
12-Panel POC Toxicology System KIT In Vitro
Drug Assay (Urine)
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

Accu-Chek Aviva Plus Strip In Vitro
Glucose Blood
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

Accu-Chek Aviva Plus Strip In Vitro
Glucose Blood
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

Accu-Chek Aviva Plus Strip In Vitro
Glucose Blood
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

Accu-Chek Compact Plus Strip In Vitro
Glucose Blood
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

Accu-Chek Compact Plus Strip In Vitro
Glucose Blood
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

Accu-Chek Guide Strip In Vitro
Glucose Blood
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

Accu-Chek Guide Strip In Vitro
Glucose Blood
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

Accu-Chek Guide Strip In Vitro
Glucose Blood
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N

Accu-Chek SmartView Strip In Vitro
Glucose Blood
Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
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