Diabetes Drugs

KP Wellness

10:24 AM  -  Public

7.5  Diabetes Therapy
7.5.1  INSULIN THERAPY
TIER 1
Humalog Mix 50-50 Vial
Humalog Mix 75-25 Vial
Humalog Vial
Humulin 70-30 Vial
Humulin N Vial
Humulin R Vial
TIER 2
Humalog KwikPen
Humalog Mix 50/50 KwikPen
Humalog Mix 75/25 KwikPen
Humulin 70-30 KwikPen
Humulin N KwikPen
Lantus Vial
Levemir Vial
TIER 3
Apidra
Lantus Solostar Pen/Cartridge
Levemir Flexpen
Novolin Vial
NovoLog Flexpen
NovoLog Vial    

KP Wellness

10:24 AM  -  Public

7.5.2  NON-INSULIN HYPOGLYCEMIC AGENTS
TIER 1
Acarbose (Precose)
Acetohexamide (Dymelor)
Chlorpropamide (Diabinese)
Glimepiride (Amaryl)
Glipizide (Glucotrol)
Glipizide Tablet, Osmotic Laser-Drilled  Formulation (Glucotrol XL)
Glyburide (DiaBeta, Micronase)
Glyburide, Micronized (Glynase)
Glyburide/Metformin HCl (Glucovance)
Metformin HCl (Glucophage)
Metformin HCl Sustained-Release (Glucophage XR)
Tolazamide (Tolinase)
Tolbutamide (Orinase)
TIER 2
Actoplus Met  (Pioglitazone/Metformin HCl)
Actos (Pioglitazone HCl)
Byetta (Exenatide Pen Injector)
Duetact (Pioglitazone HCl/Glimepiride)
Glipizide/Metformin HCl (Metaglip)
Glyset (Miglitol)
Janumet (Sitagliptin Phosphate,  Metformin HCl)
Januvia (Sitagliptin Phosphate)
Nateglinide (Starlix)
Prandin (Repaglinide)
TIER 3
Rosiglitazone Maleate and Metformin HCl (Avandamet)
Rosiglitazone Maleate and Glimepiride (Avandaryl)
Rosiglitazone Maleate (Avandia)
Metformin Hcl Tablet, Extended-Release (Glumetza)
Metformin HCl Tablet, Extended-Release  24 Hour (Fortamet)*
Metformin Hcl (Riomet Solution, Oral)
Saxagliptin Tablets (Onglyza)
Pramlintide (Symlin)
Liraglutide (Victoza) 

KP Wellness

10:23 AM  -  Public

7.5.3  GLUCOSE ELEVATING AGENTS
TIER 2
Glucagen (Glucagon)
Glucagon (Glucagon, Human Recombinant)
Glucagon Emergency Kit (Glucagon Kit)

7.5.4  INSULIN SYRINGES/MISCELLANEOUS DURABLE
MEDICAL EQUIPMENT
TIER 1
Accu-Chek Aviva Care Kit
Accu-Chek Compact Plus Care Kit
One Touch Ultra 2 System
One Touch Ultra Mini System

7.5.5  BLOOD GLUCOSE MONITORING SUPPLIES
TIER 1
Accu-Chek Active Test Strips
Accu-Chek Aviva Plus Test Strips
Accu-Chek Comfort Curve Test Strips
Accu-Chek Compact Test Strips
One Touch Test Strips
One Touch Ultra Test Strips
TIER 3
Ascensia Autodisc Test Strips
Ascensia Breeze 2 Test Strips
Ascensia Elite Test Strips
Contour Test Strips
Freestyle Lite Test Strips
Freestyle Test Strips
Precision Xtra Test Strips