L.A. Care Covered Drug Formulary (pdf)

Commercial FormularyT2 blood glucose controlhigh&lowT2 blood glucose controlhigh&lowT2 blood glucose controlhigh&lowT2 blooddiabeticsupplies,miscellT2 blooddiabeticsupplies,miscellT2 blood-glucose calib.controlT2 blood-glucose calib.controlT2 blood-glucose calib.controlT2 blood-glucose calib.controlT2 blood-glucose calib.controlT2 blood-glucose calib.controlT2 blood-glucose calib.controlT2 blood-glucose calib.controlULTRATRAKULTIMATE(OTC)ULTRATRAK(OTC)VICTORY(OTC)AT LAST(OTC)TRACER(OTC)ACCU-CHEK(OTC)ASSURE 4(OTC)MEDISENSECONTROL(OTC)MEDISENSEGLUCOSEKETONE(OTC)MEDISENSE(OTC)PRECISIONGLUCOSECONTROL(OTC)PRECISION(OTC)SURESTEPCONTROLSOLUTION(OTC)ACURA CONTROLT2 blood-glucose control,highSOLUTION(OTC)T2 blood-glucose control, ADVOCATEhighCONTROLT2 blood-glucose control,highSOLUTION(OTC)ADVOCATE REDI-CODE+ CTRLSOLN(OTC)T2 blood-glucose control, AGAMATRIXhighCONTROL(OTC)T2 blood-glucose control, BREEZE 2(OTC)highT2 blood-glucose control, CLEVER CHOICEhighCONTROLSOLUTION(OTC)T2 blood-glucose control, CONTOUR(OTC)highT2 blood-glucose control, CONTROLhighSOLUTION(OTC)T2 blood-glucose control, EASY CHECKhighCONTROLSOLUTION(OTC)T2 blood-glucose control, EASY STEP(OTC)highT2 blood-glucose control, EASY TALK(OTC)highT2 blood-glucose control, EASY TRAK(OTC)highT2 blood-glucose control, EASYMAX(OTC)highT2 blood-glucose control, ECLIPSE CONTROLhighSOLUTION(OTC)T2 blood-glucose control,highELEMENT COMPACTCONTROLSOLN(OTC)ELEMENT CONTROLT2 blood-glucose control,highSOLUTION(OTC)T2 blood-glucose control, ELEMENT PLUShighCONTROLSOLUTION(OTC)T2 blood-glucose control, ENVISION(OTC)highT2 blood-glucose control, EZ SMART(OTC)highT2 blood-glucose control, GLUCOCOMhighCONTROLSOLUTION(OTC)T2 blood-glucose control, GLUCOLABhighCONTROL(OTC)T2 blood-glucose control, GMATE CONTROLhighSOLUTION(OTC)T2 blood-glucose control, INFINITY CONTROLhighSOLUTION(OTC)T2 blood-glucose control, LIBERTY CONTROLhighSOLUTION(OTC)T2 blood-glucose control, ONE TOUCHhighVERIO(OTC)T2 blood-glucose control, PRESTIGE(OTC)highT2 blood-glucose control, REFUAH PLUShighGLUCOSECONTROL(OTC)T2 blood-glucose control, RIGHTEST CONTROLhighSOLUTION(OTC)T2 blood-glucose control, SOLUS V2 CONTROLhighSOLUTION(OTC)T2 blood-glucose control, SURE EDGEhighGLUCOSE CONTROLT2 blood-glucose control,highSOLN(OTC)SURECHEKGLUCOSECONTROL(OTC)T2 blood-glucose control, SURESTEPhighPRO(OTC)T2 blood-glucose control, TRUECONTROL(OThighC)T2 blood-glucose control, TRUETESThighGLUCOSECONTROL(OTC)T2 blood-glucose control, TRUETRACK(OTC)highT2 blood-glucose control, VOCAL POINThighGLUCOSET2 blood-glucose control,lowT2 blood-glucose control,lowT2 blood-glucose control,lowCONTROL(OTC)ACURA CONTROLSOLUTIONLOW(OTC)ADVOCATECONTROLSOLUTION(OTC)ADVOCATE REDI-CODE+ CTRLSOLN(OTC)Page 25 of 91