DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:05:00 DIABETIC TESTING AGENTS

TrueTrack Smart System (GLUCOSE OXIDASE REAGENT) Strip

DIN/PIN/NPN:09857283

Interchangeables:

NO

Manufacturer:

Home Diagnostics Inc

Formulary Listing Date:

2007-12-19

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

0.4000

Coverage Status:

Diabetic Testing Agent