Formulary Update – FORA V30 Meters are replaced with FORA Premium V10 Meters

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Date: April 19, 2021
To: Health Plan of San Joaquin (HPSJ) Physicians, Providers, and Pharmacies
From: Health Plan of San Joaquin
Subject: Formulary Update – FORA V30 Meters are replaced with FORA Premium V10 Meters
Business: Medi-Cal

The FORA V30a Blood Glucose Monitors are being discontinued by the manufacturer. Therefore, they will be replaced with FORA Premium V10 Blood Glucose Monitors.

FORA V30a meters may still be available at some pharmacies, for that reason we will not remove this meter from HPSJ’s formulary.

EFFECTIVE IMMEDIATELY: HPSJ covered Blood Glucose Meters

FORA Premium V10 NEW NDC# 16042-0010-58
FORA Premium V10 BLE NEW NDC# 16042-0012-71
FORA V30a NDC# 16042-0010-39

Benefits of the FORA Premium V10 Meters include:

  • Bluetooth or cable connectivity
  • Hear and see test results (speak English/Spanish)
  • No coding required
  • Alternate site testing approved
  • Easy-slide strip ejector
  • Before and after meal notations

What does this mean to providers and pharmacies?
Prescribe and dispense as usual. HPSJ will now cover the FORA Premium V10 Glucose Meter.

What does this mean to members that currently have a FORA V30 Meter?
Not a thing. Continue to use existing FORA V30 meters and test strips.

Will there be new test strips?
Continue to use/order the same FORA test strips.

Health Plan of San Joaquin is dedicated to providing all members the best health care available in the most effective and efficient manner. We believe this change in our Pharmacy Drug Benefit will not affect the quality of the care you provide.

Contact our Customer Service Department with any questions or concerns, Monday through Friday, 8 a.m. to 5 p.m. at (209) 942-6320. Thank you for your continued support of Health Plan of San Joaquin. https://www.hpsj.com/pharmacy-announcements/

Posted on April 20th, 2021 and last modified on April 20th, 2021.

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