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Oregon Health Authority<br />
Division of Medical Assistance Programs<br />
Allowable NDCs <strong>for</strong> Diabetic Supply Billing - Effective 8/1/2011<br />
For <strong>billing</strong> guidelines and examples:<br />
Refer to OAR 410-122-0520 (Glucose Monitors and Diabetic Supplies) and the Diabetic Supply<br />
Billing Examples at www.dhs.state.or.us/policy/healthplan/guides/dme/main.html.<br />
NDC Code Labeler Name Label Name Desc<br />
08189850920 CAN-AM CARE CORPORATION SUPER THIN LANCETS<br />
08214015720 OWEN MUMFORD US THIN LANCET<br />
08214015721 OWEN MUMFORD US CAREONE THIN LANCET<br />
08214015724 OWEN MUMFORD US AURORA THIN LANCETS<br />
08214018718 OWEN MUMFORD US KN LANCETS<br />
08214020718 OWEN MUMFORD US KN THIN LANCETS<br />
08214020740 OWEN MUMFORD US TODAY'S HLTH ULTRA THIN LANCET<br />
08214025714 OWEN MUMFORD US ULTRA THIN LANCETS<br />
08214025720 OWEN MUMFORD US ULTRA THIN 28 G LANCET<br />
08214025735 OWEN MUMFORD US ULTRA THIN 28G LANCETS<br />
08214025740 OWEN MUMFORD US TODAY'S HLTH ULTRA THIN LANCET<br />
08214026001 OWEN MUMFORD US AUTOLET MINI LANCING DEVICE<br />
08214026001 OWEN MUMFORD US AUTOLET MINI LANCING DEVICE<br />
08214026501 OWEN MUMFORD US AUTOLET MINI LANCING DEVICE<br />
08214026501 OWEN MUMFORD US AUTOLET MINI LANCING DEVICE<br />
08214027001 OWEN MUMFORD US AUTOLET IMPRESSION LANCING DEV<br />
08214027020 OWEN MUMFORD US ADVANCED LANCING DEVICE<br />
08214027020 OWEN MUMFORD US ADVANCED LANCING DEVICE<br />
08214027101 OWEN MUMFORD US AUTOLET IMPRESSION LANCING DEV<br />
08214030720 OWEN MUMFORD US ULTRA THIN LANCET<br />
08214035720 OWEN MUMFORD US ULTRA THIN LANCET<br />
08214035721 OWEN MUMFORD US CAREONE ULTRA THIN LANCET<br />
08214035726 OWEN MUMFORD US LIVE BETTER ULTRA THIN LANCET<br />
08214035729 OWEN MUMFORD US PUB LANCETS<br />
08214040001 OWEN MUMFORD US UNILET LANCET<br />
08214041401 OWEN MUMFORD US UNILET GP LANCET<br />
08214041801 OWEN MUMFORD US UNILET GP LANCET<br />
08214043514 OWEN MUMFORD US ALTERNATE SITE LANCETS<br />
08214043520 OWEN MUMFORD US ALTERNATE SITE 26 G LANCET<br />
08214044001 OWEN MUMFORD US UNILET LANCET SUPERLITE<br />
08214044501 OWEN MUMFORD US UNILET LANCET SUPERLITE<br />
08214045001 OWEN MUMFORD US UNILET GP LANCET SUPERLITE<br />
08214045501 OWEN MUMFORD US UNILET GP LANCET SUPERLITE<br />
08214046001 OWEN MUMFORD US UNILET COMFORTOUCH LANCET<br />
08214046501 OWEN MUMFORD US UNILET COMFORTOUCH LANCET<br />
08214046520 OWEN MUMFORD US SUPER THIN 30 G LANCET<br />
08214048715 OWEN MUMFORD US ADVANCED TRAVEL LANCETS 28G<br />
08214051001 OWEN MUMFORD US UNILET EXCELITE LANCET<br />
08214051501 OWEN MUMFORD US UNILET EXCELITE LANCET<br />
08214053001 OWEN MUMFORD US UNILET EXCELITE II LANCET<br />
08214053501 OWEN MUMFORD US UNILET EXCELITE II LANCET<br />
08214057601 OWEN MUMFORD US AUTOLET LITE CLINISAFE DEV<br />
08214060001 OWEN MUMFORD US UNISTIK 2.4 MM DEVICE<br />
08214060001 OWEN MUMFORD US UNISTIK 2.4 MM DEVICE<br />
08214061001 OWEN MUMFORD US UNISTIK 3 MM DEVICE<br />
08214061001 OWEN MUMFORD US UNISTIK 3 MM DEVICE<br />
08214065711 OWEN MUMFORD US COMFORT LANCETS<br />
08214065714 OWEN MUMFORD US SUPER THIN LANCETS<br />
08214065720 OWEN MUMFORD US SUPER THIN LANCET<br />
08214065724 OWEN MUMFORD US AURORA SUPER THIN LANCET<br />
08214065726 OWEN MUMFORD US LIVE BETTER SUPER THIN LANCET<br />
08214065735 OWEN MUMFORD US SUPER THIN 30G LANCETS<br />
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