Coverage by State

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Map Instructions

Click on the map to see insurance coverage information by state or select an area from the list below:

Alabama
Alaska
Albany
Arizona
Arkansas
Atlanta
Birmingham
Boston
Buffalo
California
Charlotte/Gastonia
Chicago
Cincinnati
Cleveland/Akron
Colorado
Columbus
Connecticut
Dallas/Fort Worth
Dayton/Springfield
Delaware
Denver
Detroit
Florida
Fresno
Georgia
Greensboro/Winston Salem
Hartford
Hawaii
Houston
Idaho
Illinois
Indiana
Indianapolis
Iowa
Jacksonville
Kansas

Kansas City
Kentucky
Knoxville
Las Vegas
Los Angeles
Louisiana
Louisville
Maine
Maryland
Massachusetts
Memphis
Miami/Fort Lauderdale
Michigan
Milwaukee
Minneapolis
Minnesota
Mississippi
Missouri
Montana
Nashville
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
New York City
Norfolk/Virginia Beach
North Carolina
North Dakota
Ohio
Oklahoma
Oklahoma City
Oregon
Orlando

Pennsylvania
Philadelphia
Phoenix
Pittsburgh
Portland
Raleigh/Durham
Rhode Island
Rochester
Sacramento
Salt Lake City
San Antonio
San Diego
San Francisco Bay Area
Seattle/Tacoma
South Carolina
South Dakota
St. Louis
Syracuse
Tampa/St. Petersburg
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C./Baltimore
Washington DC
West Virginia
Wisconsin
Wyoming

Insurance Helpline

Call our reimbursement specialists at (866) 246-COVERAGE for help with your insurance. Assistance is available Monday through Friday, 7am to 9pm (CST).

Sole Preferred - Preferred brand covered at the lowest co-pay
Preferred - Where products are physically listed on a formulary, searchable site or preferred drug list (PDL) at an approved, tier 2 or on PDL designation, including where competitors may be listed at the same level (T2/A/PDL) or higher
Covered - Status is less favorable than a competitor, unless competitors require additional restrictions such as PA, SE etc.
Prior Authorization - Covered after plan authorization; actual co-pay may vary by plan benefit
Open - Test strips are at the same reimbursement level as all other test strips offered by the plan

Alabama
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Alabama State Medicaid	Open	Open
Blue Cross Blue Shield	Not Covered	Not Covered
Caremark	Covered	Covered
CIGNA	Covered	Covered
Humana	Prior Authorization	Prior Authorization
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
Viva Health	Open	Open

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Alaska
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Alaska State Medicaid	Open	Open
Medco Health	Covered	Covered
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Premera Blue Cross	Covered	Covered
TRICARE	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Albany
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
AARP Medicare Complete - Medicare Advantage Plan	Open	Open
Aetna	Preferred	Preferred
CIGNA	Covered	Covered
Excellus BlueCross BlueShield	Open	Open
Express Scripts National Preferred	Covered	Preferred
Medco Health	Covered	Covered
National Pharmaceutical Services	Sole Preferred	Sole Preferred
New York State Medicaid	Preferred	Preferred
Oxford Health Plan	Preferred	Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
Wellcare Child Health Plus	Preferred	Preferred
WellCare of New York Healthy Choice	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Arizona
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Arizona State Medicaid	Open	Open
Blue Cross Blue Shield	Covered	Covered
Caremark	Covered	Covered
Express Scripts Prime	Covered	Covered
Health Net	Preferred	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
PacifiCare	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Arkansas
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Arkansas State Medicaid	Open	Open
Blue Cross Blue Shield	Open	Open
CIGNA	Covered	Covered
Humana	Prior Authorization	Prior Authorization
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Premera Blue Cross	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Atlanta
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Caremark	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
PharmaCare	Covered	Covered
ProCare PBM	Not Covered	Not Covered
State Health Benefit Plan Basic/GA Dept. Community Health	Preferred	Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
WellCare of Georgia	Preferred	Preferred
WellPoint NextRx	Prior Authorization	Prior Authorization

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Birmingham
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Alabama State Medicaid	Open	Open
Blue Cross Blue Shield Preferred Care	Not Covered	Not Covered
Express Scripts National Preferred	Covered	Preferred
Medco Health	Covered	Covered
MedImpact MedCare National Formulary	Covered	Covered
National Pharmaceutical Services	Sole Preferred	Sole Preferred
PharmaCare	Covered	Covered
ProCare PBM	Not Covered	Not Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
WellPoint NextRx	Prior Authorization	Prior Authorization

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Boston
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield of Massachusetts	Not Covered	Preferred
BMC Mass Health CommonWealth Care Option 1	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Harvard Pilgrim	Preferred	Preferred
MassHealth Medicaid	Sole Preferred	Sole Preferred
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Neighborhood Health Plan	Sole Preferred	Sole Preferred
Network Health (MA)	Preferred	Preferred
TRICARE	Preferred	Preferred
Tufts Health Plan	Covered	Covered
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Buffalo
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield	Open	Open
Empire HealthChoice	Prior Authorization	Prior Authorization
Excellus BlueCross BlueShield	Open	Open
Fidelis Care	Preferred	Preferred
FLRx	Open	Open
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
New York State Medicaid	Preferred	Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
Univera Healthcare	Open	Open

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

California
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Shield	Covered	Covered
CIGNA	Covered	Covered
Health Net of California	Preferred	Preferred
Medco Health	Covered	Covered
Medi-Cal	Preferred	Preferred
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
PacifiCare	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Charlotte/Gastonia
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield of North Carolina Blue Options	Open	Open
Caremark	Covered	Covered
CIGNA	Covered	Covered
Humana	Prior Authorization	Prior Authorization
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
North Carolina Medicaid	Prior Authorization	Prior Authorization
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Chicago
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Advantage/HMO Illinois	Preferred	Preferred
Blue Choice	Preferred	Preferred
Blue Cross Blue Shield of Illinois	Preferred	Preferred
Express Scripts National Preferred	Covered	Preferred
Illinois Public Aid	Preferred	Preferred
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Cincinnati
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
CIGNA	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Humana	Prior Authorization	Prior Authorization
Medco Health	Covered	Covered
Medical Mutual	Covered	Covered
Medicare Part B	Open	Open
MedicareComplete - Medicare Advantage Plan	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Ohio Medicaid	Open	Open
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Cleveland/Akron
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Amerigroup (Now Follows OH Medicaid)	Open	Open
Buckeye Community Health Plan (Centene) (Now Follows OH Medicaid)	Open	Open
CareSource (Now Follows OH Medicaid)	Open	Open
Highmark Blue Cross Blue Shield PPO Preferred Blue Three Tier	Preferred	Preferred
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Ohio Medicaid	Open	Open
Paramount Advantage (Now Follows OH Medicaid)	Open	Open
TRICARE	Preferred	Preferred
Unison Health Plan (Now Follows OH Medicaid)	Open	Open
UnitedHealthcare	Preferred	Preferred
WellCare of Ohio (Now Follows OH Medicaid)	Open	Open

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Colorado
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Caremark	Covered	Covered
Express Scripts High Performance	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Express Scripts Prime	Covered	Covered
Medco Health	Covered	Covered
MedImpact MedCare National Formulary	Covered	Covered
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Navitus Health Solutions (Navitus National Formulary)	Preferred	Preferred
PharmaCare	Covered	Covered
Prime Therapeutics	Covered	Covered
ProCare PBM	Not Covered	Not Covered
WellPoint NextRx	Prior Authorization	Prior Authorization

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Columbus
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Amerigroup (Now Follows OH Medicaid)	Open	Open
CareSource (Now Follows OH Medicaid)	Open	Open
Express Scripts National Preferred	Covered	Preferred
Medco Health	Covered	Covered
Medical Mutual	Covered	Covered
Medicare Part B	Open	Open
MedicareComplete - Medicare Advantage Plan	Open	Open
Molina Healthcare (Now Follows OH Medicaid)	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Ohio Medicaid	Open	Open
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Connecticut
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Anthem Blue Cross Blue Shield	Prior Authorization	Prior Authorization
CIGNA	Covered	Covered
ConnectiCare	Preferred	Covered
Connecticut Medicaid	Open	Open
Health Net	Preferred	Preferred
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Oxford Health Plan	Preferred	Preferred
State of Connecticut Employees	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
WellCare - Medicare Advantage Plan	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Dallas/Fort Worth
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield of Texas	Covered	Covered
Caremark	Covered	Covered
CIGNA	Covered	Covered
Federal Employees Program - BCBS	Preferred	Covered
HealthSpring, Inc. - Medicare Advantage Plan	Preferred	Preferred
Humana	Prior Authorization	Prior Authorization
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
PacifiCare	Covered	Covered
Texas Medicaid	Open	Open
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Dayton/Springfield
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Anthem Blue Cross and Blue Shield - Medicare Advantage Plan	Open	Open
Humana	Prior Authorization	Prior Authorization
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Ohio Medicaid	Open	Open
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Delaware
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
AmeriHealth	Preferred	Preferred
AmeriHealth PPO Delaware	Preferred	Preferred
AmeriHealth PPO Select Delaware	Preferred	Preferred
CareFirst BlueCross BlueShield Maryland PPO Three Tier	Covered	Covered
Delaware State Medicaid	Sole Preferred	Sole Preferred
Express Scripts National Preferred	Covered	Preferred
Federal Employees Program - BCBS	Preferred	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Denver
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Child Health Plan Plus by Colorado Access	Preferred	Preferred
CHP+State Managed Care Network	Preferred	Preferred
CIGNA	Covered	Covered
Colorado Access Health Plan	Preferred	Preferred
Colorado State Medicaid	Open	Open
Great-West Healthcare	Covered	Covered
Humana	Prior Authorization	Prior Authorization
Medco Health	Covered	Covered
MedicareComplete Plan	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Navitus Health Solutions (Navitus National Formulary)	Preferred	Preferred
PacifiCare	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Detroit
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
National Pharmaceutical Services	Sole Preferred	Sole Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Florida
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
CIGNA	Covered	Covered
Florida Medicaid	Open	Open
Health First Health Plans	Preferred	Preferred
Healthease Health Plan	Preferred	Preferred
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Quality Health Plans - All Plans	Open	Open
Staywell Health Plan	Preferred	Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
WellCare - Medicare Advantage Plan	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Fresno
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Aetna Medicare - Medicare Advantage Plan	Preferred	Preferred
Blue Shield of California	Covered	Covered
Blue Shield of California - Medicare Advantage Plan	Open	Open
Caremark	Covered	Covered
CIGNA	Covered	Covered
Health Net Medi-Cal	Preferred	Preferred
Health Net Medicare Advantage - All Plans	Open	Open
Health Net of California	Preferred	Preferred
Medi-Cal	Preferred	Preferred
National Pharmaceutical Services	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Georgia
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield	Prior Authorization	Prior Authorization
Caremark	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Federal Employees Program - BCBS	Preferred	Covered
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
WellCare of Georgia	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Greensboro/Winston Salem
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield of North Carolina - Blue Care	Open	Open
Caremark	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
North Carolina Medicaid	Prior Authorization	Prior Authorization
North Carolina Teachers' and State Employees' Comprehensive Major Medical Plan	Covered	Covered
PARTNERS Medicare - Medicare Advantage Plan	Open	Open
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Hartford
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
CIGNA	Covered	Covered
ConnectiCare	Preferred	Covered
Connecticut Medicaid	Open	Open
Health Net	Preferred	Preferred
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Oxford Health Plan	Preferred	Preferred
PharmaCare	Covered	Covered
State of Connecticut Employees	Covered	Covered
UnitedHealthcare	Preferred	Preferred
WellCare - Medicare Advantage Plan	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Hawaii
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Evercare - Medicare Advantage Plan	Open	Open
Hawaii State Medicaid	Open	Open
HMAA	Covered	Covered
HMSA Choice	Preferred	Prior Authorization
HMSA Quest	Preferred	Preferred
HMSA Select	Preferred	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Ohana Reserve	Preferred	Preferred
Ohana Value	Preferred	Preferred
TRICARE	Preferred	Preferred
University Health Alliance	Not Covered	Not Covered

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Houston
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield of Texas	Covered	Covered
Caremark	Covered	Covered
CIGNA	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
HealthSpring, Inc. - Medicare Advantage Plan	Preferred	Preferred
Maxor Plus	Preferred	Preferred
Medco Health	Covered	Covered
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Texas Medicaid	Open	Open
TRICARE	Preferred	Preferred
Unicare	Covered	Covered
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Idaho
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross of Idaho - Medicare Advantage Plan	Open	Open
Idaho State Medicaid	Open	Open
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Regence Blue Shield	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Illinois
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield of Illinois	Preferred	Preferred
Caremark	Covered	Covered
CIGNA	Covered	Covered
Health Alliance Medical Plans	Preferred	Preferred
HealthSpring, Inc. - Medicare Advantage Plan	Preferred	Preferred
Humana	Prior Authorization	Prior Authorization
Illinois Public Aid	Preferred	Preferred
Medicare Part B	Open	Open
OSF Health Plan	Prior Authorization	Prior Authorization
PersonalCare/Coventry Insurance	Prior Authorization	Prior Authorization
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
WellCare - Medicare Advantage Plan	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Indiana
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Advantage Health Solutions Inc.	Preferred	Preferred
Aetna	Preferred	Preferred
Caremark	Covered	Covered
CIGNA	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Indiana Medicaid	Open	Open
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
ProCare PBM	Not Covered	Not Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
Walgreens Health Initiatives	Covered	Covered

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Indianapolis
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
National Pharmaceutical Services	Sole Preferred	Sole Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Iowa
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Caremark	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Health Alliance Plan	Preferred	Preferred
Illinois Public Aid	Preferred	Preferred
Iowa State Medicaid	Preferred	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
UnitedHealthcare Plan of the River Valley (formerly John Deere)	Preferred	Preferred
Wellmark Blue Cross Blue Shield	Covered	Covered

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Jacksonville
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Express Scripts National Preferred	Covered	Preferred
Florida Medicaid	Open	Open
Medco Health	Covered	Covered
Medicare Part B	Open	Open
MedImpact MedCare National Formulary	Covered	Covered
National Pharmaceutical Services	Sole Preferred	Sole Preferred
PharmaCare	Covered	Covered
ProCare PBM	Not Covered	Not Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
WellCare - Medicare Advantage Plan	Preferred	Preferred
WellPoint NextRx	Prior Authorization	Prior Authorization

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Kansas
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield	Covered	Covered
Caremark	Covered	Covered
CIGNA	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Humana	Prior Authorization	Prior Authorization
Kansas Medicaid	Open	Open
Medco Health	Covered	Covered
National Pharmaceutical Services	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
Walgreens Health Initiatives	Covered	Covered
WellPoint NextRx	Prior Authorization	Prior Authorization

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Kansas City
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Caremark	Covered	Covered
Children's Mercy Family Health Partners	Not Covered	Not Covered
CIGNA	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Humana	Prior Authorization	Prior Authorization
Medco Health	Covered	Covered
Mercy Health Plan	Preferred	Preferred
Missouri Care Health Plan	Preferred	Preferred
MO Consolidated Health Care Plan	Covered	Preferred
MO HealthNet formerly Missouri Medicaid	Preferred	Preferred
Molina Healthcare of Missouri	Preferred	Preferred
National Pharmaceutical Services	Sole Preferred	Sole Preferred
PharmaCare	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
Walgreens Health Initiatives	Covered	Covered
WellPoint NextRx	Prior Authorization	Prior Authorization

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Kentucky
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Kentucky Medicaid	Open	Open
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
State of Kentucky Employees	Covered	Covered

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Knoxville
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield of Tennessee	Covered	Covered
Cariten HealthCare	Preferred	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
MedicareComplete - Medicare Advantage Plan	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
SecureHorizons - Medicare Advantage Plan	Open	Open
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
UnitedHealthcare Plan of the River Valley (formerly John Deere)	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Las Vegas
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Catalyst Rx	Covered	Covered
Culinary Workers Health Plan	Open	Open
Health Plan of Nevada	Not Covered	Not Covered
Hometown Health Plan	Covered	Preferred
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Nevada State Medicaid	Preferred	Preferred
PacifiCare	Covered	Covered
Sierra Health & Life	Not Covered	Not Covered
Teacher's Health Trust	Preferred	Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Los Angeles
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Shield of California	Covered	Covered
Caremore Health Plan - Medicare Advantage Plan	Sole Preferred	Sole Preferred
CIGNA	Covered	Covered
Easy Choice Health Plan - All Plans	Sole Preferred	Sole Preferred
Health Net of California	Preferred	Preferred
MD Care Advantage I and II	Sole Preferred	Sole Preferred
Medi-Cal	Preferred	Preferred
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
PacifiCare	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Louisiana
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
First Health Part D Secure	Open	Open
Health Plus	Covered	Covered
MedImpact MedCare National Formulary	Covered	Covered
National Medical Health Card	Covered	Covered
National Pharmaceutical Services	Sole Preferred	Sole Preferred
PharmaCare	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
WellCare - Medicare Advantage Plan	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Louisville
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Bluegrass Family Health	Covered	Covered
Caremark	Covered	Covered
CIGNA	Covered	Covered
Humana	Prior Authorization	Prior Authorization
Kentucky Medicaid	Open	Open
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
PharmaCare	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
Walgreens Health Initiatives	Covered	Covered

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Maine
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
CIGNA	Covered	Covered
Express Scripts High Performance	Covered	Covered
Harvard Pilgrim	Preferred	Preferred
Maine Medicaid	Preferred	Preferred
Martin's Point Health Care/Uniformed Services Family Health Plan	Preferred	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
WellPoint NextRx	Prior Authorization	Prior Authorization

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Maryland
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
CareFirst BlueCross BlueShield	Covered	Covered
Caremark	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Federal Employees Program - BCBS	Preferred	Covered
Maryland Medicaid	Open	Open
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
Walgreens Health Initiatives	Covered	Covered
WellPoint NextRx	Prior Authorization	Prior Authorization

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Massachusetts
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
BMC Mass Health CommonWealth Care Option 1	Covered	Covered
Fallon Community Health Plan	Covered	Covered
Federal Employees Program - BCBS	Preferred	Covered
Harvard Pilgrim	Preferred	Preferred
Health New England	Covered	Covered
MassHealth Medicaid	Sole Preferred	Sole Preferred
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Neighborhood Health Plan	Sole Preferred	Sole Preferred
Network Health	Preferred	Preferred
Tufts Health Plan	Covered	Covered
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Memphis
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield of Tennessee	Covered	Covered
Cariten HealthCare	Preferred	Preferred
CIGNA	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
PharmaCare	Covered	Covered
TRICARE	Preferred	Preferred
Walgreens Health Initiatives	Covered	Covered
WellPoint NextRx	Prior Authorization	Prior Authorization

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Miami/Fort Lauderdale
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
CIGNA	Covered	Covered
Florida Medicaid	Open	Open
Humana	Prior Authorization	Prior Authorization
Humana, Inc. - Medicare Advantage Plan	Open	Open
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Neighborhood Health Partnership	Preferred	Preferred
Staywell Health Plan	Preferred	Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
WellCare - Medicare Advantage Plan	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Michigan
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Humana	Prior Authorization	Prior Authorization
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Physicians Health Plan	Covered	Covered
PriorityMedicare - Medicare Advantage Plan	Open	Open
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
Walgreens Health Initiatives	Covered	Covered

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Milwaukee
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Dean Health Plan Commercial	Preferred	Preferred
Humana	Prior Authorization	Prior Authorization
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Navitus Health Solutions	Preferred	Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
WellPoint NextRx	Prior Authorization	Prior Authorization
Wisconsin Medicaid	Open	Open
WPS Prevea (Wisconsin Physician Services)	Covered	Covered

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Minneapolis
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield	Covered	Covered
HealthPartners	Not Covered	Not Covered
Medica Health Plans	Not Covered	Not Covered
Medicare Part B	Open	Open
Minnesota Medicaid	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Navitus Select	Preferred	Preferred
PreferredOne Administrative Services	Covered	Preferred
Prime Therapeutics	Covered	Covered
TRICARE	Preferred	Preferred
UCare	Open	Open
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Minnesota
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Express Scripts National Preferred	Covered	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
Metropolitan Health Plan	Preferred	Not Covered
Minnesota Medicaid	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Navitus Health Solutions (Navitus National Formulary)	Preferred	Preferred
TRICARE	Preferred	Preferred
UCare	Open	Open
UCare - Medicare Advantage Plan	Open	Open
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Mississippi
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield	Preferred	Preferred
Medicare Part B	Open	Open
Mississippi Medicaid	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Missouri
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Children's Mercy Family Health Partners	Not Covered	Not Covered
Cox Health Plan - PPO	Covered	Covered
Medco Health	Covered	Covered
Mercy Health Plan	Preferred	Preferred
Missouri Care Health Plan	Preferred	Preferred
MO HealthNet formerly Missouri Medicaid	Preferred	Preferred
Molina Healthcare of Missouri	Preferred	Preferred
National Pharmaceutical Services	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Montana
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield	Covered	Covered
Medicare Part B	Open	Open
Montana Medicaid	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Nashville
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield of Tennessee	Covered	Covered
Caremark	Covered	Covered
Cariten HealthCare	Preferred	Preferred
Express Scripts National Preferred	Covered	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
PharmaCare	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Nebraska
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield of Nebraska	Covered	Covered
Express Scripts High Performance	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Express Scripts Prime	Covered	Covered
Medco Health	Covered	Covered
Medicare Part B	Open	Open
MedImpact MedCare National Formulary	Covered	Covered
Nebraska State Medicaid	Open	Open
Prime Therapeutics	Covered	Covered
TRICARE	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Nevada
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Anthem Medicare Preferred Premier	Open	Open
Anthem Prescription Management	Prior Authorization	Prior Authorization
ANY, ANY, ANY Plan - All Plans	Open	Open
Blue Shield of California	Covered	Covered
Caremark	Covered	Covered
Catalyst Rx	Covered	Covered
CIGNA	Covered	Covered
Culinary Workers Health Plan	Open	Open
Express Scripts High Performance	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Express Scripts Prime	Covered	Covered
First Health Part D Secure	Open	Open
Health Plan of Nevada	Not Covered	Not Covered
Hometown Health Plan	Covered	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
MedImpact MedCare National Formulary	Covered	Covered
Molina Medicare Options	Open	Open
Molina Medicare Options Plus	Open	Open
National Medical Health Card	Covered	Covered
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Nevada State Medicaid	Preferred	Preferred
PacifiCare	Covered	Covered
PharmaCare	Covered	Covered
SecureHorizons MedicareDirect Rx Plan 55	Open	Open
Senior Care Plus - Medicare Advantage Plan	Open	Open
Senior Dimensions - Medicare Advantage Plan	Open	Open
Sierra - Medicare Advantage Plan	Open	Open
SmartValue - Medicare Advantage Plan	Open	Open
St. Mary's HealthFirst	Covered	Covered
Sterling - Medicare Advantage Plan	Open	Open
Today's Options - Medicare Advantage Plan	Open	Open
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

New Hampshire
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Caremark	Covered	Covered
CIGNA	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Harvard Pilgrim	Preferred	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
New Hampshire State Medicaid	Open	Open
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

New Jersey
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Caremark	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Health Net	Preferred	Preferred
Horizon Blue Cross Blue Shield	Covered	Covered
Independence BC/BS Personal Choice	Preferred	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
New Jersey Medicaid	Open	Open
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
WellPoint NextRx	Prior Authorization	Prior Authorization

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

New Mexico
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield	Preferred	Preferred
Caremark	Covered	Covered
CIGNA	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Lovelace Health Systems	Sole Preferred	Sole Preferred
Lovelace Health Systems Salud	Sole Preferred	Sole Preferred
Lovelace Insurance Company - Medicare Advantage Plan	Sole Preferred	Sole Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

New York
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield	Open	Open
Caremark	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
GHI Medicare PPO - Medicare Advantage Plan	Open	Open
Health Net	Preferred	Preferred
HIP Health Plan	Preferred	Preferred
HIP Medicare - Medicare Advantage Plan	Open	Open
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
New York State Medicaid	Preferred	Preferred
Oxford Health Plan	Preferred	Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

New York City
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield	Open	Open
CIGNA	Covered	Covered
Empire HealthChoice	Prior Authorization	Prior Authorization
GHI PPO (Group Health Inc)	Prior Authorization	Covered
Health First	Preferred	Preferred
Health Net of NY Three Tier	Preferred	Preferred
HIP Health Plan	Preferred	Preferred
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
New York State Medicaid	Preferred	Preferred
Oxford Health Plan	Preferred	Preferred
TRICARE	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Norfolk/Virginia Beach
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Optima Health Plan	Open	Open
Optima Medicare - Medicare Advantage Plan	Open	Open
Sentara Health Care	Open	Open

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

North Carolina
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Blue Cross Blue Shield of North Carolina Blue Options	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

North Dakota
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield	Covered	Covered
Caremark	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
North Dakota State Medicaid	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Ohio
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Amerigroup (Now Follows OH Medicaid)	Open	Open
Buckeye Community Health Plan (Centene) (Now Follows OH Medicaid)	Open	Open
CareSource (Now Follows OH Medicaid)	Open	Open
Medicare Part B	Open	Open
Molina Healthcare (Now Follows OH Medicaid)	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Ohio Medicaid	Open	Open
TRICARE	Preferred	Preferred
Unison Health Plan (Now Follows OH Medicaid)	Open	Open
UnitedHealthcare	Preferred	Preferred
WellCare of Ohio (Now Follows OH Medicaid)	Open	Open

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Oklahoma
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield	Preferred	Preferred
BlueLincs	Preferred	Preferred
CIGNA	Covered	Covered
Humana	Prior Authorization	Prior Authorization
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Oklahoma Medicaid	Open	Open
PacifiCare	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Oklahoma City
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield	Preferred	Preferred
Generations Healthcare	Open	Open
Medicare Blue PPO	Open	Open
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Oklahoma Medicaid	Open	Open
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Oregon
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Caremark	Covered	Covered
Health Net	Preferred	Preferred
LifeWise Health Plan	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
ODS Health Plan	Preferred	Preferred
Oregon Health Plan	Open	Open
PacifiCare	Covered	Covered
PacificSource Health Plans	Covered	Covered
Providence Health Plan	Open	Open
Regence BCBS	Covered	Covered
TRICARE	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Orlando
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
AARP Medicare Complete - Medicare Advantage Plan	Open	Open
AMERIVANTAGE - Medicare Advantage Plan	Open	Open
CarePlus Health Plans - Medicare Advantage Plan	Open	Open
Evercare - Medicare Advantage Plan	Open	Open
Freedom Health, Inc. - Medicare Advantage Plan	Open	Open
Humana, Inc. - Medicare Advantage Plan	Open	Open
Medicare Masterpiece - Medicare Advantage Plan	Open	Open
MedImpact MedCare National Formulary	Covered	Covered
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Physicians United Plan (PUP) - Medicare Advantage Plan	Open	Open
Universal - Medicare Advantage Plan	Open	Open
WellCare - Medicare Advantage Plan	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Pennsylvania
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Capital BlueCross	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Highmark Blue Cross Blue Shield Preferred Blue	Preferred	Preferred
Highmark Blue Cross Blue Shield Select Blue	Preferred	Preferred
Keystone Blue	Preferred	Preferred
Medco Health	Covered	Covered
Medical Assistance/Pennsylvania Medicaid	Preferred	Preferred
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Philadelphia
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Bravo - Medicare Advantage Plan	Open	Open
Caremark	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Independence BC/BS Personal Choice	Preferred	Preferred
Keystone Blue	Preferred	Preferred
Keystone Health Plan East Select/ IBC	Preferred	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Phoenix
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield	Covered	Covered
CIGNA	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Health Net	Preferred	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
PacifiCare	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Pittsburgh
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Advantra - Medicare Advantage Plan	Open	Open
Blue Cross of Northeastern Pennsylvania Access Care	Preferred	Preferred
Caremark	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Independence BC/BS Personal Choice	Preferred	Preferred
Keystone Blue	Preferred	Preferred
Medco Health	Covered	Covered
National Pharmaceutical Services	Sole Preferred	Sole Preferred
PharmaCare	Covered	Covered
SecurityBlue - Medicare Advantage Plan	Open	Open
TRICARE	Preferred	Preferred
UPMC for Life - Medicare Advantage Plan	Open	Open

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Portland
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Health Net	Preferred	Preferred
Humana Gold Choice PFFS	Open	Open
LifeWise Health Plan	Covered	Covered
National Pharmaceutical Services	Sole Preferred	Sole Preferred
ODS Health Plan	Preferred	Preferred
Oregon Health Plan	Open	Open
Providence Medicare - Medicare Advantage Plan	Open	Open
Regence BCBS	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Raleigh/Durham
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield of North Carolina - Blue Care	Open	Open
Blue Cross Blue Shield of North Carolina Blue Options	Open	Open
Caremark	Covered	Covered
CIGNA	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
North Carolina Medicaid	Prior Authorization	Prior Authorization
North Carolina Teachers' and State Employees' Comprehensive Major Medical Plan	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Rhode Island
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
National Pharmaceutical Services	Sole Preferred	Sole Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Rochester
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Oxford Health Plan	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Sacramento
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Shield of California	Covered	Covered
CIGNA	Covered	Covered
Health Net Medi-Cal	Preferred	Preferred
Health Net of California	Preferred	Preferred
Medi-Cal	Preferred	Preferred
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
PacifiCare	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
Western Health Advantage	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Salt Lake City
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
National Pharmaceutical Services	Sole Preferred	Sole Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

San Antonio
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield of Texas	Covered	Covered
HealthSpring, Inc. - Medicare Advantage Plan	Preferred	Preferred
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Scott and White Health Plan	Covered	Covered
SecureHorizons - Medicare Advantage Plan	Open	Open
Texas Medicaid	Open	Open
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

San Diego
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Shield of California	Covered	Covered
CIGNA	Covered	Covered
Health Net Medi-Cal	Preferred	Preferred
Health Net of California	Preferred	Preferred
Medi-Cal	Preferred	Preferred
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
PacifiCare	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

San Francisco Bay Area
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Shield of California	Covered	Covered
Caremore Health Plan - Medicare Advantage Plan	Sole Preferred	Sole Preferred
CIGNA	Covered	Covered
Health Net of California	Preferred	Preferred
Medco Health	Covered	Covered
Medi-Cal	Preferred	Preferred
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
PacifiCare	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
WellPoint NextRx	Prior Authorization	Prior Authorization

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Seattle/Tacoma
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
CIGNA	Covered	Covered
Essence - Medicare Advantage Plan	Open	Open
Express Scripts High Performance	Covered	Covered
Express Scripts Prime	Covered	Covered
Health Net Medicare Advantage - All Plans	Open	Open
Medco Health	Covered	Covered
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Premera Blue Cross	Covered	Covered
Regence Blue Shield	Covered	Covered
UnitedHealthcare	Preferred	Preferred
Washington State Medicaid	Open	Open

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

South Carolina
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield of South Carolina	Covered	Covered
Caremark	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
PharmaCare	Covered	Covered
South Carolina Medicaid	Preferred	Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
Walgreens Health Initiatives	Covered	Covered
WellPoint NextRx	Prior Authorization	Prior Authorization

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

South Dakota
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Avera Health Plans	Covered	Covered
DakotaCare	Not Covered	Not Covered
Express Scripts National Preferred	Covered	Preferred
Great-West Healthcare	Covered	Covered
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Sanford Health	Not Covered	Not Covered
South Dakota State Medicaid	Open	Open
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
Wellmark Blue Cross Blue Shield	Covered	Covered

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

St. Louis
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Essence - Medicare Advantage Plan	Open	Open
Express Scripts National Preferred	Covered	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
Mercy Health Plan	Preferred	Preferred
Missouri Care Health Plan	Preferred	Preferred
MO HealthNet formerly Missouri Medicaid	Preferred	Preferred
Molina Healthcare of Missouri	Preferred	Preferred
National Pharmaceutical Services	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
WellPoint NextRx	Prior Authorization	Prior Authorization

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Syracuse
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield	Open	Open
Excellus BlueCross BlueShield	Open	Open
Excellus Health Plan, Inc. -Medicare Advantage Plan	Open	Open
Fidelis Care	Preferred	Preferred
Health Net	Preferred	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
New York State Medicaid	Preferred	Preferred
Oxford Health Plan	Preferred	Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Tampa/St. Petersburg
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
CIGNA	Covered	Covered
Florida Medicaid	Open	Open
Healthease Health Plan	Preferred	Preferred
Humana	Prior Authorization	Prior Authorization
MacDill Air Force	Not Covered	Preferred
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Staywell Health Plan	Preferred	Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
WellCare - Medicare Advantage Plan	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Tennessee
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield of Tennessee	Covered	Covered
Caremark	Covered	Covered
Cariten HealthCare	Preferred	Preferred
CIGNA	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
UnitedHealthcare Plan of the River Valley (formerly John Deere)	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Texas
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield of Texas	Covered	Covered
Caremark	Covered	Covered
CIGNA	Covered	Covered
HealthSpring, Inc. - Medicare Advantage Plan	Preferred	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Texas Medicaid	Open	Open
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Utah
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Caremark	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Federal Employees Program - BCBS	Preferred	Covered
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Regence Blue Cross Blue Shield	Covered	Covered
SelectHealth	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
WellPoint NextRx	Prior Authorization	Prior Authorization

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Vermont
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield	Preferred	Preferred
Caremark	Covered	Covered
CIGNA	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Humana Gold Choice PFFS	Open	Open
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Restat	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
Vermont Health Partnership (VTHP)	Preferred	Preferred
Walgreens Health Initiatives	Covered	Covered

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Virginia
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Caremark	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Federal Employees Program - BCBS	Preferred	Covered
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
PharmaCare	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
Virginia Medicaid	Open	Open
Walgreens Health Initiatives	Covered	Covered
WellPoint NextRx	Prior Authorization	Prior Authorization

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Washington
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
CIGNA	Covered	Covered
LifeWise Health Plan	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Premera Blue Cross	Covered	Covered
Regence Blue Shield	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
Washington State Medicaid	Open	Open

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Washington D.C./Baltimore
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
CareFirst BlueCross BlueShield	Covered	Covered
Caremark	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Federal Employees Program - BCBS	Preferred	Covered
Medco Health	Covered	Covered
Medical Assistance District of Columbia	Open	Open
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
Walgreens Health Initiatives	Covered	Covered
WellPoint NextRx	Prior Authorization	Prior Authorization

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Washington DC
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
CareFirst Blue Choice	Covered	Covered
Caremark	Covered	Covered
Express Scripts National Preferred	Covered	Preferred
Federal Employees Program - BCBS	Preferred	Covered
Medco Health	Covered	Covered
Medical Assistance District of Columbia	Open	Open
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
Walgreens Health Initiatives	Covered	Covered
WellPoint NextRx	Prior Authorization	Prior Authorization

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

West Virginia
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Caremark	Covered	Covered
CIGNA	Covered	Covered
FreedomBlue - Medicare Advantage Plan	Open	Open
MAMSI	Preferred	Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
Mountain State BCBS	Preferred	Preferred
National Pharmaceutical Services	Sole Preferred	Sole Preferred
The Health Plan - Medicare Advantage Plan	Open	Open
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
West Virginia Medicaid	Open	Open

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Wisconsin
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Caremark	Covered	Covered
Dean Health Plan Commercial	Preferred	Preferred
Express Scripts National Preferred	Covered	Preferred
Gundersen Lutheran Health Plan	Sole Preferred	Sole Preferred
Medco Health	Covered	Covered
Medicare Part B	Open	Open
National Pharmaceutical Services	Sole Preferred	Sole Preferred
Navitus Health Solutions	Preferred	Preferred
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
Unity Health Plan	Preferred	Preferred
Wisconsin Medicaid	Open	Open

Questions? If your plan is not listed or you need more information, call (866) 246-COVERAGE.

Wyoming
Health Plans	FreeStyle Lite® Blood Glucose Test Strips	Precision Xtra™ Blood Glucose Test Strips
Aetna	Preferred	Preferred
Blue Cross Blue Shield	Preferred	Preferred
Express Scripts National Preferred	Covered	Preferred
Medco Health	Covered	Covered
MedImpact MedCare National Formulary	Covered	Covered
National Medical Health Card	Covered	Covered
National Pharmaceutical Services	Sole Preferred	Sole Preferred
PharmaCare	Covered	Covered
Prime Therapeutics	Covered	Covered
TRICARE	Preferred	Preferred
UnitedHealthcare	Preferred	Preferred
Wyoming State Medicaid	Preferred	Preferred

Source: Formulary Compass Database™ as of March 2010

Sole Preferred - Preferred brand covered at the lowest co-pay
Preferred - Where products are physically listed on a formulary, searchable site or preferred drug list (PDL) at an approved, tier 2 or on PDL designation, including where competitors may be listed at the same level (T2/A/PDL) or higher
Covered - Status is less favorable than a competitor, unless competitors require additional restrictions such as PA, SE etc.
Prior Authorization - Covered after plan authorization; actual co-pay may vary by plan benefit
Open - Test strips are at the same reimbursement level as all other test strips offered by the plan

Customer is ultimately responsible for determining the appropriate codes and payment policies for individual patients. Abbott Diabetes Care Inc. does not guarantee third party coverage or payment for Abbott Diabetes Care Products or reimburse customers for claims that are denied by third party payers.

DOC22555-Rev-A 04/10

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