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. |
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| |
|
|
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. |
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| |
|
|
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. |
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| |
|
|
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. |
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| |
|
|
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. |
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| |
|
|
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. |
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| |
|
|
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. |
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| |
|
|
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. |
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| |
|
|
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. |
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| |
|
|
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. |
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| |
|
|
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. |
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| |
|
|
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. |
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| |
|
|
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. |
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| |
|
|
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. |
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| |
|
|
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. |
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| |
|
|
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. |
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| |
|
|
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. |
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| |
|
|
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. |
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| |
|
|
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. |
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| |
|
|
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. |
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| |
|
|
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. |
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| |
|
|
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. |
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| |
|
|
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 |