All *DIAGNOSTIC PRODUCTS*

12-Panel POC Toxicology System KIT In Vitro
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
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
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
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
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
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
Accu-Chek Guide Strip In Vitro

Glucose Blood

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

Glucose Blood

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

Glucose Blood

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

Glucose Blood

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

Glucose Blood

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Accutrend Glucose Strip In Vitro
Accutrend Glucose Strip In Vitro

Glucose Blood

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N