFESNAP INSULIN SYRINGE 0.3 MLUS Medical Inst SAFESNAP INSULIN SYRINGE 0.5 MLUS Medical Inst SAFESNAP INSULIN SYRINGE 1 MLWalgreen Co. GAUZE PADS 2”X2”Walgreen Co. INSULIN 1 ML SYRINGEWalgreen Co. INSULIN 1/2 ML SYRINGEWalgreen Co. INSULIN 3/10 ML SYRINGEWalgreen Co. INSULIN SYRINGE 0.3 ML 31GX5/16”Walgreen Co. INSULIN SYRINGE 0.5 ML 31GX5/16”Walgreen Co. INSULIN SYRINGE 1 ML 31GX5/16”Wal-Mart Stores RELION ALCOHOL 70% SWABSWal-Mart Stores RELION INSULIN SYRINGE 0.3 ML 30GX5/16Wal-Mart Stores RELION INSULIN SYRINGE 0.5 ML 29GX1/2”Wal-Mart Stores RELION INSULIN SYRINGE 1 ML 30GX5/16”Wal-Mart Stores RELION SYRINGE 0.5 ML 30GX5/16”

UCare’s MSHO (HMO SNP) is a health plan that contracts with both Medicare and the Minnesota Medical Assistance (Medicaid) program to provide benefits of both programs to enrollees. Enrollment in UCare’s MSHO depends on contract renewal.

This information is not a complete description of benefits. Contact the plan for more information. Benefits, formulary, pharmacy network, provider network, and/or co-payments/co-insurance may change on January 1 of each year. Limitations, copayments, and restrictions may apply.

Civil Rights NoticeDiscrimination is against the law. UCare does not discriminate on the basis of any of the following:

• Race• Color• National Origin• Creed• Religion• Sexual Orientation• Public Assistance Status• Age• Disability (including physical or

mental impairment)

• Sex (including sex stereotypes and gender identity)

• Marital Status• Political Beliefs• Medical Condition• Health Status• Receipt of Health Care Services• Claims Experience• Medical History• Genetic Information

Auxiliary Aids and Services. UCare provides auxiliary aids and services, like qualified interpreters or information in accessible formats, free of charge and in a timely manner, to ensure an equal opportunity to participate in our health care programs. Contact UCare at 612-676-3200 (voice) or 1-800-203-7225 (voice), 612-676-6810 (TTY), or 1-800-688-2534 (TTY).

Language Assistance Services. UCare provides translated documents and spoken language interpreting, free of charge and in a timely manner, when language assistance services are necessary to ensure limited English speakers have meaningful access to our information and services. Contact UCare at 612 -676-3200 (voice) or 1-800-203-7225 (voice), 612-676-6810 (TTY), or 1-800-688-2534 (TTY).

Civil Rights ComplaintsYou have the right to file a discrimination complaint if you believe you were treated in a discriminatory way by UCare. You may contact any of the following four agencies directly to file a discrimination complaint.

U.S. Department of Health and Human Services’ Office for Civil Rights (OCR)You have the right to file a complaint with the OCR, a federal agency, if you believe you have been discriminated against because of any of the following:

• Race• Color• National Origin• Age• Disability• Sex (including sex stereotypes and gender identity)

Contact the OCR directly to file a complaint:Director U.S. Department of Health and Human Services’ Office for Civil Rights 200 Independence Avenue SW Room 509F HHH Building Washington, DC 20201 800-368-1019 (Voice) 800-537-7697 (TDD) Complaint Portal – https://ocrportal.hhs.gov/ocr/portal/lobby.jsf

Minnesota Department of Human Rights (MDHR)

In Minnesota, you have the right to file a complaint with the MDHR if you believe you have been discriminated against because of any of the following:

• Race• Color• National Origin• Religion• Creed

• Sex• Sexual Orientation• Marital Status• Public Assistance Status• Disability

Contact the MDHR directly to file a complaint:Minnesota Department of Human Rights Freeman Building, 625 North Robert Street St. Paul, MN 55155 651-539-1100 (voice) 800-657-3704 (toll free) 711 or 800-627-3529 (MN Relay) 651-296-9042 (Fax) [email protected] (Email)

Minnesota Department of Human Services (DHS)You have the right to file a complaint with DHS if you believe you have been discriminated against in our health care programs because of any of the following:


mental impairment)



Complaints must be in writing and filed within 180 days of the date you discovered the alleged discrimination. The complaint must contain your name and address and describe the discrimination you are complaining about. After we get your complaint, we will review it and notify you in writing about whether we have authority to investigate. If we do, we will investigate the complaint.

DHS will notify you in writing of the investigation’s outcome. You have a right to appeal the outcome if you disagree with the decision. To appeal, you must send a written request to have DHS review the investigation outcome period. Be brief and state why you disagree with the decision. Include additional information you think is important.

If you file a complaint in this way, the people who work for the agency named in the complaint cannot retaliate against you. This means they cannot punish you in any way for filing a complaint. Filing a complaint in this way does not stop you from seeking out other legal or administration actions

Contact DHS directly to file a discrimination complaint:ATTN: Civil Rights Coordinator Minnesota Department of Human Services Equal Opportunity and Access Division P.O. Box 64997 St. Paul, MN 55164-0997 651-431-3040 (voice) or use your preferred relay service

UCare Complaint NoticeYou have the right to file a complaint with UCare if you believe you have been discriminated against in our health care programs because of any of the following:


mental impairment)



Phone: 612-676-3200 or 1-800-203-7225 toll free

TTY: 612-676-6810 or 1-800-688-2534 toll free

Email: [email protected] Fax: 612-884-2021

Mailing address UCare Attn: Complaints, Appeals and Grievances PO Box 52 Minneapolis, MN 55440-0052

ucare’s minnesota senior health options (msho) (hmo snp ......allison medical sure comfort 0.3 ml...

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