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Blood Glucose Meter Program

Preferred Test Strips

LifeScan^® products are the preferred brands of test strips for the prescription drug programs. It offers your patients simple and accurate test strips and monitoring systems. The preferred test strips are OneTouch Verio^® and OneTouch Ultra^®.

Prior Authorization Required

If your patient chooses a test strip other than OneTouch Verio or OneTouch Ultra, you will need to complete a prior authorization form on your patient’s behalf. If the prior authorization is not approved, the non-preferred test strips will not be a covered pharmacy benefit for your patient. He or she will be responsible for the entire cost of the test strips. If the request for the non-preferred test strips is approved, your patient will be charged the highest level of cost-sharing.

Free Blood Glucose Meters

LifeScan blood glucose meters, including OneTouch Verio Reflect^®, OneTouch Verio Flex^®, and OneTouch Ultra Flex^® are available at no cost to our members. Below is a comparison chart of important features of the blood glucose meters and corresponding test strip.

OneTouch
Blood glucose meter	OneTouch Verio Reflect meter	OneTouch Verio Flex meter	OneTouch Ultra Flex meter
Sample size (uL)	0.4	0.4	1.0
Test time (uL)	5 seconds	5 seconds	5 seconds
Approved test sites	Fingertip	Fingertip	Fingertip
Sample fill technique	Right or left side	End or tip	End or tip
Calibration type	No code required	No code required	Single code
Height of read-out (mm)	15	12	11.5
Downloadable software	OneTouch Reveal®	OneTouch Reveal®	OneTouch Reveal®
Corresponding test strips	OneTouch Verio test strips	OneTouch Verio test strips	OneTouch Ultra test strips

To order a free meter from LifeScan, you or your patient should contact the manufacturer directly by phone or by filling out the request form online. You can call the LifeScan Service Center at 1-866-355-9962 or visit www.onetouch.orderpoints.com and use the code: 594PRX100.

For More Information

If you have questions about our preferred diabetic test strips and corresponding meters, please contact FutureScripts^® at 1-888-678-7012.*

* FutureScripts is an independent company and serves as AmeriHealth’s Pharmacy Benefits Manager.

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