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Diabetic Test Strips and Meters (other than Abbott or Roche products) Medication Request Form (MRF) for Healthy Indiana Plan (HIP) and Hoosier Care Connect (HCC) FAX TO: (858) 7907100 c/o Impact Healthcare

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What is mdwise diabetic test strips?

Mdwise diabetic test strips are used to measure glucose levels in diabetic patients.

Who is required to file mdwise diabetic test strips?

Diabetic patients or their caregivers are required to file mdwise diabetic test strips.

How to fill out mdwise diabetic test strips?

Mdwise diabetic test strips can be filled out by inserting them into a glucose meter and following the instructions provided.

What is the purpose of mdwise diabetic test strips?

The purpose of mdwise diabetic test strips is to monitor and manage blood sugar levels in diabetic individuals.

What information must be reported on mdwise diabetic test strips?

The information reported on mdwise diabetic test strips typically includes the date, time, and glucose level reading.

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