DIABETIC SUPPLIES BY NAME AND NDC CODE Effective July …

1 DIABETIC SUPPLIES BY name AND NDC CODEE ffective July 1, 2010 TRADE name DESCRIPTIONNDC1ST CHOICE LANCETS851701572285170307228517035722851 70657221ST TIER UNIFINE PENTIPS851735293685173530368517359036610 590529366105905303661059059036A1C NOW83683003108368300401 accu -CHEK5092400190150924007920509240357 0650924039002509240411025092404460150924 0450015092404760250924047701509240860015 0924091802509240919015092409810165702010 1106570201071075537000550755370005527553 7000555755370005987553700078875537000860 7553700091975537000986755370009897553702 5789755370303577553703039075537030403755 3703041175537031465755370318457553704907 075537098110 accu - chek

2 ACTIVE509240475501 DIABETIC SUPPLIES BY name AND NDC CODEE ffective July 1, 2010 TRADE name DESCRIPTIONNDC5486835900075537031463 accu - chek ADVANTAGE5092405535054868082400755370003 367553700055375537031111 accu - chek AVIVA65702010310657020104106570201061065 702021210 accu - chek COMFORT CURVE50924008310509240365505092403735050 9240381105092408811050924088250548685796 0065702021510755370080497553700805975537 0303657553703037375537030381755370314307 553704388175537043882 accu - chek COMPACT509240302025092408840150924098850 5486832430054868324301657020223107553704 0214755370474197553705988475537080200 accu - chek COMPACT BLUE CONTROL65702036910 accu - chek D-TRON

3 PLUS1563000170515630005235 accu - chek II75537000575 accu - chek III7553700076575537000766 accu - chek INSTANT5092409135075537000913 accu - chek INSTANTPLUS509240911252 DIABETIC SUPPLIES BY name AND NDC CODEE ffective July 1, 2010 TRADE name DESCRIPTIONNDCACCU- chek SIMPLICITY75537093099 accu - chek VOICEMATE5092406660150924080201755370232 3175537030802 accu -DROP75537000522 ACCUSURE60369972160369982160369992160370 0021603700121603700221 ACCUTREND GLUCOSE6570202741065702027510 ACETEST REAGENT193238121 ACTI-LANCE51028000128 ACURA CONTROL SOLUTION8463610501 ACURA CONTROL SOLUTION LOW8463620501 ACURA CONTROL SOLUTION NORMAL8463600501 ACURA METER KIT8463610301 ACURA PLUS846370030184637103008463710301853250 000158532500001685325000017 ACURA STARTER KIT8463600301 ACURA TEST STRIPS8463620350 ADJUSTABLE LANCING

4 DEVICE8271310100827131020082713103008347 2000014216700111093351012710 ADVANCE831741000083174105018317415050831 7420050154820410051548204105015482041100 15482042050 ADVANCE INTUITION8317420001831742000583174211001 54820420003 DIABETIC SUPPLIES BY name AND NDC CODEE ffective July 1, 2010 TRADE name DESCRIPTIONNDC1548204200515482042110 ADVANCE MICRO-DRAW831741000183174106028317411100 154820410011548204100615482041110 ADVANCED LANCING DEVICE8214027020821402703382140707293551 509593441415003178 ADVANCED TRAVEL LANCETS8214048715 ADVOCATE BLOOD GLUCOSE MONITOR940460001029404600010394046000107 9404600013394046000134 ADVOCATE CONTROL SOLUTION94046000101940460001049404600014 0 ADVOCATE DUO9404600013794046000138 ADVOCATE LANCET9404600010694046000109 ADVOCATE LANCING DEVICE94046000105 ADVOCATE

5 REDI-CODE9404600011194046000113940460001 2494046000126940460001359404600013694046 0001399404600124094046001264 ADVOCATE TEST STRIP9404600010094046000141 AIMSCO ULTRA THIN II5170900062251709000630 ALBERTSONS STARTER56151022101 ALCOHOL363702056504282787966489905495664 899055056648990551564 DIABETIC SUPPLIES BY name AND NDC CODEE ffective July 1, 2010 TRADE name DESCRIPTIONNDCALCOHOL PREP536992001904427760109390095011093900 9511109390579331093909892211110038524111 1007944911673060010118222537201182233374 0118228000401191700317511917006104119170 0708811917008216123339476011928305947519 4589859012438500657830142001032301420010 3330142001050355150999893720501557838415 0000114098600129040986002413493480077104 9348007753496140622785042813034450428297 5845042844479750730001082597070222016386 8098903648990938016801600129068016002413 6811309960187701069817877010888209780701 104998302000105 ALKALINE BATTERIES118224394105 DIABETIC SUPPLIES BY name AND NDC

6 CODEE ffective July 1, 2010 TRADE name DESCRIPTIONNDC11822439430118224394501182 243946050428289058 ALTERNATE SITE LANCET8214043520 ALTERNATE SITE LANCING DEVICE38415051002 ANTI-STICK INSULIN833013140183301315018330137101104 750013141047500131510475001371 ANTI-STICK LEUR LOCK833013730110475001373 ANTI-STICK TUBERCULIN833013820110475001372104750013 82 ASCENSIA AUTODISC19336105019336272119336430254868 579700 ASCENSIA BREEZE193611701 ASCENSIA BREEZE 2193144001193146550193146621193148901193 149001193149101 ASCENSIA BRIO193323501 ASCENSIA ELITE19339112519339185019339400219339422 1193397201 ASCENSIA ELITE XL193390101 ASSURE

7 3831755010183175506028317551000831755505 0154820550011548205500615482055050154820 55100 ASSURE 48317560001831756000683175600506 DIABETIC SUPPLIES BY name AND NDC CODEE ffective July 1, 2010 TRADE name DESCRIPTIONNDC83175601001548205600115482 0560061548205605015482056100 ASSURE DOSE831750000583175000061548205000515482 050006 ASSURE II83172205018317220602831722100083172250 5015482022000154820220501548202206015482 0221001548202211015482022252 ASSURE LANCE83179801258317980128831798022583179 802281548209801815482098028 ASSURE PLATINUM83175000018317500050831750010015 4820500011548205005015482050100 ASSURE PRO8317460001831746000683174600508317460 1001548204600115482046050154820460601548 2046100 AURORA HEALTHCARE LANCETS3267102014432671020244 AUTOJECT

8 2821413000182141310018214131101847013000 184701310017 DIABETIC SUPPLIES BY name AND NDC CODEE ffective July 1, 2010 TRADE name DESCRIPTIONNDC84701311016105913001761059 13101461059131113 AUTO-LANCET25294083100 AUTOLANCET DEVICE W-LANCETS5759901340193815080134 AUTOLET IMPRESSION847002700184700271018470027401 38470002700 AUTOLET LITE8214056901847005690161059011415 AUTOLET LITE CLINISAFE8214057601847005760161059012313 AUTOLET MINI821402600182140265018470026001847002 65016105902601361059026518 AUTOLET MKII CLINISAFE8214090001847009000161059010111 AUTOLET PLATFORMS8214030001821403010182140302018 4700300018470030101847003020161059013112 6105901341961059013716

9 AUTOPEN821430000182143100018214380001821 4381001847030000184703100018470380001847 0381001610590151166105901551261059038001 8 DIABETIC SUPPLIES BY name AND NDC CODEE ffective July 1, 2010 TRADE name DESCRIPTIONNDC61059038101B-D AUTO INJECTOR8290328245BD AUTOSHIELD PEN NEEDLE829032930082903293058290329308BD ECLIPSE829030576182903057628290305764829 0305765829030576682903057678290305768829 03057718290305778BD GENIE LANCET82903665798290366583BD INSULIN PEN NEEDLE UF MINI82903201198290320882BD INSULIN PEN NEEDLE UF ORIG82903208808290328203BD INSULIN PEN NEEDLE UF SHORT82903201098290320881B-D INSULIN SYRINGE829000841382900096228290309301829 0309306829030931082903093118290325657829 0328278829032827982903282808290328289829 0328290829032829182903284118290328418829 0328431829032843882903284408290328466829 0328468829032941182903294248290329430829 03294649 DIABETIC SUPPLIES BY name AND NDC CODEE ffective July 1.

10 2010 TRADE name DESCRIPTIONNDC82903294668290329622829032 9650829032965182903296528290841101829084 1201829084180182908431018290843801829084 400182908466018290846801BD INSULIN SYRINGE MF82903282818290328282829032828382903284 1082903284128290328430829032846582908410 028290843002BD INTEGRA NEEDLE8290305312BD INTEGRA SYRINGE8290305282B-D LOGIC829032202582903220298290322051B-D MAGNI-GUIDE MAGNIFIER8290328233BD MICROTAINER LANCET829036659282903665938290366594B-D NEEDLES829030510682903051098290305110829 0305111829030512082903051228290305124829 0305127829030512882903051298290305136829 030514382903051558290305156829030515910 DIABETIC SUPPLIES BY name AND NDC CODEE ffective July 1.