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Prescription Drug Detail
Brand Name
Brand Tier
Generic Name
Generic Tier
ONE TOUCH meter test strips
(Tier
2
)
Not
Available
Not
Available
Prior Authorization Required:
No
Quantity Limit:
No
Category:
Diabetes & high blood sugar\blood sugar test strips
Maintenance Drug:
Yes
Notes:
QLL Removed effective 12/11/12
Attachments:
[attachment "Quantity Limit Form.pdf" deleted by Helen Lee PharmD/MD/CareFirst]
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