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An pump with a glucose meter that communicates results wirelessly to the pump and no formulary alternative is available (for example, One Touch Ultra link meter One Touch Ultra test strips , One Touch Ping meter One Touch Ultra test strips , Nova Max Link meter Nova Max test strips ). 4. The patient is receiving peritoneal dialysis or the intravenous immune globulin (IVIG) preparation Octagam and the provider is concerned about the glucose dehydrogenase-pyrroloquinolinequinone interac.

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