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You searched for Freestyle Libre 2 Plus Sensor Device.

Freestyle Libre 2 Plus Sensor At a Glance
Covered:	Yes
Your Cost*:	$$$$
Notices?:	Yes
* Your cost reflects copayment amount for drug. Individuals with high deductible plans may pay full cost of drug until deductible is met.

Strength:

FreeStyle Libre 2 Plus Sensor device

FreeStyle Libre 2 Plus Sensor device

Freestyle Libre 2 Plus Sensor is a covered medication with a Tier PBG copayment. ($$$$)
Notice: Freestyle Libre 2 Plus Sensor requires prior authorization. (PA)
Notice: Freestyle Libre 2 Plus Sensor has a quantity limit. (QL)

Drug Name	Drug Form	Covered	Type	Your Cost*	Notices?
Accu-Chek Fastclix Lancing Dev	Accu-Chek Fastclix Lancing Device Kit	Yes	Brand	$$$$	Yes
Accu-Chek Soft Dev Lancets	Accu-Chek Softclix Lancing Device+Lancets Kit	Yes	Brand	$$$$	Yes
Adjustable Lancing Device	Adjustable Lancing Device	Yes	Brand	$$$$	No
Advocate Lancing Device	Advocate Lancing Device	Yes	Brand	$$$$	No
Advocate Rapid-Safe Lancing	Advocate Rapid-Safe Lancing Device	Yes	Brand	$$$$	No
Auto-Lancet Mini	Auto-Lancet Mini	Yes	Brand	$$$$	No
Autolet Lancing Device	Autolet Lancing Device	Yes	Brand	$$$$	No
Autolet Plus Lancing Device	Autolet Plus Lancing Device	Yes	Brand	$$$$	No
Caretouch Lancing Device	Caretouch Lancing Device	Yes	Brand	$$$$	No
Cequr Simplicity Inserter	Cequr Simplicity Inserter	Yes	Brand	$$$$	Yes
Chosen Lancing Device	Chosen Lancing Device	Yes	Brand	$$$$	No
Dexcom G5 Receiver	Dexcom G5 Receiver Misc	Yes	Brand	$$$$	Yes
Dexcom G5 Transmitter	Dexcom G5 Transmitter Device	Yes	Brand	$$$$	Yes
Dexcom G5-G4 Sensor	Dexcom G5-G4 Sensor Device	Yes	Brand	$$$$	Yes
Dexcom Receiver	Dexcom Receiver Misc	Yes	Brand	$$$$	Yes
Droplet Genteel Lancing Device	Droplet Genteel Lancing Device	Yes	Brand	$$$$	No
Droplet Lancing Device	Droplet Lancing Device	Yes	Brand	$$$$	No
Easy Mini Eject Lancing Device	Easy Mini Eject Lancing Device	Yes	Brand	$$$$	No
Easy Touch Lancing Device	Easy Touch Lancing Device	Yes	Brand	$$$$	No
Embrace Lancing Device	Embrace Lancing Device With Ejector	Yes	Brand	$$$$	No
Fora Lancing Device	Fora Lancing Device	Yes	Brand	$$$$	No
Freestyle Navigator Gluc Sens	Freestyle Navigator Glucose Sensor Device	Yes	Brand	$$$$	Yes
Glucolet 2 Automatic Lancing	Glucolet 2 Automatic Lancing Kit	Yes	Brand	$$$$	Yes
Gojji Lancing Device	Gojji Lancing Device	Yes	Brand	$$$$	No
Healthy Accents Autolet	Healthy Accents Autolet Impression Lancing Device	Yes	Brand	$$$$	No
Incontrol Lancing Device	Incontrol Lancing Device	Yes	Brand	$$$$	No
Lancing Device With Lancets	Lancing Device With Lancets Kit	Yes	Brand	$$$$	Yes
Lanzo Lancing Device	Lanzo Lancing Device Kit	Yes	Brand	$$$$	Yes
Lite Touch Lancing Device	Lite Touch Lancing Device	Yes	Brand	$$$$	No
Mini Lancing Device	Mini Lancing Device	Yes	Brand	$$$$	No
Multi-Lancet Device 2	Multi-Lancet Device 2 Kit	Yes	Brand	$$$$	Yes
Omnipod 5 (G6/Libre 2 Plus)	Omnipod 5 (G6/Libre 2 Plus) Subcutaneous Cartridge	Yes	Brand	$$$$	Yes
Omnipod 5 G6 Intro Kit (Gen 5)	Omnipod 5 G6 Intro Kit (Gen 5) Subcutaneous Cartridge	Yes	Brand	$$$$	Yes
Omnipod 5 G6 Pods (Gen 5)	Omnipod 5 G6 Pods (Gen 5) Subcutaneous Cartridge	Yes	Brand	$$$$	Yes
Omnipod 5 Intro(G6/Libre2plus)	Omnipod 5 Intro Kit(G6/Libre2plus) Subcutaneous Cartridge	Yes	Brand	$$$$	Yes
Omnipod Classic PDM Kit(Gen 3)	Omnipod Classic PDM Kit(Gen 3)	Yes	Brand	$$$$	Yes
Omnipod Go Pods 15 Units/Day	Omnipod Go Pods 15 Units/Day Subcutaneous Cartridge	Yes	Brand	$$$$	Yes
Omnipod Go Pods 20 Units/Day	Omnipod Go Pods 20 Units/Day Subcutaneous Cartridge	Yes	Brand	$$$$	Yes
Omnipod Go Pods 25 Units/Day	Omnipod Go Pods 25 Units/Day Subcutaneous Cartridge	Yes	Brand	$$$$	Yes
Omnipod Go Pods 30 Units/Day	Omnipod Go Pods 30 Units/Day Subcutaneous Cartridge	Yes	Brand	$$$$	Yes
Omnipod Go Pods 40 Units/Day	Omnipod Go Pods 40 Units/Day Subcutaneous Cartridge	Yes	Brand	$$$$	Yes
Omnipod Go Pods	Omnipod Go Pods Subcutaneous Cartridge	Yes	Brand	$$$$	Yes
On Call Lancing Device	On Call Lancing Device	Yes	Brand	$$$$	No
On Call Plus Lancing Device	On Call Plus Lancing Device	Yes	Brand	$$$$	No
Onetouch Delica Lanc Device	Onetouch Delica Lancing Device Kit	Yes	Brand	$$$$	Yes
Onetouch Delica Plus Lanc Dev	Onetouch Delica Plus Lancing Device Kit	Yes	Brand	$$$$	Yes
Onetouch Ultra2 Meter	Onetouch Ultra2 Meter Kit	Yes	Brand	$$$$	No
Onetouch Ultramini	Onetouch Ultramini Kit	Yes	Brand	$$$$	Yes
Onetouch Verio IQ Meter	Onetouch Verio IQ Meter Kit	Yes	Brand	$$$$	No
Onetouch Verio Meter	Onetouch Verio Meter	Yes	Brand	$$$$	Yes
Onetouch Verio Sync	Onetouch Verio Sync Kit	Yes	Brand	$$$$	No
Prodigy Lancing Device	Prodigy Lancing Device	Yes	Brand	$$$$	No
Reliamed Mini Lancing Device	Reliamed Mini Lancing Device	Yes	Brand	$$$$	No
Rightest GD500 Lancing Device	Rightest GD500 Lancing Device	Yes	Brand	$$$$	No
Smartdiabetes Vantage	Smartdiabetes Vantage	Yes	Brand	$$$$	No
Solus V2 Lancing Device	Solus V2 Lancing Device Kit	Yes	Brand	$$$$	Yes
Sure Comfort Lancing Pen	Sure Comfort Lancing Pen	Yes	Brand	$$$$	No
Ulti-Lance	Ulti-Lance Misc	Yes	Brand	$$$$	No
Vivaguard Lancing Device	Vivaguard Lancing Device	Yes	Brand	$$$$	No
Autolet Lite	Autolet Lite	Yes	Brand	$$$$	No
Cequr Simplicity	Cequr Simplicity Device	Yes	Brand	$$$$	Yes
Dexcom G6 Receiver	Dexcom G6 Receiver	Yes	Brand	$$$$	Yes
Dexcom G6 Sensor	Dexcom G6 Sensor Device	Yes	Brand	$$$$	Yes
Dexcom G6 Transmitter	Dexcom G6 Transmitter Device	Yes	Brand	$$$$	Yes
Dexcom G7 Receiver	Dexcom G7 Receiver	Yes	Brand	$$$$	Yes
Dexcom G7 Sensor	Dexcom G7 Sensor Device	Yes	Brand	$$$$	Yes
Freestyle Freedom Lite	Freestyle Freedom Lite Kit	Yes	Brand	$$$$	Yes
Freestyle Insulinx	Freestyle Insulinx Meter	Yes	Brand	$$$$	Yes
Freestyle Libre 14 Day Reader	Freestyle Libre 14 Day Reader	Yes	Brand	$$$$	Yes
Freestyle Libre 14 Day Sensor	Freestyle Libre 14 Day Sensor Kit	Yes	Brand	$$$$	Yes
Freestyle Libre 2 Plus Sensor	Freestyle Libre 2 Plus Sensor Device	Yes	Brand	$$$$	Yes
Freestyle Libre 2 Reader	Freestyle Libre 2 Reader	Yes	Brand	$$$$	Yes
Freestyle Libre 2 Sensor	Freestyle Libre 2 Sensor Kit	Yes	Brand	$$$$	Yes
Freestyle Libre 3 Plus Sensor	Freestyle Libre 3 Plus Sensor Device	Yes	Brand	$$$$	Yes
Freestyle Libre 3 Reader	Freestyle Libre 3 Reader Misc	Yes	Brand	$$$$	Yes
Freestyle Libre 3 Sensor	Freestyle Libre 3 Sensor Device	Yes	Brand	$$$$	Yes
Freestyle Precision Neo Meter	Freestyle Precision Neo Meter	Yes	Brand	$$$$	Yes
Inpen (For Humalog)	Inpen (For Humalog) Subcutaneous	Yes	Brand	$$$$	Yes
Omnipod 5 G6-G7 Intro Kt(Gen5)	Omnipod 5 G6-G7 Intro Kit (Gen 5) Subcutaneous Cartridge	Yes	Brand	$$$$	Yes
Omnipod 5 G6-G7 Pods (Gen 5)	Omnipod 5 G6-G7 Pods (Gen 5) Subcutaneous Cartridge	Yes	Brand	$$$$	Yes
Omnipod Dash Intro Kit (Gen 4)	Omnipod Dash Intro Kit (Gen 4) Subcutaneous Cartridge	Yes	Brand	$$$$	Yes
Omnipod Dash Pods (Gen 4)	Omnipod Dash Pods (Gen 4) Subcutaneous Cartridge	Yes	Brand	$$$$	Yes
Omnipod Go Pods 10 Units/Day	Omnipod Go Pods 10 Units/Day Subcutaneous Cartridge	Yes	Brand	$$$$	Yes
Surestep Glucose Control	Surestep Glucose Control Solution	Yes	Brand	$$$$	No
Surestep Pro High Glucose	Surestep Pro High Glucose Solution	Yes	Brand	$$$$	No
True Metrix Air Glucose Meter	True Metrix Air Glucose Meter	Yes	Brand	$$$$	Yes
True Metrix Air Glucose Meter	True Metrix Air Glucose Meter Kit	Yes	Brand	$$$$	Yes
True Metrix Glucose Meter	True Metrix Glucose Meter	Yes	Brand	$$$$	Yes
True Metrix Glucose Meter	True Metrix Glucose Meter Kit	Yes	Brand	$$$$	Yes
True Metrix Go Glucose Meter	True Metrix Go Glucose Meter	Yes	Brand	$$$$	Yes
V-GO 20	V-GO 20 Device	Yes	Brand	$$$$	Yes
V-GO 30	V-GO 30 Device	Yes	Brand	$$$$	Yes
V-GO 40	V-GO 40 Device	Yes	Brand	$$$$	Yes

Drug Name	Drug Form	Covered	Type	Your Cost*	Notices?
2Tek Control (High-Normal)	2Tek Control (High-Normal) Solution	No	Brand	$$$$	No
2Tek Glucose/Blood Pressure	2Tek Glucose/Blood Pressure Kit	No	Brand	$$$$	No
Accu-Chek Aviva Control Soln	Accu-Chek Aviva Control Soln Solution	No	Brand	$$$$	No
Accu-Chek Aviva Plus Meter	Accu-Chek Aviva Plus Meter	No	Brand	$$$$	No
Accu-Chek Comp Blue Cont, M-H	Accu-Chek Compact Blue Control, Mid-High Solution	No	Brand	$$$$	No
Accu-Chek Compact Plus Control	Accu-Chek Compact Plus Control Solution	No	Brand	$$$$	No
Accu-Chek Guide Glucose Meter	Accu-Chek Guide Glucose Meter	No	Brand	$$$$	No
Accu-Chek Guide L1-L2 Ctrl Sol	Accu-Chek Guide L1-L2 Control Solution	No	Brand	$$$$	No
Accu-Chek Guide Me Glucose Mtr	Accu-Chek Guide Me Glucose Meter	No	Brand	$$$$	No
Accu-Chek Nano	Accu-Chek Nano	No	Brand	$$$$	No
Accu-Chek Smartview Contrl Sol	Accu-Chek Smartview Control Solution	No	Brand	$$$$	No
Accutrend Glucose Control	Accutrend Glucose Control Solution	No	Brand	$$$$	No
Advanced Glucose Meter	Advanced Glucose Meter	No	Brand	$$$$	No
Advocate Blood Glucose Monitor	Advocate Blood Glucose Monitor	No	Brand	$$$$	No
Advocate Control Solution High	Advocate Control Solution High	No	Brand	$$$$	No
Advocate Duo	Advocate Duo Device	No	Brand	$$$$	No
Advocate Duo Meter	Advocate Duo Meter Kit	No	Brand	$$$$	No
Advocate Low Control	Advocate Low Control Solution	No	Brand	$$$$	No
Advocate Redi-Code Duo Meter	Advocate Redi-Code Duo Meter	No	Brand	$$$$	No
Advocate Redi-Code Glu Monitor	Advocate Redi-Code Glucose Monitor	No	Brand	$$$$	No
Advocate Redi-Code Plus	Advocate Redi-Code Plus	No	Brand	$$$$	No
Advocate Redi-Code Plus Ctrl L	Advocate Redi-Code Plus Ctrl Low Solution	No	Brand	$$$$	No
Advocate Redi-Code+ Ctrl High	Advocate Redi-Code+ Ctrl High Solution	No	Brand	$$$$	No
Agamatrix AMP Gluc Monitor Sys	Agamatrix AMP Glucose Monitoring System	No	Brand	$$$$	No
Agamatrix Control Soln-High	Agamatrix Control Solution-High	No	Brand	$$$$	No
Agamatrix Control Soln-Norm-Hi	Agamatrix Control Solution-Normal-High	No	Brand	$$$$	No
Ascensia Contour	Ascensia Contour Solution	No	Brand	$$$$	No
Assure 4 Control Solution	Assure 4 Control Solution Combo Pack	No	Brand	$$$$	No
Assure Dose Normal Control	Assure Dose Normal Control Solution	No	Brand	$$$$	No
Assure Dose Norm-Hi Control	Assure Dose Normal-High Control Solution	No	Brand	$$$$	No
Assure Platinum Glucose Meter	Assure Platinum Glucose Meter	No	Brand	$$$$	No
Assure Prism Control 1-2 Soln	Assure Prism Control 1-2 Solution	No	Brand	$$$$	No
Assure Prism Multi Meter	Assure Prism Multi Meter	No	Brand	$$$$	No
At Home A1C	At Home A1C Device	No	Brand	$$$$	No
Autopen 1 To 21 Units	Autopen 1 To 21 Units Subcutaneous	No	Brand	$$$$	No
Bigfoot Unity	Bigfoot Unity Kit	No	Brand	$$$$	No
Biotel Care BGM-4 Meter	Biotel Care BGM-4 Meter	No	Brand	$$$$	No
Blood Glucose Contrl Hi,Normal	Blood Glucose Control, High And Normal Solution	No	Brand	$$$$	No
Blood Glucose Control, Normal	Blood Glucose Control, Normal Solution	No	Brand	$$$$	No
Blood-Glucose Meter	Blood-Glucose Meter	No	Brand	$$$$	No
Blood-Glucose Meter	Blood-Glucose Meter Kit	No	Generic	$$$$	No
Blulink Diabetic Test Bundle	Blulink Diabetic Test Bundle Kit	No	Brand	$$$$	No
Blulink Glucose Monitor System	Blulink Glucose Monitoring System	No	Brand	$$$$	No
Breeze 2 Control Solution,High	Breeze 2 Control Solution, High	No	Brand	$$$$	No
Breeze 2	Breeze 2 Kit	No	Brand	$$$$	No
Caresens Control A And B	Caresens Control A And B Solution	No	Brand	$$$$	No
Caresens Control A Normal	Caresens Control A Normal Solution	No	Brand	$$$$	No
Caresens N Feliz Glucose Meter	Caresens N Feliz Glucose Meter	No	Brand	$$$$	No
Caretouch Control Soln L2-L3	Caretouch Control Solution L2-L3	No	Brand	$$$$	No
Caretouch Glucose Monitoring	Caretouch Glucose Monitoring System Kit	No	Brand	$$$$	No
Cartridge Stamped IR 1200	Cartridge Stamped IR 1200 Subcutaneous Cartridge	No	Brand	$$$$	No
Clever Choice Glucose Monitor	Clever Choice Mini Blood Glucose Monitor	No	Brand	$$$$	No
Clever Choice Pro	Clever Choice Pro Blood Glucose Monitor	No	Brand	$$$$	No
Clever Choice Talk Glucose Sys	Clever Choice Talk Blood Glucose System	No	Brand	$$$$	No
Contour Link	Contour Link Kit	No	Brand	$$$$	No
Contour Meter	Contour Meter Kit	No	Brand	$$$$	No
Contour Next EZ Meter	Contour Next EZ Meter	No	Brand	$$$$	No
Contour Next Gen Meter	Contour Next Gen Meter	No	Brand	$$$$	No
Contour Next Gen Meter	Contour Next Gen Meter Kit	No	Brand	$$$$	No
Contour Next Glucose Meter	Contour Next Glucose Meter Kit	No	Brand	$$$$	No
Contour Next Lev 1 Control Sol	Contour Next Level 1 Control Solution	No	Brand	$$$$	No
Contour Next Lev 2 Control Sol	Contour Next Level 2 Control Solution	No	Brand	$$$$	No
Contour Next Link 2.4	Contour Next Link 2.4 Kit	No	Brand	$$$$	No
Contour Next Link	Contour Next Link Kit	No	Brand	$$$$	No
Contour Next Meter	Contour Next Meter	No	Brand	$$$$	No
Contour Next One Meter	Contour Next One Meter	No	Brand	$$$$	No
Contour Next USB Meter	Contour Next USB Meter	No	Brand	$$$$	No
Contour Plus Blue Meter	Contour Plus Blue Meter	No	Brand	$$$$	No
Cool Blood Glucose Meter	Cool Blood Glucose Meter	No	Brand	$$$$	No
Cool Blood Glucose Meter	Cool Blood Glucose Meter Kit	No	Brand	$$$$	No
Cool Control A Solution	Cool Control A Solution	No	Brand	$$$$	No
Cool Control B Solution	Cool Control B Solution	No	Brand	$$$$	No
Diatrue Control Solution High	Diatrue Control Solution High	No	Brand	$$$$	No
Diatrue Control Solution Low	Diatrue Control Solution Low	No	Brand	$$$$	No
Diatrue Control Soln Normal	Diatrue Control Solution Normal	No	Brand	$$$$	No
Diatrue Plus Blood Glucose Met	Diatrue Plus Blood Glucose Meter System	No	Brand	$$$$	No
Easy Check High Control	Easy Check High Control Solution	No	Brand	$$$$	No
Easy Check Normal Control	Easy Check Normal Control Solution	No	Brand	$$$$	No
Easy Plus II Blood Glucose Met	Easy Plus II Blood Glucose Meter	No	Brand	$$$$	No
Easy Plus II High Control	Easy Plus II High Control Solution	No	Brand	$$$$	No
Easy Plus II Low Control	Easy Plus II Low Control Solution	No	Brand	$$$$	No
Easy Step High Control Soln	Easy Step High Control Solution	No	Brand	$$$$	No
Easy Step Low Control Solution	Easy Step Low Control Solution	No	Brand	$$$$	No
Easy Step Normal Control Soln	Easy Step Normal Control Soln Solution	No	Brand	$$$$	No
Easy Talk Blood Glucose Meter	Easy Talk Blood Glucose Meter	No	Brand	$$$$	No
Easy Talk Glucose System	Easy Talk Glucose System Kit	No	Brand	$$$$	No
Easy Talk High Control	Easy Talk High Control Solution	No	Brand	$$$$	No
Easy Talk Low Control	Easy Talk Low Control Solution	No	Brand	$$$$	No
Easy Talk Plus II High Control	Easy Talk Plus II High Control Solution	No	Brand	$$$$	No
Easy Talk Plus II Low Control	Easy Talk Plus II Low Control Solution	No	Brand	$$$$	No
Easy Touch Blu Ctrl Soln-L1,L3	Easy Touch Blu Ctrl Soln-L1,L3 Solution	No	Brand	$$$$	No
Easy Touch Blulink Gluc Syst	Easy Touch Blulink Glucose System	No	Brand	$$$$	No
Easy Touch Glucose Monitor	Easy Touch Glucose Monitor	No	Brand	$$$$	No
Easy Touch High-Low Control	Easy Touch High-Low Control Solution	No	Brand	$$$$	No
Easy Touch	Easy Touch Kit	No	Brand	$$$$	No
Easy Trak Blood Glucose Meter	Easy Trak Blood Glucose Meter	No	Brand	$$$$	No
Easy Trak Glucose System	Easy Trak Glucose System Kit	No	Brand	$$$$	No
Easy Trak High Control	Easy Trak High Control Solution	No	Brand	$$$$	No
Easy Trak II Blood Glucose Mtr	Easy Trak II Blood Glucose Meter	No	Brand	$$$$	No
Easy Trak II Ctrl Soln-Normal	Easy Trak II Control Solution-Normal	No	Brand	$$$$	No
Easy Trak Normal Control	Easy Trak Normal Control Solution	No	Brand	$$$$	No
Easy-Touch Blood Glucose Meter	Easy-Touch Blood Glucose Meter	No	Brand	$$$$	No
Easygluco Monitoring System	Easygluco Monitoring System Kit	No	Brand	$$$$	No
Easymax 15 Level 1	Easymax 15 Level 1 Solution	No	Brand	$$$$	No
Easymax 15 Level 2	Easymax 15 Level 2 Solution	No	Brand	$$$$	No
Easymax Low Control	Easymax Low Control Solution	No	Brand	$$$$	No
Easymax NG	Easymax NG Kit	No	Brand	$$$$	No
Easymax NG	Easymax NG Meter	No	Brand	$$$$	No
Easymax Normal Control	Easymax Normal Control Solution	No	Brand	$$$$	No
Easymax T1	Easymax T1 Kit	No	Brand	$$$$	No
Easymax V2 Blood Glucose Meter	Easymax V2 Blood Glucose Meter	No	Brand	$$$$	No
Easymax V2 Glucose System Kit	Easymax V2 Glucose System Kit	No	Brand	$$$$	No
Element Compact Glucose Meter	Element Compact Glucose Meter	No	Brand	$$$$	No
Element Compact V Glucose Mtr	Element Compact V Glucose Meter	No	Brand	$$$$	No
Element High Control	Element High Control Solution	No	Brand	$$$$	No
Element Plus Blood Glucose Kit	Element Plus Blood Glucose Kit	No	Brand	$$$$	No
Embrace Blood Glucose	Embrace Blood Glucose Kit	No	Brand	$$$$	No
Embrace Blood Glucose System	Embrace Blood Glucose System	No	Brand	$$$$	No
Embrace EVO Blood Glucose Kit	Embrace EVO Blood Glucose Kit	No	Brand	$$$$	No
Embrace EVO Glucose Monitor	Embrace EVO Glucose Monitor	No	Brand	$$$$	No
Embrace Glucose Control Low	Embrace Glucose Control Low Solution	No	Brand	$$$$	No
Embrace PRO Glucose Meter	Embrace PRO Blood Glucose Meter	No	Brand	$$$$	No
Embrace PRO	Embrace PRO Solution	No	Brand	$$$$	No
Embrace TALK Blood Glucose Sys	Embrace TALK Blood Glucose Monitoring System Kit	No	Brand	$$$$	No
Embrace TALK Control-High (L2)	Embrace TALK Control-High (L2) Solution	No	Brand	$$$$	No
Embrace TALK Control-Low (L1)	Embrace TALK Control-Low (L1) Solution	No	Brand	$$$$	No
Embrace TALK Glucose Monitor	Embrace TALK Glucose Monitor	No	Brand	$$$$	No
Embrace Wave Plus Glucose Mtr	Embrace Wave Plus Blood Glucose Meter	No	Brand	$$$$	No
Evencare G2	Evencare G2	No	Brand	$$$$	No
Evencare G2	Evencare G2 Solution	No	Brand	$$$$	No
Evencare G3 Control	Evencare G3 Control Solution	No	Brand	$$$$	No
Evencare G3 Glucose Meter	Evencare G3 Glucose Meter Kit	No	Brand	$$$$	No
Evencare Mini Monitor System	Evencare Mini Monitor System	No	Brand	$$$$	No
Evencare	Evencare Solution	No	Brand	$$$$	No
Evolution Normal Control	Evolution Normal Control Solution	No	Brand	$$$$	No
Ez Smart Control	Ez Smart Control Solution	No	Brand	$$$$	No
Fora D10	Fora D10 Kit	No	Brand	$$$$	No
Fora D20	Fora D20 Kit	No	Brand	$$$$	No
Fora D40d Glucose-BP Monitor	Fora D40d Glucose-BP Monitor	No	Brand	$$$$	No
Fora D40g Glucose-BP Monitor	Fora D40g Glucose-BP Monitor	No	Brand	$$$$	No
Fora G20	Fora G20 Kit	No	Brand	$$$$	No
Fora GD50 Blood Glucose System	Fora GD50 Blood Glucose System	No	Brand	$$$$	No
Fora Gtel Multi-Functn Monitor	Fora Gtel Multi-Functional Monitor	No	Brand	$$$$	No
Fora High Control	Fora High Control Solution	No	Brand	$$$$	No
Fora Ketone Control Soln-L1	Fora Ketone Control Solution-L1	No	Brand	$$$$	No
Fora Low Control	Fora Low Control Solution	No	Brand	$$$$	No
Fora Normal Control	Fora Normal Control Solution	No	Brand	$$$$	No
Fora Premium V10 Glucose Meter	Fora Premium V10 Glucose Meter	No	Brand	$$$$	No
Fora TN'g Adv Mobile Multi Mtr	Fora Test N'go Adv Mobile Multi-Function Meter	No	Brand	$$$$	No
Fora TN'g Advance Multi-Fn Mtr	Fora Test N'go Advance Multi-Function Meter	No	Brand	$$$$	No
Fora Test N'go Voice Meter	Fora Test N'go Voice Meter	No	Brand	$$$$	No
Fora TN'g Voice Meter	Fora TN'g Voice Meter	No	Brand	$$$$	No
Fora V10	Fora V10 Kit	No	Brand	$$$$	No
Fora V12 Blood Glucose System	Fora V12 Blood Glucose System Kit	No	Brand	$$$$	No
Fora V20	Fora V20 Kit	No	Brand	$$$$	No
Foracare GD20 Glucose Meter	Foracare GD20 Glucose Meter	No	Brand	$$$$	No
Foracare GDH High Control	Foracare GDH High Control Solution	No	Brand	$$$$	No
Foracare GDH Low Control	Foracare GDH Low Control Solution	No	Brand	$$$$	No
Foracare GDH Normal Control	Foracare GDH Normal Control Solution	No	Brand	$$$$	No
Fortiscare Blood Glucose Syst	Fortiscare Blood Glucose System Kit	No	Brand	$$$$	No
Fortiscare HIGH	Fortiscare HIGH Solution	No	Brand	$$$$	No
Fortiscare LOW	Fortiscare LOW Solution	No	Brand	$$$$	No
Fortiscare NORMAL	Fortiscare NORMAL Solution	No	Brand	$$$$	No
Fortiscare T1 Blood Gluc Sys	Fortiscare T1 Blood Glucose System	No	Brand	$$$$	No
Freestyle Control	Freestyle Control Solution	No	Brand	$$$$	No
Gdrive	Gdrive Kit	No	Brand	$$$$	No
GE100 Blood Glucose System	GE100 Blood Glucose System	No	Brand	$$$$	No
GE100 Blood Glucose System	GE100 Blood Glucose System Kit	No	Brand	$$$$	No
GE100 Control Solution Normal	GE100 Control Solution Normal	No	Brand	$$$$	No
GE333 Blood Glucose System	GE333 Blood Glucose System	No	Brand	$$$$	No
Genteel Vacuum Lancing Device	Genteel Vacuum Lancing Device Combo Pack	No	Brand	$$$$	No
Gluco Navii Glucose Monitor	Gluco Navii Glucose Monitor Kit	No	Brand	$$$$	No
Glucocard 01 Hi-Normal Control	Glucocard 01 High-Normal Control Solution	No	Brand	$$$$	No
Glucocard 01 Meter	Glucocard 01 Meter Kit	No	Brand	$$$$	No
Glucocard 01 Normal Control	Glucocard 01 Normal Control Solution	No	Brand	$$$$	No
Glucocard 01-Mini	Glucocard 01-Mini Kit	No	Brand	$$$$	No
Glucocard Expression	Glucocard Expression	No	Brand	$$$$	No
Glucocard Expression	Glucocard Expression Kit	No	Brand	$$$$	No
Glucocard Expression	Glucocard Expression Solution	No	Brand	$$$$	No
Glucocard Shine Connex Meter	Glucocard Shine Connex Meter	No	Brand	$$$$	No
Glucocard Shine Express Meter	Glucocard Shine Express Meter	No	Brand	$$$$	No
Glucocard Shine Meter	Glucocard Shine Meter	No	Brand	$$$$	No
Glucocard Shine Meter Kit	Glucocard Shine Meter Kit	No	Brand	$$$$	No
Glucocard Shine	Glucocard Shine Solution	No	Brand	$$$$	No
Glucocard Shine XL Meter	Glucocard Shine XL Meter	No	Brand	$$$$	No
Glucocard Vital	Glucocard Vital Kit	No	Brand	$$$$	No
Glucocom Control High	Glucocom Control High Solution	No	Brand	$$$$	No
Glucose Control	Glucose Control Solution	No	Brand	$$$$	No
Glucose Ketone Control Soln	Glucose Ketone Control Soln Solution	No	Brand	$$$$	No
Gmate Smart Meter	Gmate Smart Meter	No	Brand	$$$$	No
Gmate Smart Starter	Gmate Smart Starter Kit	No	Brand	$$$$	No
Gmate Voice Meter	Gmate Voice Meter	No	Brand	$$$$	No
Gojji Ketone Control Soln-L1	Gojji Ketone Control Solution-L1	No	Brand	$$$$	No
Gojji Multi-Functional Meter	Gojji Multi-Functional Meter Kit	No	Brand	$$$$	No
Healthpro Glucose Monitor	Healthpro Glucose Monitor	No	Brand	$$$$	No
Healthpro High-Low Control	Healthpro High-Low Control Solution	No	Brand	$$$$	No
Iglucose Blood Glucose Monitor	Iglucose Blood Glucose Monitor Kit	No	Brand	$$$$	No
Ihealth Control Soln Level 2	Ihealth Control Solution Level 2	No	Brand	$$$$	No
Ihealth Gluco Plus Meter	Ihealth Gluco Plus Meter Kit	No	Brand	$$$$	No
Infinity Control Solution High	Infinity Control Solution High	No	Brand	$$$$	No
Infinity Starter Kit	Infinity Starter Kit	No	Brand	$$$$	No
Infinity Voice Ctrl Soln-Lvl 2	Infinity Voice Control Solution-Level 2	No	Brand	$$$$	No
Infinity Voice Glucose Monitor	Infinity Voice Glucose Monitor	No	Brand	$$$$	No
Inpen (For Novolog Or Fiasp)	Inpen (For Novolog Or Fiasp) Subcutaneous	No	Brand	$$$$	No
Liberty Lev 1 Glucose Control	Liberty Level 1 Glucose Control Low Solution	No	Brand	$$$$	No
Liberty Lev 2 Glucose Control	Liberty Level 2 Glucose Control Normal Solution	No	Brand	$$$$	No
Medisense	Medisense Combo Pack	No	Brand	$$$$	No
Medisense Controls 1-Hi 1-Lo	Medisense Controls 1-Hi 1-Lo Combo Pack	No	Brand	$$$$	No
Medisense Glucose Ketone	Medisense Glucose Ketone Combo Pack	No	Brand	$$$$	No
Medisense Mid Control	Medisense Mid Control Solution	No	Brand	$$$$	No
Medpoint Normal Control	Medpoint Normal Control Solution	No	Brand	$$$$	No
Minimed Instinct Sensor	Minimed Instinct Sensor Device	No	Brand	$$$$	No
Minimed Mio Advance Inf Set23"	Minimed Mio Advance Infusion Set 23"	No	Brand	$$$$	No
Minimed Quick-Serter (MMT-305)	Minimed Quick-Serter (MMT-305) Misc	No	Brand	$$$$	No
Nova Max Glucose Control	Nova Max Glucose Control Solution	No	Brand	$$$$	No
Nova Max Plus Gluc-Keton Meter	Nova Max Plus Glucose-Ketone Meter	No	Brand	$$$$	No
Nova Max Plus Gluc-Keton Meter	Nova Max Plus Glucose-Ketone Meter Kit	No	Brand	$$$$	No
Novamax Plus Glu-Ket	Novamax Plus Glu-Ket Solution	No	Brand	$$$$	No
Omnipod Classic Pods (Gen 3)	Omnipod Classic Pods (Gen 3) Subcutaneous Cartridge	No	Brand	$$$$	No
On Call Express Control	On Call Express Control Solution	No	Brand	$$$$	No
On Call Express Meter	On Call Express Meter	No	Brand	$$$$	No
On Call Express Meter	On Call Express Meter Kit	No	Brand	$$$$	No
On Call Plus Control	On Call Plus Control Solution	No	Brand	$$$$	No
On Call Plus Meter	On Call Plus Meter	No	Brand	$$$$	No
On Call Plus Meter	On Call Plus Meter Kit	No	Brand	$$$$	No
On Call Vivid Control	On Call Vivid Control Solution	No	Brand	$$$$	No
On Call Vivid Meter	On Call Vivid Meter	No	Brand	$$$$	No
On Call Vivid Meter	On Call Vivid Meter Kit	No	Brand	$$$$	No
On Call Vivid Pal Meter	On Call Vivid Pal Blood Glucose Meter	No	Brand	$$$$	No
On Call Vivid Pal Meter	On Call Vivid Pal Blood Glucose Meter Kit	No	Brand	$$$$	No
Onetouch Solutions Starter	Onetouch Solutions Starter Kit	No	Brand	$$$$	No
Onetouch Ultra Control	Onetouch Ultra Control Solution	No	Brand	$$$$	No
Onetouch Ultra2 Meter	Onetouch Ultra2 Meter	No	Brand	$$$$	No
Onetouch Verio Flex Meter	Onetouch Verio Flex Meter Meter	No	Brand	$$$$	No
Onetouch Verio High Control	Onetouch Verio High Control Solution	No	Brand	$$$$	No
Onetouch Verio Mid Control	Onetouch Verio Mid Control Solution	No	Brand	$$$$	No
Onetouch Verio Reflect Meter	Onetouch Verio Reflect Meter	No	Brand	$$$$	No
Optumrx	Optumrx Kit	No	Brand	$$$$	No
Optumrx	Optumrx Meter	No	Brand	$$$$	No
Optumrx	Optumrx Solution	No	Brand	$$$$	No
Oval Tape	Oval Tape	No	Brand	$$$$	No
Pharmacist Choice Glucose Sys	Pharmacist Choice Blood Glucose System	No	Brand	$$$$	No
Pip Blood Glucose Monitor	Pip Blood Glucose Monitoring System	No	Brand	$$$$	No
Pip Glucose Control Soln L1-L2	Pip Glucose Control Solution L1-L2	No	Brand	$$$$	No
Pogo Automatic Blood Gluc Sys	Pogo Automatic Blood Glucose System	No	Brand	$$$$	No
Precision Glucose/Ketone Contr	Precision Glucose/Ketone Contr Combo Pack	No	Brand	$$$$	No
Premier BLU Glucose Meter	Premier BLU Glucose Meter	No	Brand	$$$$	No
Premier Classic Glucose Meter	Premier Classic Glucose Meter	No	Brand	$$$$	No
Premier Compact Glucose Meter	Premier Compact Glucose Meter Kit	No	Brand	$$$$	No
Premier Voice Glucose Meter	Premier Voice Glucose Meter	No	Brand	$$$$	No
Premium Blood Glucose Monitor	Premium Blood Glucose Monitoring System	No	Brand	$$$$	No
Premium V10	Premium V10	No	Brand	$$$$	No
Presto Pro Blood Glucose Meter	Presto Pro Blood Glucose Meter	No	Brand	$$$$	No
Pro Voice V8 Glucose Monitor	Pro Voice V8 Glucose Monitor	No	Brand	$$$$	No
Pro Voice V9 Glucose Monitor	Pro Voice V9 Glucose Monitor	No	Brand	$$$$	No
Prodigy Autocode Monitor Syst	Prodigy Autocode Blood Glucose Monitoring System	No	Brand	$$$$	No
Prodigy Control Solution, Low	Prodigy Control Solution, Low	No	Brand	$$$$	No
Prodigy Control Solution,High	Prodigy Control Solution,High	No	Brand	$$$$	No
Prodigy Pocket Meter	Prodigy Pocket Meter Kit	No	Brand	$$$$	No
Prodigy Voice Glucose Meter	Prodigy Voice Glucose Meter Kit	No	Brand	$$$$	No
Quintet AC	Quintet AC Meter	No	Brand	$$$$	No
Refuah Plus Glucose Control	Refuah Plus Glucose Control Solution	No	Brand	$$$$	No
Relion All-In-One Meter	Relion All-In-One Meter Kit	No	Brand	$$$$	No
Relion Confirm	Relion Confirm Kit	No	Brand	$$$$	No
Relion Micro Glucose Monitor	Relion Micro Glucose Monitor	No	Brand	$$$$	No
Relion Prime Meter	Relion Prime Meter	No	Brand	$$$$	No
Reveal Blood Glucose Meter	Reveal Blood Glucose Meter Kit	No	Brand	$$$$	No
Rightest Control Solution High	Rightest Control Solution High	No	Brand	$$$$	No
Rightest GM550 System	Rightest GM550 System Kit	No	Brand	$$$$	No
Rightest GT333 Glucose Meter	Rightest GT333 Glucose Meter	No	Brand	$$$$	No
Smart Sense Monitoring System	Smart Sense Monitoring System	No	Brand	$$$$	No
Smartdiabetes Xpres	Smartdiabetes Xpres Kit	No	Brand	$$$$	No
Smartest Control	Smartest Control Solution	No	Brand	$$$$	No
Smartest Persona Starter	Smartest Persona Starter Kit	No	Brand	$$$$	No
Smartest Pronto Starter	Smartest Pronto Starter Kit	No	Brand	$$$$	No
SMS Glucose Control	SMS Glucose Control Solution	No	Brand	$$$$	No
Solus V2 Audible Meter	Solus V2 Audible Meter	No	Brand	$$$$	No
Solus V2 Audible Meter	Solus V2 Audible Meter Kit	No	Brand	$$$$	No
Solus V2 Control Solution, Low	Solus V2 Control Solution, Low	No	Brand	$$$$	No
Solus V2 Control Solution,High	Solus V2 Control Solution,High	No	Brand	$$$$	No
Sure Edge Control High	Sure Edge Control High Solution	No	Brand	$$$$	No
Sure Edge Control Low	Sure Edge Control Low Solution	No	Brand	$$$$	No
Sure-Test Easyplus Mini	Sure-Test Easyplus Mini Solution	No	Brand	$$$$	No
Telcare BGM	Telcare BGM Kit	No	Brand	$$$$	No
Telcare Control	Telcare Control Solution	No	Brand	$$$$	No
True Metrix Level 1	True Metrix Level 1 Solution	No	Brand	$$$$	No
True Metrix Level 2	True Metrix Level 2 Solution	No	Brand	$$$$	No
True Metrix Level 3	True Metrix Level 3 Solution	No	Brand	$$$$	No
True2go Blood Glucose System	True2go Blood Glucose System Kit	No	Brand	$$$$	No
Truecontrol Level 0	Truecontrol Level 0 Solution	No	Brand	$$$$	No
Trueresult Blood Glucose Systm	Trueresult Blood Glucose System	No	Brand	$$$$	No
Trueresult Blood Glucose Systm	Trueresult Blood Glucose System Kit	No	Brand	$$$$	No
Truetest High Glucose Control	Truetest High Glucose Control Solution	No	Brand	$$$$	No
Twiist Refill Kt(Csst-Ndl-Syr)	Twiist Refill Kit (Cassette-Needle-Syringe)	No	Brand	$$$$	No
Twiist Rfl(Infus-Csst-Ndl-Syr)	Twiist Refill Kit(Infusion Set-Cassette-Needle-Syringe)	No	Brand	$$$$	No
Twiist Starter Kit	Twiist Starter Kit	No	Brand	$$$$	No
Ultratrak Glucose Meter	Ultratrak Glucose Meter Kit	No	Brand	$$$$	No
Ultratrak High-Low Control	Ultratrak High-Low Control Solution	No	Brand	$$$$	No
Ultratrak Normal Control	Ultratrak Normal Control Solution	No	Brand	$$$$	No
Unistrip High Control	Unistrip High Control Solution	No	Brand	$$$$	No
Unistrip Low Control	Unistrip Low Control Solution	No	Brand	$$$$	No
Verasens Blood Glucose Meter	Verasens Blood Glucose Meter	No	Brand	$$$$	No
Verasens Control Soln-Level 1	Verasens Control Solution-Level 1	No	Brand	$$$$	No
Verasens Meter Starter Kit	Verasens Meter Starter Kit	No	Brand	$$$$	No
Vivaguard Ino Ctrl Soln-L1,2,3	Vivaguard Ino Control Solution-L1,L2,L3	No	Brand	$$$$	No
Vivaguard Ino Ctrl Soln-L1,L3	Vivaguard Ino Control Solution-L1,L3	No	Brand	$$$$	No
Vivaguard Ino Ctrl Soln-L2	Vivaguard Ino Control Solution-L2	No	Brand	$$$$	No
Vivaguard Ino Glucose Meter	Vivaguard Ino Glucose Meter	No	Brand	$$$$	No
Vivaguard Ino Smart Gluc Meter	Vivaguard Ino Smart Glucose Meter	No	Brand	$$$$	No
Wavesense Control Solution	Wavesense Control Solution	No	Brand	$$$$	No
Xpres Normal Control	Xpres Normal Control Solution	No	Brand	$$$$	No

Alternative Drug Information

Discover the value of UPMC Health Plan:

As a member, you will have all the resources you need to manage your health:

Access to care to help you stay healthy.

	$0 preventive care that covers many health services for adults and children at 100 percent.¹
	No-cost preventive medications²
	Access to top-ranked doctors and hospitals and an extended network.³⁴

Care for your mental and physical health

	Six free counseling sessions through LifeSolutions®.⁵
	Free health coaching to help you make healthy changes in your life.

Support you when you need it

	24/7 video visits for treatment that fits your schedule and is covered at 100 percent by most plans.⁶
	The UPMC Health Plan app for easy access to your health insurance information.
	Our exceptional Health Care Concierge team for help navigating your benefits through an online chat or phone call.

¹Preventive care will be covered at 100 percent only when it is received from a participating provider and it is billed as preventive. A separate cost share may apply if additional medical services are received during the same visit or if your preventive care appointment becomes diagnostic in nature.

²Preventive medications on UPMC Health Plan’s Advantage Choice formulary will be covered with no cost share for members who meet certain criteria in accordance with the Patient Protection and Affordable Care Act of 2010.

³Go to www.upmchealthplan.com/BEST for award information.

⁴For details, visit upmchp.us/networkaccess.

⁵UPMC virtual counseling is available to UPMC Health Plan members who are located in Pennsylvania at the time of the visit. The service is available to members of your household who are 18 years old and older. If further counseling is needed, the counselor may refer you or your household members to relevant community resources.

⁶UPMC Health Plan members who are in Pennsylvania at the time of a virtual visit may select a UPMC-employed provider, subject to availability and discretion of the provider. Members located outside of Pennsylvania at the time of service or those who select Talk Therapy or Psychiatry services will receive care from a provider employed or contracted by Online Care Network II PC (OCN), also known as Amwell Medical Group. OCN is not an affiliate of UPMC. Limitations may apply for members of ASO plans that have opted out of coverage. Providers are not available to treat members who are in Puerto Rico.

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You searched for Freestyle Libre 2 Plus Sensor Device.

Alternative drugs to Freestyle Libre 2 Plus Sensor may be available. Review this list with your doctor.

These alternative drugs are not covered.