Y42.3
Acarbose
25 mg, 50mg, 100mg
Tablet
Y42.3
Accu-Chek Active Test Strips
Test Strips
Y42.3
Accu-Chek Advantage Strips
Test Strips
Y42.3
Accu-Chek Aviva Test Strips
Test Strips
Y42.3
Accu-Chek Comfort Curve Strips
Test Strips
Y42.3
Accu-Chek Compact Strips
Test Strips
Y42.3
Accu-Chek Complete Test Strips
Test Strips
Y42.3
Accu-Chek Easy Test Strips
Test Strips
Y42.3
Accu-Chek Instant Test Strips
Test Strips
Y42.3
Accu-Chek Simplicity Strips
Test Strips
Y42.3
Acebutolol
200 mg
Capsules
Y42.3
Acetohexamide
250mg, 500mg
Tablet
Y42.3
Chlorpropamide
100mg, 250mg
Tablet
Y42.3
Ertugliflozin
5 mg, 15 mg
Tablet
Exenatide
2mg
Injection
Y42.3
Glibenclamide
2.5 mg, 5 mg
Tablet
Glibenclamide and Metformin
2.5mg/400mg, 5mg/500mg, 2.5mg/250mg, 1.25mg/250mg, 2.5mg/500mg
Tablet
Y42.3
Gliclazide
40mg, 80mg, 30mg, 160mg, 60mg,
Tablet
Y42.3
Glimepride
1mg, 2mg, 4mg
Tablet
Y42.3
Glipizide
5mg, 10mg
Tablet
Y42.3
Glipizide and Metformin
2.5 mg/250 mg, 2.5 mg/500 mg, 5 mg/500 mg
Tablets
Y42.3
Glipizide, Extended Release
2.5mg, 5mg, 10mg
Tablet
Y42.3
Glipizide/Metformin
2.5-250, 2.5-500, 5-500
Tablet
Y42.3
Glyburide
1.5mg, 3mg, 6mg
Tablet
Y42.3
Glyburide
1.25mg, 2.5mg, 5mg
Tablet
Y42.3
Glyburide/Metformin HCL
1.25mg, 250mg, 2.5mg/500mg, 5mg/500mg
Tablet
Y42.3
Insulin
10ml/Vial
Injection
Y42.3
Insulin Aspart
10ml/Vial
Injection
Y42.3
Insulin Detemir
10ml/Vial
Injection
Y42.3
Insulin glargine
10ml/Vial
Injection
Y42.3
Insulin Glulisine
10ml, 3ml
Injection
Y42.3
Insulin Lispro
10ml/vial
Injection
Y42.3
Linagliptin
5mg
Tablets
Y42.3
Linagliptin and Metformin Hydrochloride
2.5mg/500mg, 2.5mg/850mg, 2.5mg/1000mg
Tablets
Y42.3
Liraglutide [rDNA] Injection
0.6mg, 1.2mg, or 1.8mg (6mg/mL, 3 mL).
Injection
Y42.3
Metformin
500mg, 850mg, 1000mg
Tablet
Y42.3
Metformin, Extended-Release
500mg, 750mg
Tablet
Y42.3
Miglitol
25mg, 50mg, 100mg
Tablet
Y42.3
Nateglinide
60mg, 120mg
Tablet
Y42.3
One Touch Basic Test Strips
Test Strips
Y42.3
One Touch FastTake Test Strips
Test Strips
Y42.3
One Touch Profile Test Strips
Test Strips
Y42.3
One Touch SureStep Test Strips
Test Strips
Y42.3
One Touch Ultra Test Strips
Test Strips
Y42.3
One Touch UltraSmart Test Strips
Test Strips
Y42.3
Pioglitazone
15mg, 30mg, 45mg
Tablet
Y42.3
Pioglitazone and Metformin
15mg/500mg
Tablet
Y42.3
Repaglinide
0.5mg, 1mg, 2mg
Tablet
Y42.3
Repaglinide and Metformin
1m/500mg, 2mg/500mg
Tablet
Y42.3
Rosiglitazone
2mg, 4mg, 8mg
Tablet
Y42.3
Rosiglitazone and Metformin
2mg/500mg, 4mg/1,000mg
Tablets
Y42.3
Rosiglitazone/Metformin
1-500, 2-500, 4-500
Tablet
Y42.3
Saxagliptin
2.5mg, 5mg
Tablets
Y42.3
Semaglutide
0.25 mg, 0.5 mg, 1 mg
Injection
Teneligliptin
20 mg
Tablet
Tolazamide
100mg, 250mg, 500mg
Tablet
Y42.3
Tolbutamide
500mg
Tablet
Y42.3
Vildagliptin
Y42.3
Vildagliptin
50mg
Tablet
Y42.3
Voglibose
0.2mg, 0.3mg
Tablets
Y42.3
Diabetes
Generic Name(s)
Strength
Dosage Form
ICD Code
Human Insulin
Diabetic peripheral neuropathy
Generic Name(s)
Strength
Dosage Form
ICD Code
Epalrestat
50mg, 150mg
Tablet
SGLT2 inhibitors
Generic Name(s)
Strength
Dosage Form
ICD Code
Canagliflozin
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