94:00 Devices

94:00.00 DEVICES

SPACER DEVICE

Limited use benefit with quantity and frequency limits (prior approval is not required).

Coverage is granted for 2 spacer devices every 12 months.

Table: SPACER DEVICE
Drug strength and dosage form DIN Brand name Manufacturer code
Device 96899962 AEROCHAMBER AC BOYZ TRU
Device 96899963 AEROCHAMBER AC GIRLZ TRU
Device 96899969 AEROCHAMBER PLUS FLOWVU LARGE TRU
Device 96899970 AEROCHAMBER PLUS FLOWVU MEDIUM TRU
Device 96899968 AEROCHAMBER PLUS FLOWVU MOUTH TRU
Device 96899971 AEROCHAMBER PLUS FLOWVU SMALL TRU
Device 96899977 AEROTRACH PLUS UNK
Device 96899956 COMPACT SPACE PLUS LARGE MASK MIN
Device 96899955 COMPACT SPACE PLUS MEDIUM MASK MIN
Device 96899953 COMPACT SPACE PLUS NO MASK MIN
Device 96899954 COMPACT SPACE PLUS SMALL MASK MIN
Device 99400507 E-Z SPACER WEP
Device 99400511 E-Z SPACER (MASK ONLY) WEP
Device 99400508 E-Z SPACER WITH SMALL MASK WEP
Device 00901012 INSPIRA CHAMBER W LARGE MASK LUP
Device 00900003 INSPIRA CHAMBER W MEDIUM MASK LUP
Device 00900001 INSPIRA CHAMBER W MOUTHPIECE LUP
Device 00900002 INSPIRA CHAMBER W SMALL MASK LUP
Device 99400501 OPTICHAMBER AUC
Device 96899961 OPTICHAMBER DIAMOND (CHAMBER) AUC
Device 96899958 OPTICHAMBER DIAMOND LARGE MASK AUC
Device 96899959 OPTICHAMBER DIAMOND MEDIUM MASK AUC
Device 96899960 OPTICHAMBER DIAMOND SMALL MASK AUC
Device 99400504 OPTICHAMBER LARGE MASK AUC
Device 99400503 OPTICHAMBER MEDIUM MASK AUC
Device 99400502 OPTICHAMBER SMALL MASK AUC
Device 99400505 OPTIHALER AUC
Device 99400787 POCKET CHAMBER MCA
Device 99400791 POCKET CHAMBER WITH ADULT MASK MCA
Device 99400788 POCKET CHAMBER WITH INFANT MASK MCA
Device 99400790 POCKET CHAMBER WITH MEDIUM MASK MCA
Device 99400789 POCKET CHAMBER WITH SMALL MASK MCA
Device 96899974 RESPICHAMBER SILICONE MEDIUM MASK TRU
Device 96899973 RESPICHAMBER SILICONE SMALL MASK TRU
Device 96899972 RESPICHAMBER VHC W MOUTHPIECE TRU

94:01.00 DEVICES (DIABETIC)

ADHESHIVE WIPES

Table: ADHESHIVE WIPES
Drug strength and dosage form DIN Brand name Manufacturer code
Miscellaneous 97799671 SKIN PREP ADHESHIVE WIPES UNK

DRESSING

Table: DRESSING
Drug strength and dosage form DIN Brand name Manufacturer code
Dress 99401078 SN IV3000 1-HAND TRANS SMW

INSULIN PUMP SUPPLIES

Limited use benefit (prior approval required).

Insulin pump supplies are approved for NIHB clients following the approval of an insulin pump by NIHB; or

Insulin pump supplies are approved for NIHB clients with Type 1 diabetes if an insulin pump was partially or totally covered by another insurance.

Table: INSULIN PUMP SUPPLIES
Drug strength and dosage form DIN Brand name Manufacturer code
COMFORT ANGLED Device 97799682 COMFORT ANGLED INFSET 17MM UNK
COMFORT ANGLED Device 97799683 COMFORT ANGLED INFSET 17MM UNK
COMFORT SHORT ANGLED Device 97799678 COMFORT SRT ANGLED INFSET 13 UNK
COMFORT SHORT ANGLED Device 97799679 COMFORT SRT ANGLED INFSET 13 UNK
CONTACT DETACH Device 97799672 CONTACT DETACH 90 DEGREE 6MMX60CM UNK
CONTACT DETACH Device 97799610 CONTACT DETACH 90 DEGREE 8MMX60CM UNK
Device 97799674 CARTRIDGE FOR IR200 UNK
Device 97799342 INSET 30 INFUSION SETS UNK
Device 99401038 INSULIN PUMP BATTERY AUC
INSET II Device 97799685 INSET II 90 DEGREE 6MMX110CM UNK
INSET II Device 97799687 INSET II 90 DEGREE 6MMX60CM UNK
INSET II Device 97799684 INSET II 90 DEGREE 9MMX110CM UNK
INSET II Device 97799686 INSET II 90 DEGREE 9MMX60CM UNK
MIO Device 97799491 MIO BLUE 6MMX18 MDT
MIO Device 97799438 MIO BLUE 6MMX23 MDT
MIO Device 97799490 MIO CLEAR 6MMX32 MDT
MIO Device 97799489 MIO CLEAR 9MMX32 MDT
MIO Device 97799492 MIO PINK 6MMX18 MDT
MIO Device 97799437 MIO PINK 6MMX23 MDT
OMNIPOD Device 09991327 PODS UNK
PARADIGM SILHOUETTE Device 97799715 PARADIGM SILHOUETTE 13MMX 43 MDT
PARADIGM SILHOUETTE Device 97799485 PARADIGM SILHOUETTE 13MMX18" MDT
PARADIGM SILHOUETTE Device 97799716 PARADIGM SILHOUETTE 13MMX23 MDT
PARADIGM SILHOUETTE Device 97799484 PARADIGM SILHOUETTE 13MMX32" MDT
PARADIGM SILHOUETTE Device 97799718 PARADIGM SILHOUETTE 17MMX23 MDT
PARADIGM SILHOUETTE Device 97799483 PARADIGM SILHOUETTE 17MMX32" MDT
PARADIGM SILHOUETTE Device 97799719 PARADIGM SILHOUETTE 17MMX43 MDT
PARADIGM SILHOUETTE Device 97799529 PARADIGM SILHOUETTE CANNULA 13MM MDT
PARADIGM SILHOUETTE Device 97799528 PARADIGM SILHOUETTE CANNULA 17MM MDT
QUICK-SET Device 97799486 QUICK-SET 6MMX18 MDT
QUICK-SET Device 97799744 QUICK-SET 6MMX23 TUBING MDT
QUICK-SET Device 97799487 QUICK-SET 6MMX32 MDT
QUICK-SET Device 97799743 QUICK-SET 6MMX43 TUBING MDT
QUICK-SET Device 97799742 QUICK-SET 9MMX23 TUBING MDT
QUICK-SET Device 97799488 QUICK-SET 9MMX32 MDT
QUICK-SET Device 97799741 QUICK-SET 9MMX43 TUBING MDT
RAPID-D Device 97799650 RAPID-D 10MM/110CM ROD
RAPID-D Device 97799652 RAPID-D 10MM/60CM ROD
RAPID-D Device 97799651 RAPID-D 10MM/80CM ROD
RAPID-D Device 97799656 RAPID-D 6MM/110CM ROD
RAPID-D Device 97799658 RAPID-D 6MM/60CM ROD
RAPID-D Device 97799657 RAPID-D 6MM/80CM ROD
RAPID-D Device 97799653 RAPID-D 8MM/110CM ROD
RAPID-D Device 97799655 RAPID-D 8MM/60CM ROD
RAPID-D Device 97799654 RAPID-D 8MM/80CM ROD
SURE-T Device 97799521 PARADIGM SURE-T 29G 6MMX18 MDT
SURE-T Device 97799520 PARADIGM SURE-T 29G 6MMX23 MDT
SURE-T Device 97799519 PARADIGM SURE-T 29G 8MMX23 MDT
TENDER "MINI" Device 97799647 TENDER-1 MINI INF SET 13MM/110CM ROD
TENDER "MINI" Device 97799649 TENDER-1 MINI INFSET 13MM/60CM ROD
TENDER "MINI" Device 97799648 TENDER-1 MINI INFSET 13MM/80CM ROD
TENDER "MINI" Device 97799641 TENDER-2 MINI INF SET 13MM/110CM ROD
TENDER "MINI" Device 97799643 TENDER-2 MINI INFSET 13MM/60CM ROD
TENDER "MINI" Device 97799642 TENDER-2 MINI INFSET 13MM/80CM ROD
TENDER Device 97799644 TENDER-1 17MM/110CM ROD
TENDER Device 97799646 TENDER-1 17MM/60CM ROD
TENDER Device 97799645 TENDER-1 17MM/80CM ROD
TENDER Device 97799638 TENDER-2 17MM/110CM ROD
TENDER Device 97799640 TENDER-2 17MM/60CM ROD
TENDER Device 97799639 TENDER-2 17MM/80CM ROD
ULTRAFLEX Device 97799665 ULTRAFLEX 1 10MM/110CM ROD
ULTRAFLEX Device 97799667 ULTRAFLEX 1 10MM/60CM ROD
ULTRAFLEX Device 97799666 ULTRAFLEX 1 10MM/80CM ROD
ULTRAFLEX Device 97799668 ULTRAFLEX 1 8MM/110CM ROD
ULTRAFLEX Device 97799670 ULTRAFLEX 1 8MM/60CM ROD
ULTRAFLEX Device 97799669 ULTRAFLEX 1 8MM/80CM ROD
643MMX" Device 09991616 INSET 6MMX43" UNK
2360IN/CM Device 97799202 AUTOSOFT 30 13MM UNK
2360IN/CM Device 97799198 AUTOSOFT 90 6MM UNK
2360IN/CM Device 97799199 AUTOSOFT 90 6MM UNK
2360IN/CM Device 97799200 AUTOSOFT 90 6MM UNK
2360IN/CM Device 97799194 AUTOSOFT 90 9MM UNK
2360IN/CM Device 97799195 AUTOSOFT 90 9MM UNK
2360IN/CM Device 97799196 AUTOSOFT 90 9MM UNK
2360IN/CM Device 97799192 TRUSTEEL 6MM UNK
2360IN/CM Device 97799190 TRUSTEEL 8MM UNK
2360IN/CM Device 97799188 VARISOFT 13MM UNK
2360IN/CM Device 97799185 VARISOFT 17MM UNK
3280IN/CM Device 97799191 TRUSTEEL 6MM UNK
3280IN/CM Device 97799189 TRUSTEEL 8MM UNK
3280IN/CM Device 97799187 VARISOFT 13MM UNK
3280IN/CM Device 97799184 VARISOFT 17MM UNK
43110IN/CM Device 97799201 AUTOSOFT 30 13MM UNK
43110IN/CM Device 97799197 AUTOSOFT 90 6MM UNK
43110IN/CM Device 97799193 AUTOSOFT 90 9MM UNK
43110IN/CM Device 97799186 VARISOFT 13MM UNK
Dress 09991615 IV3000 STANDARD SMW
3ML Needle 00951417 T : SLIM X2 CARTRIDGE (SK) UNK
Patch 09991614 MMT-174 ADHESIVE UNK
Syringe 97799707 RESERVOIR PARADIGM 5X1.8ML MDT
Syringe 97799706 RESERVOIR PARADIGM 7X3.0ML MDT

ISOPROPYL ALCOHOL

Table: ISOPROPYL ALCOHOL
Drug strength and dosage form DIN Brand name Manufacturer code
70% Pad 00480452 ALCOHOL PREP PDI
70% Pad 00809357 ALCOHOL SWABS BTD
70% Pad 00977187 ALCOHOL SWABS 6893 BUTTERFLY BTD
70% Pad 00977195 ALCOHOL SWABS 6896 (150) BTD
70% Pad 02247809 ALCOHOL SWABS ANTISEPTIC SKIN CLEANERS TIP
70% Pad 99038349 ALCOHOL SWABS BD REGULAR BTD
70% Pad 97799880 BD ALCOHOL SWABS BTD
70% Pad 02248362 LORIS ALCOHOL SWABS UNK
70% Pad 99438102 MONOJECT ALCOHOL WIPES COV
70% Pad 00795232 WEBCOL ALCOHOL PREP COV

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.

Table: LANCET
Drug strength and dosage form DIN Brand name Manufacturer code
Lancet 97799494 ACCU-CHEK FASTCLIK LANCET ROD
Lancet 97799495 ACCU-CHEK FASTCLIK LANCET ROD
Lancet 97799817 ACCU-CHEK MULTICLIX LANCET ROD
Lancet 97799945 ACCU-CHEK SOFTCLIX LANCET ROD
Lancet 97799946 ACCU-CHEK SOFTCLIX LANCET ROD
Lancet 97799466 BG STAR LANCET SAC
Lancet 97799541 EZ HEALTH ORACLE LANCET TRE
Lancet 97799825 FINGERSTIX LANCET BAY
Lancet 97799292 FIRST CANADIAN HEALTH LANCETS ARA
Lancet 97799826 FREESTYLE LANCET BAY
Lancet 97799918 MICROLET LANCET BAY
Lancet 97799810 MPD THIN LANCET (NS) MPD
Lancet 97799811 MPD THIN LANCET (NS) MPD
Lancet 97799807 MPD ULTRA THIN LANCET (100) MPD
Lancet 97799808 MPD ULTRA THIN LANCET (200) MPD
Lancet 97799140 ONETOUCH DELICAPLUS 30G LANCET UNK
Lancet 97799139 ONETOUCH DELICAPLUS 33G LANCET UNK
Lancet 97799970 ONETOUCH ULTRASOFT LANCET JAJ
Lancet 97799348 ULTILET CLASSIC LANCET UNK
21G Lancet 97799804 MONOLET 21G LANCET TYC
28G Lancet 97799232 DROPLET PERSONAL LANCET 28G SFA
28G Lancet 97799253 FIRST CANHEALTH 28G LANCET ARA
28G Lancet 97799801 MONOLET THIN (MONOJECT) 28G TYC
30G Lancet 97799254 FIRST CANHEALTH 30G LANCET ARA
30G Lancet 97799388 MEDI+SURE SOFT 30G TWIST MEC
30G Lancet 97799389 MEDI+SURE SOFT 33G TWIST MEC
30G Lancet 97799431 ONE TOUCH DELICA 30G LANCET JAJ
33G Lancet 97799690 BD ULTRAFINE 33G LANCET BTD
33G Lancet 97799234 DROPLET PERSONAL LANCET 33G SFA
33G Lancet 97799255 FIRST CANHEALTH 33G LANCET ARA
33G Lancet 97799767 ITEST ULTRA-THIN 33G LANCET AUC
33G Lancet 97799501 ONETOUCH DELICA 33G LANCET JAJ

MAGNIFIER

Table: MAGNIFIER
Drug strength and dosage form DIN Brand name Manufacturer code
Device 99400550 SYRINGE SCALE MAGNIFIER UNK

PEN NEEDLE

Table: PEN NEEDLE
Drug strength and dosage form DIN Brand name Manufacturer code
ST Needle 97799433 BD AUTOSHIELD DUO SAFETY PEN NEEDLE BTD
ST Needle 09991447 BD BLUNT 18GX1 1/2 FILTER BTD
ST Needle 09991391 BD PRECISIONGLIDE 23GX1 1/4 BTD
ST Needle 09991387 BD PRECISIONGLIDE 25GX1 NEEDLE BTD
ST Needle 00909114 BD ULTRA-FINE III PEN NEEDLE BTD
Needle 00897590 NOVOLIN-PEN NEEDLE NOO
ST Needle 97799280 SURECOMFORT 29GX1/2 NEEDLE UNK
ST Needle 97799269 SURECOMFORT 30GX5/16 NEEDLE UNK
ST Needle 97799279 SURECOMFORT 31GX3/16 NEEDLE UNK
ST Needle 97799268 SURECOMFORT 31GX5/16 NEEDLE UNK
ST Needle 97799278 SURECOMFORT 32GX1/4 NEEDLE UNK
ST Needle 97799267 SURECOMFORT 32GX5/32 NEEDLE UNK
ST29GX10MM Needle 97799238 DROPLET PEN NEEDLE 10MM 29G SFA
ST29GX12.7MM Needle 97799561 SUPER-FINE STANDARD 29G-12.7MM PMS
ST29GX12MM Needle 97799235 DROPLET PEN NEEDLE 12MM 29G SFA
ST29GX12MM Needle 97799566 INSUPEN 29GX12MM NEEDLE DPI
ST29GX12MM Needle 97799543 ULTICARE 29GX12MM PEN NEEDLE UMI
ST29GX12MM Needle 97799991 UNIFINE 29G 12MM NEEDLE AUC
ST29GX8MM Needle 97799526 BD AUTOSHIELD PEN NEEDLES BTD
ST30GX6MM Needle 97799911 NOVOFINE 30GX 6MM NEEDLE NVC
ST30GX8MM Needle 97799567 INSUPEN 30GX8MM NEEDLE DPI
ST30GX8MM Needle 97799910 NOVOFINE 30GX 8MM NEEDLE NVC
ST31GX4.5MM Needle 97799404 CLICKFINE PEN NEEDLE 31G 4.5MM AUC
ST31GX5MM Needle 97799282 BD ULTRAFINE 31G 5MM PEN NEEDLE BTD
ST31GX5MM Needle 97799239 DROPLET PEN NEEDLE 5MM 31G SFA
31GX5MM Needle 97799563 SUPER-FINE MICRO 31G-5MM NEEDLE PMS
ST31GX5MM Needle 97799426 UNIFINE PENTIPS 31GX5MM AUC
ST31GX6MM Needle 97799405 CLICKFINE PEN NEEDLE 31G 6MM AUC
ST31GX6MM Needle 97799237 DROPLET PEN NEEDLE 6MM 31G SFA
ST31GX6MM Needle 97799364 INSULIN PEN NEEDLE 31GX6MM MDT
ST31GX6MM Needle 97799569 INSUPEN 31GX6MM NEEDLE DPI
ST31GX6MM Needle 97799545 ULTICARE 31GX6MM PEN NEEDLE UMI
ST31GX6MM Needle 97799993 UNIFINE 31G.6MM NEEDLE AUC
ST31GX8MM Needle 97799281 BD ULTRAFINE 31G 8MM PEN NEEDLE BTD
ST31GX8MM Needle 97799406 CLICKFINE PEN NEEDLE 31G 8MM AUC
ST31GX8MM Needle 97799236 DROPLET PEN NEEDLE 8MM 31G SFA
ST31GX8MM Needle 97799366 INSULIN PEN NEEDLE 31GX8MM MDT
ST31GX8MM Needle 97799568 INSUPEN 31GX8MM NEEDLE DPI
ST31GX8MM Needle 97799441 LIFE BRAND PEN NEEDLE 31G 8MM HOD
ST31GX8MM Needle 97799562 SUPER-FINE XTRA 31G-8MM NEEDLE PMS
ST31GX8MM Needle 97799544 ULTICARE 31GX8MM PEN NEEDLE UMI
ST31GX8MM Needle 00963976 ULTRAFINE III NEEDLE 31G 8MM BTD
ST31GX8MM Needle 97799992 UNIFINE 31G.8MM NEEDLE AUC
ST32GX4MM Needle 97799527 BD ULTRA-FINE NANO PEN NEEDLE BTD
ST32GX4MM Needle 97799243 DROPLET PEN NEEDLE 4MM 32G SFA
ST32GX4MM Needle 97799367 INSULIN PEN NEEDLE 32GX4MM MDT
ST32GX4MM Needle 97799399 INSUPEN 32GX4MM NEEDLE DPI
ST32GX4MM Needle 97799334 MONTKIDDY BLUE NEEDLE 32GX4MM MDT
ST32GX4MM Needle 97799335 MONTKIDDY PINK NEEDLE 32GX4MM MDT
ST32GX4MM Needle 97799336 MONTKIDDY YELLOW NEEDLE 32GX4MM MDT
ST32GX4MM Needle 97799386 NOVOFINE PLUS 4MM NEEDLE NOO
ST32GX4MM Needle 97799337 SiteSmart Coloured Pen Needles 32GX4MM MDT
ST32GX4MM Needle 97799440 ULTICARE 32GX4MM PEN NEEDLE DPI
ST32GX5MM Needle 97799242 DROPLET PEN NEEDLE 5MM 32G SFA
ST32GX6MM Needle 97799241 DROPLET PEN NEEDLE 6MM 32G SFA
ST32GX6MM Needle 97799363 INSULIN PEN NEEDLE 32GX6MM MDT
ST32GX6MM Needle 97799571 INSUPEN 32GX6MM NEEDLE DPI
ST32GX8MM Needle 97799240 DROPLET PEN NEEDLE 8MM 32G SFA
ST32GX8MM Needle 97799365 INSULIN PEN NEEDLE 32GX8MM MDT
ST32GX8MM Needle 97799570 INSUPEN 32GX8MM NEEDLE DPI
ST33GX4MM Needle 97799383 INSUPEN 33GX4MM NEEDLE DPI
ST315GXMM Needle 97799149 ULTICARE 31GX5MM PEN NEEDLE UNK
ST318GXMM Needle 97799148 ULTICARE 31GX8MM PEN NEEDLE UNK
324GXMM Needle 97799160 BD NANO PRO 32GX4MM PEN NEEDLE BTD
ST324GXMM Needle 97799147 ULTICARE 32GX4MM PEN NEEDLE UNK
ST326GXMM Needle 97799150 ULTICARE 32GX6MM PEN NEEDLE UMI
21G Needle 09991504 BD BUTTERFLY NEEDLE 21G BTD
ST29G Needle 97799897 BD ULTRA-FINE PEN NEEDLE 29G BTD
ST30G Needle 97799467 NOVOTWIST TIP 30G NEEDLE NOO
ST32G Needle 97799821 NOVOFINE 32G TIP PEN NEEDLE NOO
ST32G Needle 97799468 NOVOTWIST TIP 32G NEEDLE NOO

SHARPS CONTAINER

Table: SHARPS CONTAINER
Drug strength and dosage form DIN Brand name Manufacturer code
Device 99401026 BC SHARPS CONTAINER 1.4L BTD
Device 99401027 BD SHARPS CONTAINER 3.1L BTD
Device 09991639 BD SHARPS CONTAINER 3L BTD
Device 99401033 SHARPS NESTABLE YELLOW LARGE 22.7L UNK

SYRINGE & NEEDLE

Table: SYRINGE & NEEDLE
Drug strength and dosage form DIN Brand name Manufacturer code
ST27GX1/2 Needle 09991381 BD PRECISIONGLIDE 27GX1/2 BTD
ST18G Needle 09991402 BD PRECISIONGLIDE 18GX1 1/2 BTD
ST18G Needle 09991401 BD PRECISIONGLIDE 18GX1 NEEDLE BTD
ST25G Needle 09991385 BD PRECISIONGLIDE 25GX5/8 BTD
ST25G Needle 09991386 BD PRECISIONGLIDE 25GX7/8 BTD
ST26G Needle 09991384 BD PRECISIONGLIDE 26GX1/2 BTD
ST26G Needle 09991383 BD PRECISIONGLIDE 26GX3/8 BTD
ST27G Needle 09991382 BD PRECISIONGLIDE 27GX1 1/4 BTD
Syringe 09991609 BD POSIFLUSH SP BTD
Syringe 09991659 BD POSIFLUSH SP BTD
ST Syringe 00977020 PLASTIPAK MICRO BTD
ST Syringe 97799510 ULTICARE LOW DEAD SPACE SYRINGE UMI
ST0.25CC Syringe 99002132 INSULIN SYR W/NEEDL 0.25CC UNK
0.3CC Syringe 00977961 BD MICRO-FINE 0.3CC SYRINGE BTD
ST0.3CC Syringe 99002140 INSULIN SYR W/NEEDLE 0.3CC UNK
ST0.5CC Syringe 00920096 E-Z JE RIV
ST0.5CC Syringe 99002159 INSULIN SYR W/NEEDLE 0.5CC UNK
ST0.5CC Syringe 00977136 MONOJECT BTD
ST0.5CC/1CC Syringe 00977128 MONOJECT MDT
ST1CC Syringe 00920061 E-Z JE RIV
1CC Syringe 99002167 INSULIN SYR W/NEEDLE 1CC UNK
ST1ML Syringe 09991376 BD LUER-LOK TIP 1ML SYRINGE BTD
ST1ML Syringe 09991375 BD SLIP TIP 1ML SYRINGE BTD
ST3ML Syringe 09991371 BD LUER-LOK TIP 3ML SYRINGE BTD
ST3ML Syringe 09991372 BD SLIP TIP 3ML SYRINGE BTD
ST5ML Syringe 09991373 BD LUER-LOK TIP 5ML SYRINGE BTD
ST5ML Syringe 09991374 BD SLIP TIP 5ML SYRINGE BTD
ST8MM Syringe 97799261 SURECOMFORT 5/16 IN 30GX0.3CC UNK
ST8MM Syringe 97799272 SURECOMFORT 5/16 IN 30GX0.5CC UNK
ST8MM Syringe 97799265 SURECOMFORT 5/16 IN 30GX1CC UNK
ST8MM Syringe 97799273 SURECOMFORT 5/16 IN 31GX0.3CC UNK
ST8MM Syringe 97799274 SURECOMFORT 5/16 IN 31GX0.3CC UNK
ST8MM Syringe 97799263 SURECOMFORT 5/16 IN 31GX0.5CC UNK
ST8MM Syringe 97799262 SURECOMFORT 5/16 IN 31GX1CC UNK
ST10ML Syringe 09991363 BD LUER-LOK TIP 10ML SYRINGE BTD
ST10ML Syringe 09991364 BD SLIP TIP 10ML SYRINGE BTD
ST12MM Syringe 97799275 SURECOMFORT 1/2 IN 28GX1CC SYRINGE UNK
ST12.7MM Syringe 97799257 SURECOMFORT 1/2 IN 28GX0.5CC UNK
ST12.7MM Syringe 97799260 SURECOMFORT 1/2 IN 29GX0.3CC UNK
ST12.7MM Syringe 97799259 SURECOMFORT 1/2 IN 29GX0.5CC UNK
ST12.7MM Syringe 97799258 SURECOMFORT 1/2 IN 29GX1CC UNK
ST12.7MM Syringe 97799264 SURECOMFORT 1/2 IN 30GX0.3CC UNK
ST12.7MM Syringe 97799270 SURECOMFORT 1/2 IN 30GX0.5CC UNK
ST12.7MM Syringe 97799271 SURECOMFORT 1/2 IN 30GX1CC UNK
ST18GX1 1/2 Syringe 09991349 BD LUER-LOK TIP 18GX1 1/2 SYRINGE BTD
ST20ML Syringe 09991368 BD LUER-LOK TIP 20ML SYRINGE BTD
ST20ML Syringe 09991369 BD SLIP TIP 20ML SYRINGE BTD
ST21GX1 Syringe 09991360 BD TUBERCULIN 21GX1 SYRINGE BTD
ST22GX1 1/2 Syringe 09991341 BD LUER-LOK TIP 22GX1 1/2 SYRINGE BTD
ST23GX5/8 Syringe 09991339 BD LUER-LOK TIP 25GX5/8 SYRINGE BTD
ST25GX1 1/2 Syringe 09991337 BD LUER-LOK TIP 25GX1 1/2 SYRINGE BTD
ST25GX1 Syringe 09991338 BD LUER-LOK TIP 25GX1 SYRINGE BTD
ST25GX5/8 Syringe 09991359 BD TUBERCULIN 25GX5/8 SYRINGE BTD
ST26GX3/8 Syringe 09991358 BD TUBERCULIN 26GX3/8 SYRINGE BTD
ST26GX5/8 Syringe 09991361 BD SLIP TIP SUB Q 26G SYRINGE BTD
ST27GX1/2 Syringe 09991356 BD TUBERCULIN 27GX1/2 SYRINGE BTD
ST27GX1/2 Syringe 09991357 BD TUBERCULIN 27GX1/2 SYRINGE BTD
28GX0.5CC Syringe 00920177 BD MICRO-FINE 28GX0.5CC SYRINGE BTD
ST28GX0.5CC Syringe 97799518 ULTICARE 1/2 IN 28GX0.5CC SYRINGE UMI
28GX1CC Syringe 00920185 BD MICRO-FINE 28GX1CC SYRINGE BTD
ST28GX1CC Syringe 97799517 ULTICARE 1/2 IN 28GX1CC SYRINGE UMI
ST29GX0.3CC Syringe 97799509 ULTI SYG 1/2 IN 29GX0.3CC UMI
ST29GX0.3CC Syringe 97799999 ULTICARE 29GX0.3CC AUC
ST29GX0.3CC Syringe 97799887 ULTRA 29G3/10CC BTD
ST29GX0.5CC Syringe 97799888 BD ULTRA 29G.1/2CC SYRINGE BTD
ST29GX0.5CC Syringe 97799508 ULTI SYG 1/2 IN 29GX0.5CC UMI
ST29GX0.5CC Syringe 97799998 ULTICARE 29GX0.5CC AUC
ST29GX1CC Syringe 97799889 BD ULTRA 29G.1CC SYRINGE BTD
ST29GX1CC Syringe 97799507 ULTI SYG 1/2 IN 29GX1CC SYRINGE UMI
ST29GX1CC Syringe 97799997 ULTICARE 29GX0.1CC AUC
ST30GX0.3CC Syringe 97799551 ULTI SYG 1/2 IN 30GX0.3CC UMI
ST30GX0.3CC Syringe 97799506 ULTI SYG 5/16 IN 30GX0.3CC UMI
ST30GX0.3CC Syringe 97799996 ULTICARE 30GX0.3CC AUC
ST30GX0.3CC Syringe 97799886 ULTRA-FINE II 30GX0.3 CC SYRINGE BTD
ST30GX0.5CC Syringe 97799885 BD ULTRA-FINE II 30GX0.5CC SYRINGE BTD
ST30GX0.5CC Syringe 97799550 ULTI SYG 1/2 IN 30GX0.5CC UMI
ST30GX0.5CC Syringe 97799505 ULTI SYG 5/16 IN 30GX0.5CC UMI
ST30GX0.5CC Syringe 97799995 ULTICARE 30GX0.5CC AUC
ST30GX1CC Syringe 97799549 ULTI SYG 1/2 IN 30GX1CC SYRINGE UMI
ST30GX1CC Syringe 97799504 ULTI SYG 5/16 IN 30GX1CC SYRINGE UMI
ST30GX1CC Syringe 97799994 ULTICARE 30GX0.1CC AUC
ST30GX1CC Syringe 97799890 ULTRA-FINE II 30G.1CC BTD
ST30ML Syringe 09991377 BD LUER-LOK TIP 30ML SYRINGE BTD
ST30ML Syringe 09991378 BD SLIP TIP 30ML SYRINGE BTD
ST31GX0.3CC Syringe 97799369 INSULIN 31GX0.3CC MDT
ST31GX0.3CC Syringe 97799548 ULTI SYG 5/16 IN 31GX0.3CC UMI
ST31GX0.3CC Syringe 97799513 ULTICARE 5/16 IN 31GX0.3CC SYRINGE UMI
ST31GX0.5CC Syringe 97799370 INSULIN 31GX0.5CC MDT
ST31GX0.5CC Syringe 97799547 ULTI SYG 5/16 IN 31GX0.5CC UMI
ST31GX0.5CC Syringe 97799512 ULTICARE 5/16 IN 31GX0.5CC SYRINGE UMI
ST31GX1CC Syringe 97799371 INSULIN 31GX1CC MDT
ST31GX1CC Syringe 97799546 ULTI SYG 5/16 IN 31GX1CC SYRINGE UMI
ST31GX1CC Syringe 97799511 ULTICARE 5/16 IN 31GX1CC SYRINGE UMI
ST31GX6MMX0.3CC Syringe 97799425 BD SYRINGE WITH ULTRA-FINE NEEDLE BTD
ST31X6MMX0.5CC Syringe 97799385 BD SYRINGE + NEEDLE BTD
ST31X6MMX1CC Syringe 97799384 BD SYRINGE + NEEDLE BTD
ST60ML Syringe 09991455 BD LUER-LOK TIP 60ML SYRINGE BTD
ST60ML Syringe 09991454 BD SLIP TIP 60ML SYRINGE BTD

SYRINGE CASE

Table: SYRINGE CASE
Drug strength and dosage form DIN Brand name Manufacturer code
Device 99400552 MYHEALTH SYRINGE CASE-7 AUC
Device 99400551 MYHEALTH SYRINGE CASE-SINGLE AUC
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