36:00 Diagnostic Agents

COAGULATION MONITORS

Limited use benefit (prior approval required).

For monitoring the international normalized ratio (INR) in patients who require long-term oral anticoagulation.

• client has difficulty accessing laboratory-based INR testing.

Coverage is limited to 1 meter every 2 years.

COAGULATION TEST

Limited use benefit (prior approval required).

For monitoring the international normalized ratio (INR) in patients who require long-term oral anticoagulation.

• client has difficulty accessing laboratory-based INR testing.

LANCET

Limited use benefit (prior approval not required).

The number of lancets that will be covered by the NIHB Program will depend on the client's medical treatment:

• clients managing diabetes with insulin will be allowed 800 lancets per 100 days.
• clients managing diabetes with high risk of causing hypoglycemia will be allowed 400 lancets per 365 days.
• clients managing diabetes medication with low risk of causing hypoglycemia will be allowed 200 lancets per 365 days.
• clients managing diabetes through diet/lifestyle therapy only (no insulin or anti-diabetes medications) will be allowed 200 lancets per 365 days.

Please note that the test strip limit is 800/100 days. Due to lancet pack sizes, 800 per 100 days will be reimbursed.

GLUCOSE OXIDASE, PEROXIDASE

Limited use benefit (prior approval not required).

The number of test strips that will be covered by the NIHB Program will depend on the client's medical treatment:

• clients managing diabetes with insulin will be allowed 800 test strips per 100 days. A client can test up to eight times per day.
• clients managing diabetes with diabetes medication with a high risk of causing low blood sugar will be allowed 400 test strips per 365 days. A client can test once daily.
• clients managing diabetes with diabetes medication with a low risk of causing low blood sugar will be allowed 200 test strips per 365 days. A client can test three to four times per week.
• clients managing diabetes with diet/lifestyle therapy only (no insulin or diabetes medications) will be allowed 200 test strips per 365 days. A client can test three to four times per week.
• non-diabetic clients with rare conditions leading to symptomatic hypo or hyperglycemia will be allowed 800 test strips per 100 days.

THYROTROPIN ALFA

URINE TEST STRIP