Blood Glucose Test Strips

SELF ADMINISTRATION

The following are the preferred Blood Glucose Test Strips:
  • Freestyle Insulinx
  • Freestyle Lite
  • Freestyle
  • Precision Xtra
  • Onetouch Ultra
  • Onetouch Verio

All other Blood Glucose Test Strips are non-preferred and require prior authorization

Patients must meet the following criteria for all non-preferred Blood Glucose Test Strips:
  • Medical record documentation is provided and supports a medically appropriate reason why the preferred Brand Test Strips (i.e., Freestyle Insulinx, Freestyle Lite, Freestyle, Precision Xtra, Onetouch Ultra, Onetouch Verio) cannot be considered
Approval:
  • 1 year

 

Last review date: August 21, 2020

Rite Aid Pharmacy Patients: All Rite Aid pharmacies nationwide are closing! Please be on the lookout for information from Rite Aid pharmacies about their bankruptcy and store closures. Call your Rite Aid pharmacy for questions about your prescriptions and new pharmacy options. WHA is here to help as well. Contact Us via Phone