Interactive Drug Benefit List
DIN/NPN/ PIN Generic Name Product Name, Strength & Dosage Form Unit Price, Unit of Issue Manufacturer LCA Price MAC Price Interchangeable Products Coverage Status
00999722 GLUCOSE MONITORING TRANSMITTER GUARDIAN CONNECT TRANSMITTER 599.0000
MIS
MET N/A N/A NO RESTRICTED BENEFIT Details
97799175 GLUCOSE MONITORING TRANSMITTER GUARDIAN LINK TRANSMITTER (670G PUMP) 800.0000
MIS
MET N/A N/A NO RESTRICTED BENEFIT Details
97799178 GLUCOSE MONITORING TRANSMITTER GUARDIAN LINK TRANSMITTER (770G PUMP) 800.0000
MIS
MET N/A N/A NO RESTRICTED BENEFIT Details
97799176 GLUCOSE MONITORING TRANSMITTER SENSOR GUARDIAN SENSOR 79.8000
MIS
MET N/A N/A NO RESTRICTED BENEFIT Details
DIN/NPN/ PIN 00999722
Generic Name GLUCOSE MONITORING TRANSMITTER
Product Name, Strength & Dosage Form GUARDIAN CONNECT TRANSMITTER
Unit Price, Unit of Issue 599.0000
Manufacturer MET
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status RESTRICTED BENEFIT
Details
DIN/NPN/ PIN 97799175
Generic Name GLUCOSE MONITORING TRANSMITTER
Product Name, Strength & Dosage Form GUARDIAN LINK TRANSMITTER (670G PUMP)
Unit Price, Unit of Issue 800.0000
Manufacturer MET
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status RESTRICTED BENEFIT
Details
DIN/NPN/ PIN 97799178
Generic Name GLUCOSE MONITORING TRANSMITTER
Product Name, Strength & Dosage Form GUARDIAN LINK TRANSMITTER (770G PUMP)
Unit Price, Unit of Issue 800.0000
Manufacturer MET
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status RESTRICTED BENEFIT
Details
DIN/NPN/ PIN 97799176
Generic Name GLUCOSE MONITORING TRANSMITTER SENSOR
Product Name, Strength & Dosage Form GUARDIAN SENSOR
Unit Price, Unit of Issue 79.8000
Manufacturer MET
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status RESTRICTED BENEFIT
Details
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NOTICE:
The DBL, DBS and related publications require knowledgeable interpretation and are intended primarily for professional health care practitioners, pharmacies, hospitals and organizations associated with the manufacture, distribution and use of pharmaceutical preparations.
Electronic versions of all DBL and DBS related publications are unofficial versions and are provided for convenience and private use only. Official paper versions can be obtained from Alberta Blue Cross who publishes them on behalf of Alberta Health and Alberta Human Services.
Alberta Health reserves the right to make changes, without notice, to the List through the Interactive DBL(iDBL), and any such changes to the Interactive DBL(iDBL) are effective the date of the change (unless otherwise stated) and regardless of the date of publication in the paper version or updates.