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Glucose Test Strip Quantity Limit Prior Authorization Form START HERE Member & Prescriber Information Member Name: Prescriber Name: Prescriber Specialty: Current test strip quantity limit of 150 strips
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Glucose test strip quantity refers to the number of test strips used to measure glucose levels in a person's blood.
Individuals or healthcare providers who administer glucose tests are required to file glucose test strip quantity.
To fill out glucose test strip quantity, simply record the number of test strips used for each glucose test.
The purpose of glucose test strip quantity is to track the usage of test strips and monitor glucose testing activities.
The information reported on glucose test strip quantity includes the date of test, number of strips used, and patient's information.
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