Number 298 • March 2011
A BULLETIN FOR PHARMACY SERVICE PROVIDERS FROM ALBERTA BLUE CROSS
Use of Pseudo Product Identification
Numbers
A list of pseudo Product Identification Numbers (PINs) is featured in this Benefact for your reference.
When billing indicated products to Alberta Blue Cross, please use the appropriate PIN.
Note these products may not be eligible for coverage through all of your customers’ plans. Contact
Alberta Blue Cross Pharmacy Services in instances where you are uncertain whether a customer is
eligible for coverage of such products.
IV SUPPLIES
PRODUCT DESCRIPTION
PIN
PRODUCT DESCRIPTION
PIN
ALCOHOL SWABS
00990025
3.3% DEXT/ 0.3% NACL (2/3-1/3) INJECTION
00990034
CARTRIDGES
00990026
3.3% DEXT/ 0.3% NACL/ 20 MEQ KCL INJECTION
00990037
HEP-LOCKS
00990023
3.3% DEXT/ 0.3% NACL/ 40 MEQ KCL INJECTION
00990038
IV SOLUTIONS
00990022
5% DEXTROSE (D5W) INJECTION
00990033
IV TUBING
00990021
5% DEXTROSE/ 0.15% KCL 20MEQ INJECTION
00990035
NEEDLES
00990019
5% DEXTROSE/ 0.3% KCL 40 MEQ INJECTION
00990036
SYRINGES
00990020
LACTATED RINGER’S INJECTION
00990039
0.9% SODIUM CHLORIDE INJECTION
00990040
DIABETES SUPPLIES
PRODUCT DESCRIPTION
PIN
PRODUCT DESCRIPTION
PIN
ALCOHOL SWABS-DIABETES
00999984
INSULIN INJECTORS
00990030
BLOOD GLUCOSE METER
00990024
INSULIN PEN NEEDLES
00999985
BLOOD GLUCOSE TEST STRIPS
00999955
INSULIN PUMPS
00999988
BLOOD KETONE TEST STRIPS
00990072
INSULIN SYRINGES
00999952
BLOOD LETTING LANCET
00999941
LANCING DEVICE
00999942
COTTON SWABS-DIABETES
00990064
NEEDLELESS SYRINGE FOR INSULIN INJECTOR
00999017
GLUCOSE CALIBRATION SOLUTION
00990058
RUBBING ALCOHOL-DIABETES
00990065
GLUCOSE MONITORING TRANSMITTER
00999471
SYRINGE/VIAL ADAPTER KIT FOR INSULIN INJECTOR
00999018
GLUCOSE MONITORING TRANSMITTER
SENSORS
00999472
URINE TEST STRIPS
00999957
INFUSION SETS (TUBING & NEEDLE)
00990045
VIAL ADAPTER/ADAPTER CAP FOR INSULIN
INJECTOR
00999016
INSULIN CARTRIDGES
00990057
MISCELLANEOUS
PRODUCT DESCRIPTION
METHADONE ORAL LIQUID
PIN
00999995
PRODUCT DESCRIPTION
ALLERGY SERUM INJECTION
PIN
00999981
continued on reverse...
NUTRITIONAL PRODUCTS
PRODUCT DESCRIPTION
BENEPROTEIN ORAL POWDER
PIN
PRODUCT DESCRIPTION
PIN
00999415
NOVASOURCE RENAL LIQUID
00990056
BOOST 1.0 STANDARD ORAL LIQUID
00999960
NUTRAMIGEN A+ HYPOALLERGENIC INFANT
FORMULA LIQUID
00999521
BOOST 1.5 PLUS CALORIES ORAL LIQUID
00999932
NUTRAMIGEN A+ HYPOALLERGENIC INFANT
FORMULA POWDER
00999520
BOOST DIABETIC ORAL LIQUID
00999483
NUTRAMIGEN AA INFANT FORMULA POWDER
00999543
BOOST FRUIT FLAVOURED BEVERAGE ORAL
LIQUID
00999402
NUTREN 1.5 ORAL LIQUID
00999936
BOOST HIGH PROTEIN ORAL LIQUID
00999427
NUTREN 2.0 ORAL LIQUID
00999964
BOOST ORAL LIQUID
00999920
NUTREN JUNIOR FIBRE WITH PREBIO 1 ORAL
LIQUID
00999419
BOOST ORAL PUDDING
00999440
NUTREN JUNIOR ORAL LIQUID
00999418
BOOST PLUS CALORIES ORAL LIQUID
00999921
NUTRIHEP ORAL LIQUID
00999347
COMPLEAT ORAL LIQUID
00999966
OPTIMENTAL ORAL LIQUID
00999420
COMPLEAT PEDIATRIC ORAL LIQUID
00999426
PEDIASURE PLUS WITH FIBRE ORAL LIQUID
00999434
CONSIST-RITE ORAL POWDER
00999455
PEDIASURE WITH FIBRE ORAL LIQUID
00990029
DUOCAL ORAL POWDER
00999444
PEPTAMEN 1.5 ORAL LIQUID
00999421
E028 SPLASH ORAL LIQUID
00999524
PEPTAMEN AF 1.2 ORAL LIQUID
00999467
ENSURE
00999901
PEPTAMEN JUNIOR 1.5 ORAL LIQUID
00999553
ENSURE HIGH-PROTEIN ORAL LIQUID
00999934
PEPTAMEN JUNIOR ORAL LIQUID
00999408
ENSURE LIQUID WITH FIBRE
00999918
PEPTAMEN ORAL LIQUID
00999944
ENSURE ORAL PUDDING
00999404
PEPTAMEN WITH PREBIO 1 ORAL LIQUID
00999435
ENSURE PLUS
00999902
PERATIVE ORAL LIQUID
00999423
ENSURE PREBIOTICS ORAL LIQUID
00999525
POLYCOSE ORAL POWDER
00999928
GLUCERNA ORAL LIQUID
00999940
PULMOCARE ORAL LIQUID
00999412
ISOSOURCE 1.5 CAL ORAL LIQUID
00999425
RESOURCE 2.0 ORAL LIQUID
00999409
ISOSOURCE HN ORAL LIQUID
00999410
RESOURCE DAIRY THICK ORAL LIQUID
00999469
ISOSOURCE HN WITH FIBRE ORAL LIQUID
00999424
RESOURCE DIABETIC ORAL LIQUID
00999413
ISOSOURCE VHN ORAL LIQUID
00999428
RESOURCE JUST FOR KIDS 1.5 CAL WITH
FIBRE LIQUID
00999458
ISOSOURCE VHP FIBRE-FREE ORAL LIQUID
00999550
RESOURCE KID ESSENTIALS ORAL LIQUID
00999551
JEVITY 1 CAL ORAL LIQUID
00999938
RESOURCE THICKENED JUICE ORAL LIQUID
00999429
JEVITY 1.2 CAL ORAL LIQUID
00999416
RESOURCE THICKENUP ORAL POWDER
00999453
JEVITY 1.5 CAL ORAL LIQUID
00999475
SCANDISHAKE ORAL FOOD SUPPLEMENT
POWDER
00999935
KETOCAL ORAL POWDER
00999445
SIMILAC ADVANCE NEOSURE ORAL POWDER
00999465
MCT OIL ORAL LIQUID
00999927
SIMILAC ALIMENTUM WITH IRON ORAL INFANT
FORMULA
00999449
NEOCATE JUNIOR ORAL POWDER
00999447
SUPLENA ORAL LIQUID
00999414
NEOCATE ORAL INFANT FORMULA
00999456
TOLEREX ORAL POWDER
00999929
NEPRO CARB STEADY ORAL LIQUID
00999545
TWOCAL HN ORAL LIQUID
00999430
NEPRO ORAL LIQUID
00999922
VITAL HN ORAL POWDER
00999965
OSMOLITE 1.5 CAL ORAL LIQUID
00999552
VIVONEX PEDIATRIC ORAL POWDER
00999422
OSMOLITE HN ORAL LIQUID
00999937
VIVONEX PLUS ORAL POWDER
00999405
PEDIASURE ORAL LIQUID
00999933
VIVONEX T.E.N. ORAL POWDER
00999983
continued on next page...
AEROSOL HOLDING CHAMBER/MASK DEVICE
PRODUCT DESCRIPTION
PIN
PRODUCT DESCRIPTION
PIN
ADULT AEROCHAMBER MAX WITH MASK
DEVICE
00990085
POCKET CHAMBER DEVICE
00990067
AEROCHAMBER AC BOYZ CHAMBER
00990089
POCKET CHAMBER PEDIATRIC LARGE MASK
DEVICE
00990070
AEROCHAMBER AC GIRLZ CHAMBER
00990088
POCKET CHAMBER PEDIATRIC MEDIUM MASK
DEVICE
00990069
AEROCHAMBER MAX DEVICE
00990084
POCKET CHAMBER PEDIATRIC SMALL MASK
DEVICE
00990068
AEROCHAMBER PLUS FLOW-VU W/ LARGE
MASK
00990094
POCKET SPACER DEVICE
00990066
AEROCHAMBER PLUS FLOW-VU W/ MEDIUM
MASK
00990093
PRIMEAIRE ADULT LARGE MASK DEVICE
00990078
AEROCHAMBER PLUS FLOW-VU W/ SMALL
MASK
00990092
PRIMEAIRE ADULT MEDIUM MASK DEVICE
00990077
AEROCHAMBER PLUS FLOW-VU W/ MOUTHPIECE
00990091
PRIMEAIRE ADULT SMALL MASK DEVICE
00990076
CHILD AEROCHAMBER MAX WITH MASK DEVICE
00990086
PRIMEAIRE DEVICE
00990074
INFANT AEROCHAMBER MAX WITH MASK
DEVICE
00990087
PRIMEAIRE PEDIATRIC MASK DEVICE
00990075
OPTICHAMBER ADVANTAGE II (CHAMBER
ONLY)
00990095
SEREVENT DISKHALER DEVICE
00999949
OPTICHAMBER ADVANTAGE II (WITH LARGE
MASK)
00990098
SPACE CHAMBER ADULT MASK DEVICE
00990017
OPTICHAMBER ADVANTAGE II (WITH MEDIUM
MASK)
00990097
SPACE CHAMBER DEVICE
00990014
OPTICHAMBER ADVANTAGE II (WITH SMALL
MASK)
00990096
SPACE CHAMBER INFANT MASK DEVICE
00990015
OPTICHAMBER DEVICE
00990059
SPACE CHAMBER PEDIATRIC MASK DEVICE
00990016
OPTICHAMBER LARGE FACE MASK DEVICE
00990061
VORTEX BABY WHIRL INFANT MASK DEVICE
00990081
OPTICHAMBER MEDIUM FACE MASK DEVICE
00990062
VORTEX DEVICE
00990080
OPTICHAMBER SMALL FACE MASK DEVICE
00990063
VORTEX SPINNER PEDIATRIC MASK DEVICE
00990082
OPTIHALER DEVICE
00990060
For more information on pharmacy topics, please contact your
Pharmacy Services representatives at:
® The Blue Cross symbol and name are registered marks of the Canadian
Association of Blue Cross Plans, an association of independent Blue Cross
plans. Licensed to ABC Benefits Corporation for use in operating the Alberta
Blue Cross Plan. ABC 82320.98 2011/03
780-498-8370 (Edmonton and area)
403-294-4041 (Calgary and area)
1-800-361-9632 (toll free) FAX 780-498-8406
(Edmonton and area)
FAX 1-877-305-9911 (toll free)