Where can I find the Ohio Medicaid Preferred Diabetic Supply List?
We can help you access the most recent version of this important document.
The Ohio Medicaid Preferred Diabetic Supply List can help you determine which supplies are covered by Ohio’s Medicaid Managed Care Plans. The following common supplies are outlined here, and the full list can be found at the link at the bottom of this page.
Blood Glucose Test Strips
| Manufacturer | NDC/HRI | Product Description |
|---|---|---|
| Lifescan, Inc | 53885-0244-50 | Onetouch Ultra Blue |
| Lifescan, Inc | 53885-0245-10 | Onetouch Ultra Blue |
| Lifescan, Inc | 53885-0270-25 | Onetouch Verio |
| Lifescan, Inc | 53885-0271-50 | Onetouch Verio |
| Lifescan, Inc | 53885-0272-10 | Onetouch Verio |
| Lifescan, Inc | 53885-0994-25 | Onetouch Ultra Blue |
| Trividia Heal | 56151-1460-01 | TrueMetrix |
| Trividia Heal | 56151-1460-04 | TrueMetrix |
| Trividia Heal | 56151-1461-01 | Relion TrueMetrix |
| Trividia Heal | 56151-1461-04 | Relion TrueMetrix |
Blood Glucose Meters
| Manufacturer | NDC/HRI | Product Description |
| Lifescan, Inc. | 53885-0044-01 | OneTouch Verio Flex |
| Lifescan, Inc. | 53885-0046-01 | OneTouch Ultra 2 |
| Lifescan, Inc. | 53885-0657-01 | OneTouch Verio |
| Lifescan, Inc. | 53885-0927-01 | OneTouch Verio Reflect |
| Trividia Health, Inc. | 56151-1470-02 | TrueMetrix |
| Trividia Health, Inc. | 56151-1490-02 | TrueMetrix Air |
| Trividia Health, Inc. | 56151-1491-02 | Relion TrueMetrix Air |
Continuous Glucose Monitor
| Manufacturer | NDC/HRI | Product Description |
| Abbott Diabetes Care Sales Corporation | 57599-0001-01 | FreeStyle Libre 14 Day Sensor |
| Abbott Diabetes Care Sales Corporation | 57599-0002-00 | FreeStyle Libre 14 Day Reader |
| Abbott Diabetes Care Sales Corporation | 57599-0800-00 | FreeStyle Libre 2 Sensor |
| Abbott Diabetes Care Sales Corporation | 57599-0803-00 | FreeStyle Libre 2 Reader |
| Abbott Diabetes Care Sales Corporation | 57599-0818-00 | FreeStyle Libre 3 Sensor |
For additional codes and information, download the full Ohio Medicaid Preferred Diabetic Supply List. Navigate to the Ohio Department of Medicaid Drug Coverage Information resource using the link below and choose the Ohio Medicaid Preferred Diabetes Supply List.