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Non-formulary test stripsBlue Cross Blue Shield of Illinois

diabetes requiring glucose blood test monitoring

Preferred products

  • Accu-chek aviva plus
  • Accu-chek guide
  • Accu-chek smartview strip
  • Accutrend glucose
  • Advance intuition test st
  • Advance micro-draw test s
  • Advocate redi-code
  • Advocate redi-code+ test
  • Advocate test strips
  • Agamatrix amp no code tes
  • Agamatrix jazz test strip
  • Agamatrix presto test str
  • Assure 3 test strips
  • Assure 4 test strips
  • Assure ii
  • Assure ii check strip
  • Assure ii test strips
  • Assure platinum test stri
  • Assure prism multi test s
  • Assure pro test strips
  • Blood glucose test strips
  • Careone blood glucose tes
  • Caresens n blood glucose
  • Caretouch blood glucose t
  • Clever chek auto-code tes
  • Clever chek auto-code voi
  • Clever chek test strips
  • Clever choice auto-code p
  • Clever choice micro test
  • Clever choice no coding t
  • Clever choice talk no cod
  • Contour blood glucose tes
  • Contour next blood glucos
  • Cool blood glucose test s
  • Cvs advanced glucose mete
  • Cvs glucose meter test st
  • D-care blood glucose
  • Diathrive blood glucose t
  • Diatrue plus blood glucos
  • Duo-care test strips
  • Easy plus ii blood glucos
  • Easy step test strips
  • Easy talk blood glucose t
  • Easy touch glucose test s
  • Easy trak blood glucose t
  • Easy trak ii blood glucos
  • Easygluco
  • Easymax 15 test strips
  • Easymax test strips
  • Easypro blood glucose tes
  • Easypro plus
  • Element compact test stri
  • Element test strips
  • Embrace blood glucose tes
  • Embrace evo blood glucose
  • Embrace pro blood glucose
  • Embrace talk blood glucos
  • Eq blood glucose test str
  • Evolution autocode
  • Fifty50 glucose test stri
  • Fora blood glucose test s
  • Fora d15g blood glucose t
  • Fora d20 blood glucose te
  • Fora d40/g31 blood glucos
  • Fora g20 blood glucose te
  • Fora g30/premium v10 bloo
  • Fora gd20 test strips
  • Fora gd50 blood glucose t
  • Fora gtel blood glucose t
  • Fora tn'g/tn'g voice bloo
  • Fora v10 blood glucose te
  • Fora v12 blood glucose te
  • Fora v20 blood glucose te
  • Fora v30a blood glucose t
  • Foracare gd40
  • Foracare premium v10 test
  • Foracare test n go test s
  • Fortiscare blood glucose
  • Freestyle insulinx blood
  • Freestyle lite test strip
  • Freestyle precision neo b
  • Freestyle test strips
  • Ge100 blood glucose test
  • Genultimate test strips
  • Ght test strips
  • Gluco perfect 3 test stri
  • Glucocard 01 sensor plus
  • Glucocard expression bloo
  • Glucocard shine test stri
  • Glucocard vital test stri
  • Glucocard x-sensor
  • Glucocom test strips
  • Gluconavii blood glucose
  • Gnp easy touch glucose te
  • Gojji blood glucose test
  • Goodsense premium blood g
  • Hw embrace pro blood gluc
  • Hw embrace talk blood glu
  • Iglucose blood glucose te
  • In touch blood glucose te
  • Infinity blood glucose te
  • Infinity voice
  • Kroger blood glucose test
  • Kroger healthpro glucose
  • Kroger premium blood gluc
  • Liberty test strips
  • Meijer blood glucose test
  • Meijer essential blood gl
  • Meijer truetest blood glu
  • Meijer truetrack blood gl
  • Microdot test strips
  • Microdot xtra test strips
  • Mm easy touch glucose tes
  • Myglucohealth blood gluco
  • Neutek 2tek test strips
  • Nova max glucose test str
  • On call express blood glu
  • One drop blood glucose te
  • Onetouch ultra
  • Onetouch verio test strip
  • Optiumez test strips
  • Pharmacist choice autocod
  • Pharmacist choice no codi
  • Pocketchem ez blood gluco
  • Precision xtra blood gluc
  • Premium blood glucose tes
  • Pro voice v8/v9 blood glu
  • Prodigy no coding blood g
  • Quicktek test strips
  • Quintet ac blood glucose
  • Quintet blood glucose tes
  • Refuah plus blood glucose
  • Relion confirm/micro test
  • Relion premier blood gluc
  • Relion prime blood glucos
  • Relion ultima blood gluco
  • Rexall blood glucose test
  • Rightest gs100 blood gluc
  • Rightest gs300 blood gluc
  • Rightest gs550 blood gluc
  • Smart sense premium blood
  • Smart sense value blood g
  • Smartest blood glucose te
  • Solus v2 audible test
  • Supreme test strips
  • Tgt blood glucose test st
  • True focus self monitorin
  • True metrix blood glucose
  • True metrix pro glucose t
  • True metrix self monitori

Initial criteria

  • Patient must have trial or failure of preferred glucose blood test strips.