Express Scripts Approved Over-the-Counter COVID-19 Test Kits
| PRODUCT SERVICE ID | PRODUCT NAME |
|---|---|
| 00111070752 | COVID-19 AT-HOME TEST |
| 00111070772 | COVID-19 AT-HOME TEST |
| 06121076304 | CELLTRION DIATRUST COV-19 HOME |
| 06121076323 | CELLTRION DIATRUST COV-19 HOME |
| 08290256094 | BD VERITOR AT-HOME COVID19 TST |
| 08337000158 | INTELISWAB COVID-19 HOME TEST |
| 11877001140 | BINAXNOW COVID-19 AG SELF TEST |
| 14613033967 | QUICKVUE AT-HOME COVID-19 TEST |
| 14613033968 | QUICKVUE AT-HOME COVID-19 TEST |
| 14613033972 | QUICKVUE AT-HOME COVID-19 TEST |
| 16490002574 | CLINITEST COVID-19 HOME TEST |
| 50010022431 | CARESTART COVID-19 AG HOME TST |
| 56362000589 | IHEALTH COVID-19 AG HOME TEST |
| 56362000590 | IHEALTH COVID-19 AG HOME TEST |
| 56362000596 | IHEALTH COVID-19 AG HOME TEST |
| 56964000000 | ELLUME COVID-19 HOME TEST |
| 60006019166 | ON-GO COVID-19 AG AT HOME TEST |
| 60008040780 | INDICAID COVID-19 AG HOME TEST |
| 60008040781 | INDICAID COVID-19 AG HOME TEST |
| 82607066026 | FLOWFLEX COVID-19 AG HOME TEST |
| 82607066027 | FLOWFLEX COVID-19 AG HOME TEST |
| 82607066028 | FLOWFLEX COVID-19 AG HOME TEST |
| 82607066047 | FLOWFLEX COVID-19 AG HOME TEST |
List effective as of 3/22/2022.