Diabetes Product Identification Numbers (PINs)

On this page….

 

Needles and Syringes 

PRODUCT
PIN
Needles/Syringes—Insulin Use Only 999725

Blood Glucose Test Strips

Providers—When submitting a claim, use either:

 

BGTS PINs—Regular (Within Annual Limit/Private Pay)

Use these PINs when a patient has not exceeded their annual limit.

PRODUCT
PIN
Accu-Check Advantage 44123021
Accu-Chek Aviva 44123033
Accu-Chek Compact 44123026
Accu-Chek Mobile 44123046
Allevia Plus 44123063
Bayer Contour Next 44123051
BGStar 44123047
Bravo™ 44123056
Breeze 2 44123038
CareSens N 44123059
Contour  44123037
Dario 44123060
EZ Health Oracle 44123044
FORA Test N’ Go Blood Glucose Test Strips 44123058
FreeStyle 44123028
FreeStyle Lite 44123040
FreeStyle Precision 44123053
GE200 44123055
iTest 44123034
Medi+Sure 44123052
Nova Max 44123043
On Call Plus 44123042
On Call Vivid 44123062
One Touch Ultra 44123025
OneTouch Verio 44123049
Precision Extra 44123024
Prestige 44123029
Rightest GS100 44123048
Sidekick 44123035
Spirit 44123061
SURETEST 44123057
TRUEtest 44123045
True Track 44123036

 

BGTS PINs—Special Authority

Use these PINs when a patient has Special Authority coverage for additional blood glucose test strips for the current calendar year.

PRODUCT
PIN
Accu-Check Advantage +100 48123021
Accu-Chek Aviva +100 48123033
Accu-Chek Compact +100 48123026
Accu-Chek Mobile +100 48123046
Allevia Plus 48123063
Bayer Contour Next +100 48123051
BGStar +100 48123047
Bravo™ +100 48123056
Breeze 2 +100 48123038
CareSens N +100 48123059
Contour  +100 48123037
Dario +100 48123060
EZ Health Oracle +100 48123044
FORA Test N’ Go Blood Glucose Test Strips +100 48123058
FreeStyle +100 48123028
FreeStyle Lite +100 48123040
FreeStyle Precision +100 48123053
GE200 +100 48123055
iTest +100 48123034
Medi+Sure +100 48123052
Nova Max +100 48123043
On Call Plus +100 48123042
On Call Vivid +100 48123062
One Touch Ultra +100 48123025
OneTouch Verio +100 48123049
Precision Extra +100 48123024
Prestige +100 48123029
Rightest GS100 +100 48123048
Sidekick +100 48123035
Spirit +100 48123061
SURETEST +100 48123057
TRUEtest +100 48123045
True Track +100 48123036

 

 

Insulin Pumps

These Product Identification Numbers (PINs) are provided for use by approved vendors submitting claims to PharmaCare.

PRODUCT
PIN
Animas 2020 45230001
Animas OneTouch Ping Glucose Management System 45230006
Animas Vibe 45230013
MiniMed 630G 45230014
MiniMed Paradigm Veo MMT554 45230007
MiniMed Paradigm Veo MMT754 45230008
Omnipod Personal Diabetes Manager (PDM) CAT45E English 45230011
Omnipod Personal Diabetes Manager (PDM) CAT45F French 45230012

 

Insulin Pump Supplies

Product Identification Numbers are provided for use by pharmacies and vendors submitting claims to PharmaCare.

PharmaCare maximum reimbursement is up to the manufacturer's suggested retail price. PharmaCare does not cover a dispensing fee for insulin pump supplies.

Correct quantities

Claims for all items should be entered as “each” and reflect the number of pieces within the kit. For example, for infusion sets/kits:

  • if you dispense 1 kit that contains 1 cannula and 1 tubing, total quantity = 2
  • if you dispense 1 kit that contains 10 cannula and 10 tubing, total quantity = 20 (10 + 10)
  • if you dispense 2 kits and each kit contains 10 cannula and 10 tubing, total quantity = 40 ((10 + 10) x 2)

Product Identification Numbers

For information about the supplies that are eligible for coverage, see Insulin Pump Supplies (PDF, 342KB).