Frame Brochure STATE OF Alaska The Department of Health ...

92
Frame Brochure STATE OF Alaska The Department of Health & Social Services (DHSS), Division of Health Care Services (HCS) Alaska Medicaid Vision Program Services Effective 9/01/2019 Revised 1/01/2021 Classic Optical Laboratories, Inc. 3710 Belmont Avenue Youngstown, OH 44505 (888) 522-2020 FAX: (888) 522-2022 www.classicoptical.com

Transcript of Frame Brochure STATE OF Alaska The Department of Health ...

Page 1: Frame Brochure STATE OF Alaska The Department of Health ...

Frame Brochure

STATE OF Alaska

The Department of Health & Social Services (DHSS), Division of Health Care Services (HCS)

Alaska Medicaid Vision Program Services

Effective 9/01/2019 Revised 1/01/2021

Classic Optical Laboratories, Inc. 3710 Belmont Avenue

Youngstown, OH 44505 (888) 522-2020

FAX: (888) 522-2022 www.classicoptical.com

Page 2: Frame Brochure STATE OF Alaska The Department of Health ...

Deleted Frame List

Frame Name Manufacturer Date

Bradley Modern Optical 1/1/2021

Chuckle Modern Optical 1/1/2021

Circus Modern Optical 1/1/2021

Randi Modern Optical 1/1/2021

Thrive Modern Optical 1/1/2021

Whimsy Modern Optical 1/1/2021

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 1 of 90

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Standard Frame List

Frame Name Manufacturer Material

Access Modern Optical Plastic

Accord Modern Optical Plastic

Ace Modern Optical Metal

Acquire Modern Optical Plastic

Active Modern Optical Plastic

Adam Modern Optical Plastic

Adele Modern Optical Metal

Admire Modern Optical Plastic

Adorable Modern Optical Plastic

Advice Modern Optical Plastic

Affection Modern Optical Plastic

After Modern Optical Plastic

Agree Modern Optical Plastic

Alexis Modern Optical Plastic

Allie Modern Optical Metal

Alma Modern Optical Metal

Amber Modern Optical Plastic

Amelia Modern Optical Metal

Angel Modern Optical Metal

Anne Modern Optical Plastic

Answer Modern Optical Plastic

Anthem Modern Optical Plastic

Appeal Modern Optical Plastic

Appreciate Modern Optical Plastic

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 2 of 90

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Standard Frame List

Frame Name Manufacturer Material

Apprentice Modern Optical Metal

Approach Modern Optical Plastic

Aries Modern Optical Metal

Around Modern Optical Metal

Arthur Modern Optical Metal

ASAP Modern Optical Metal

Attain Modern Optical Plastic

Attract Modern Optical Plastic

Audrey Modern Optical Plastic

Award Modern Optical Plastic

Aware Modern Optical Metal

Balance Modern Optical Plastic

Ballet Modern Optical Metal

Banzai Modern Optical Metal

Barb Modern Optical Plastic

Bashful Modern Optical Plastic

Before Modern Optical Metal

Belong Modern Optical Plastic

Beth Modern Optical Metal

Between Modern Optical Plastic

Bicycle Modern Optical Plastic

Blake Modern Optical Metal

Blitz Modern Optical Metal

Bo Modern Optical Metal

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 3 of 90

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Standard Frame List

Frame Name Manufacturer Material

Bobby Modern Optical Plastic

Bouquet Modern Optical Metal

Brave Modern Optical Plastic

Breeze Modern Optical Plastic

Bria Modern Optical Metal

Bridget Modern Optical Plastic

Burt Modern Optical Plastic

Buzz Modern Optical Plastic

Cal Modern Optical Metal

Camille Modern Optical Metal

Capricorn Modern Optical Metal

Care Modern Optical Plastic

Casey Modern Optical Metal

Catchy Modern Optical Plastic

Certain Modern Optical Plastic

Cheerful Modern Optical Metal

Chill Modern Optical Plastic

Chris Modern Optical Plastic

Climb Modern Optical Plastic

Clout Modern Optical Plastic

Clutch Modern Optical Plastic

Cole Modern Optical Plastic

Colleen Modern Optical Plastic

Commando Modern Optical Metal

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 4 of 90

Page 6: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frame List

Frame Name Manufacturer Material

Compliment Modern Optical Plastic

Concert Modern Optical Plastic

Confetti Modern Optical Plastic

Connie Modern Optical Plastic

Cosmo Modern Optical Plastic

Courage Modern Optical Metal

Cowboy Modern Optical Plastic

Cozy Modern Optical Plastic

Craze Modern Optical Plastic

Create Modern Optical Metal

Crusader Modern Optical Metal

Cuddle Modern Optical Plastic

Culture Modern Optical Plastic

Cutie Modern Optical Metal

Cyclone Modern Optical Metal

Dabble Modern Optical Plastic

Daisy Modern Optical Plastic

Dance Modern Optical Plastic

Daniel Modern Optical Metal

Data Modern Optical Metal

Dave Modern Optical Metal

Dawn Modern Optical Metal

Dazzle Modern Optical Metal

Debbie Modern Optical Metal

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 5 of 90

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Standard Frame List

Frame Name Manufacturer Material

Dee Modern Optical Plastic

Defy Modern Optical Plastic

Degree Modern Optical Plastic

Deluxe Modern Optical Metal

Diana Modern Optical Metal

Dillon Modern Optical Plastic

Dividend Modern Optical Metal

Doug Modern Optical Metal

Dramatic Modern Optical Metal

Driver Modern Optical Plastic

Dynamite Modern Optical Metal

Eileen Modern Optical Plastic

Elated Modern Optical Plastic

Elwood Modern Optical Plastic

Emma Modern Optical Plastic

Envied Modern Optical Plastic

Equal Modern Optical Plastic

Erin Modern Optical Metal

Esteem Modern Optical Plastic

Ethel Modern Optical Metal

Eunice Modern Optical Metal

Everett Modern Optical Plastic

Everly Modern Optical Plastic

Exit Modern Optical Plastic

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 6 of 90

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Standard Frame List

Frame Name Manufacturer Material

Exotic Modern Optical Plastic

Factor Modern Optical Plastic

Falcon Modern Optical Plastic

Feline Modern Optical Plastic

Fifi Modern Optical Plastic

Fighter Modern Optical Plastic

Finale Modern Optical Metal

Finesse Modern Optical Metal

Fireworks Modern Optical Plastic

Floral Modern Optical Plastic

Floyd Modern Optical Plastic

Fluid Modern Optical Plastic

Follow Modern Optical Plastic

Forbidden Modern Optical Plastic

Forward Modern Optical Metal

Freedom Modern Optical Plastic

Freeway Modern Optical Metal

Frolic Modern Optical Plastic

Gary Modern Optical Metal

Gauge Modern Optical Plastic

Gemini Modern Optical Metal

Genius Modern Optical Plastic

Gentle Modern Optical Plastic

Genuine Modern Optical Metal

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 7 of 90

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Standard Frame List

Frame Name Manufacturer Material

Gift Modern Optical Plastic

Glenn Modern Optical Metal

Global Modern Optical Metal

Gloria Modern Optical Metal

Goodies Modern Optical Plastic

Gracious Modern Optical Plastic

Gradual Modern Optical Plastic

Gravity Modern Optical Metal

Great Modern Optical Metal

Greg Modern Optical Metal

Gumball Modern Optical Plastic

Halftime Modern Optical Plastic

Hannah Modern Optical Plastic

Harper Modern Optical Plastic

Harvest Modern Optical Plastic

Heat Modern Optical Metal

Hector Modern Optical Plastic

Heritage Modern Optical Plastic

Hide & Seek Modern Optical Metal

Holiday Modern Optical Plastic

Hopscotch Modern Optical Plastic

Hudson Modern Optical Plastic

Hunter Modern Optical Metal

Ice Modern Optical Plastic

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 8 of 90

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Standard Frame List

Frame Name Manufacturer Material

Icon Modern Optical Metal

Idea Modern Optical Plastic

Identity Modern Optical Plastic

Illusion Modern Optical Plastic

Incognito Modern Optical Plastic

Indulge Modern Optical Plastic

Influence Modern Optical Plastic

Innocent Modern Optical Plastic

Inviting Modern Optical Metal

Iris Modern Optical Metal

James Modern Optical Metal

Janet Modern Optical Plastic

Jazz Modern Optical Metal

Jenny Modern Optical Plastic

Joanne Modern Optical Metal

Jocelyn Modern Optical Plastic

Joel Modern Optical Metal

Johnny Modern Optical Metal

Jonah Modern Optical Plastic

Joseph Modern Optical Metal

Judi Modern Optical Plastic

Juggle Modern Optical Plastic

Juliette Modern Optical Plastic

Junior Modern Optical Metal

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 9 of 90

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Standard Frame List

Frame Name Manufacturer Material

Karen Modern Optical Plastic

Karma Modern Optical Plastic

Keith Modern Optical Metal

Kelly Modern Optical Metal

Kelsie Modern Optical Plastic

Kendall Modern Optical Metal

Kevin Modern Optical Metal

Keynote Modern Optical Metal

Kim Modern Optical Plastic

Kind Modern Optical Metal

Kiss Modern Optical Plastic

Kitty Modern Optical Plastic

Kody Modern Optical Metal

Landmark Modern Optical Plastic

Laugh Modern Optical Plastic

Launch Modern Optical Plastic

Lauren Modern Optical Plastic

Legacy Modern Optical Plastic

Leisure Modern Optical Plastic

Limit Modern Optical Plastic

Liquid Modern Optical Plastic

Lisa Modern Optical Metal

Logic Modern Optical Metal

Lollipop Cable Modern Optical Metal

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 10 of 90

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Standard Frame List

Frame Name Manufacturer Material

Lollipop Skull Modern Optical Metal

Loner Modern Optical Metal

Lucid Modern Optical Metal

Luke Modern Optical Metal

Lulu Modern Optical Plastic

Lyndsay Modern Optical Plastic

Lyric Modern Optical Plastic

Maddie Modern Optical Plastic

Marcus Modern Optical Plastic

Maria Modern Optical Metal

Marilyn Modern Optical Plastic

Market Modern Optical Metal

Marshall Modern Optical Plastic

Mary Modern Optical Metal

Mathew Modern Optical Metal

Matrix Modern Optical Metal

Measure Modern Optical Plastic

Media Modern Optical Plastic

Melanie Modern Optical Metal

Mellow Modern Optical Plastic

Mentor Modern Optical Metal

Merger Modern Optical Plastic

Metropolitan Modern Optical Plastic

Midnight Modern Optical Metal

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 11 of 90

Page 13: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frame List

Frame Name Manufacturer Material

Mindy Modern Optical Plastic

Mingle Modern Optical Plastic

Mission Modern Optical Metal

Monica Modern Optical Plastic

Motion Modern Optical Plastic

Muffin Modern Optical Plastic

Mutual Modern Optical Plastic

Nancy Modern Optical Metal

Nate Modern Optical Plastic

Negotiate Modern Optical Plastic

Nella Modern Optical Metal

Neon Modern Optical Plastic

Next Modern Optical Plastic

Ninja Modern Optical Metal

Norma Modern Optical Metal

Notable Modern Optical Plastic

Now Modern Optical Plastic

Observe Modern Optical Plastic

Opera Modern Optical Plastic

Outgoing Modern Optical Plastic

Overview Modern Optical Plastic

Parallel Modern Optical Plastic

Patches Modern Optical Plastic

Patience Modern Optical Plastic

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 12 of 90

Page 14: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frame List

Frame Name Manufacturer Material

Pause Modern Optical Plastic

Peewee Modern Optical Plastic

Pertain Modern Optical Plastic

Phase Modern Optical Plastic

Piper Modern Optical Plastic

Pixie Modern Optical Plastic

Plasma Modern Optical Plastic

Plaza Modern Optical Plastic

Pleasure Modern Optical Plastic

Poetic Modern Optical Metal

Postive Modern Optical Plastic

Precise Modern Optical Plastic

Pride Modern Optical Metal

Pumpkin Cable Modern Optical Metal

Pumpkin Skull Modern Optical Metal

Ralph Modern Optical Plastic

Reaction Modern Optical Plastic

Rebecca Modern Optical Plastic

Relax Modern Optical Plastic

Relevant Modern Optical Plastic

Remote Modern Optical Plastic

Rescue Modern Optical Metal

Research Modern Optical Metal

Retro Modern Optical Plastic

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 13 of 90

Page 15: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frame List

Frame Name Manufacturer Material

Rigid Modern Optical Plastic

Rivalry Modern Optical Plastic

Rori Modern Optical Plastic

Route Modern Optical Metal

Ruffle Modern Optical Metal

Sadie Modern Optical Plastic

Scoop Modern Optical Plastic

Score Modern Optical Plastic

Serenity Modern Optical Metal

Sheer Modern Optical Plastic

Shelby Modern Optical Plastic

Sherman Modern Optical Metal

Shock Modern Optical Plastic

Shortstop Modern Optical Metal

Skateboard Modern Optical Plastic

Skippy Modern Optical Plastic

Sky Modern Optical Plastic

Slam Dunk Modern Optical Metal

Slick Modern Optical Plastic

Slide Modern Optical Metal

Smart Modern Optical Metal

Sneakers Modern Optical Plastic

Soda Modern Optical Metal

Solution Modern Optical Plastic

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 14 of 90

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Standard Frame List

Frame Name Manufacturer Material

Sonata Modern Optical Plastic

Sonia Modern Optical Metal

Source Modern Optical Plastic

Special Modern Optical Metal

Speckle Modern Optical Plastic

Splash Modern Optical Plastic

Sporty Modern Optical Plastic

Sprinkles Modern Optical Plastic

Spunky Modern Optical Plastic

Stefanie Modern Optical Metal

Storm Modern Optical Plastic

Strike Modern Optical Metal

Structure Modern Optical Plastic

Studio Modern Optical Metal

Sunset Modern Optical Plastic

Surreal Modern Optical Plastic

Suzanne Modern Optical Metal

Swift Modern Optical Metal

Swirl Modern Optical Plastic

Tackle Modern Optical Plastic

Tactic Modern Optical Metal

Takeoff Modern Optical Plastic

Tangle Modern Optical Plastic

Tango Modern Optical Plastic

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 15 of 90

Page 17: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frame List

Frame Name Manufacturer Material

Taunt Modern Optical Plastic

Teach Modern Optical Plastic

Teagan Modern Optical Plastic

Telltale Modern Optical Plastic

Tender Modern Optical Plastic

Tess Modern Optical Metal

Theory Modern Optical Plastic

Thomas Modern Optical Metal

Throttle Modern Optical Plastic

Tie Dye Modern Optical Plastic

Tiger Modern Optical Metal

Tigress Modern Optical Plastic

Tinsel Modern Optical Plastic

Todd Modern Optical Metal

Tomorrow Modern Optical Plastic

Tony Modern Optical Metal

Tor Modern Optical Plastic

Tornado Modern Optical Plastic

Tranquil Modern Optical Plastic

True Modern Optical Plastic

Trust Modern Optical Metal

Tycoon Modern Optical Plastic

Unite Modern Optical Plastic

Update Modern Optical Plastic

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 16 of 90

Page 18: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frame List

Frame Name Manufacturer Material

Urban Modern Optical Plastic

Valerie Modern Optical Plastic

Valiant Modern Optical Metal

Vern Modern Optical Metal

Vibrant Modern Optical Plastic

Visa Modern Optical Plastic

Wayne Modern Optical Metal

Weekend Modern Optical Plastic

Welcome Modern Optical Plastic

Wiggle Modern Optical Plastic

Willy Modern Optical Metal

Windy Modern Optical Plastic

Wisdom Modern Optical Plastic

Wise Modern Optical Metal

Wow Modern Optical Plastic

Yippee Modern Optical Plastic

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 17 of 90

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Miraflex Special Needs Frame List

ALL FRAMES LISTED REQUIRE PRIOR AUTHORIZATION

Frame Name Manufacturer Material

Baby Lux Miraflex Rubber

Baby Lux2 Miraflex Rubber

Baby One Miraflex Rubber

Baby One 2 Miraflex Rubber

Baby Plus Miraflex Rubber

Baby Plus 2 Miraflex Rubber

Baby Zero Miraflex Rubber

Baby Zero 2 Miraflex Rubber

Eva Miraflex Rubber

Maxi Baby Miraflex Rubber

Maxi Baby 2 Miraflex Rubber

Mayan 1 Miraflex Rubber

Mayan 2 Miraflex Rubber

Mayan 3 Miraflex Rubber

Mini Baby Miraflex Rubber

New Baby 1 Miraflex Rubber

New Baby 2 Miraflex Rubber

New Baby 3 Miraflex Rubber

New Baby 4 Miraflex Rubber

Nicki 48 Miraflex Rubber

Nicki 50 Miraflex Rubber

Nicki 53 Miraflex Rubber

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 18 of 90

Page 20: Frame Brochure STATE OF Alaska The Department of Health ...

Specs4us Special Needs Frame List

ALL FRAMES LISTED REQUIRE PRIOR AUTHORIZATION

Specs4us Frames are designed for individuals with Down Syndrome to fit their unique needs.

Custom designed with shortened temples, extra wide frame fronts and a lowered bridge.

Frame Name Manufacturer Material

Model 1 Specs4us Titanium

Model 2 Specs4us Titanium

Model 3 Specs4us Titanium

Model 4 Specs4us Titanium

Model 5 Specs4us Titanium

Model 6 Specs4us Titanium

Model 7 Specs4us Titanium

Model 8 Specs4us Titanium

Model 9 Specs4us Titanium

Model 11 Specs4us Titanium

Model 12 Specs4us Titanium

Model 13 Specs4us Titanium

Model 14 Specs4us Titanium

Model 15 Specs4us Titanium

Model 16 Specs4us Titanium

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 19 of 90

Page 21: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Access Modern Optical 54-18-150Black

Burgundy Navy

Accord Modern Optical 49-20-140Black

CrystalTortoise

Ace Modern Optical 51-19-140Black

BrownGold

Acquire Modern Optical 51-19-135Black TortoiseBlue Tortoise

Purple Tortoise

Active Modern Optical 51-16-140Black

Burgundy Tortoise

Adam Modern Optical51-16-14053-16-145

BlackBrownGrey

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 20 of 90 pages

Page 22: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Adele Modern Optical 52-18-135BrownLilacRose

Admire Modern Optical 50-17-135Black

BrownBurgundy

Adorable Modern Optical 47-15-135Black/Blue

Black/BrownBlack/Plum

Advice Modern Optical 53-18-135Black/MauveBlack/Olive

Black/Purple

Affection Modern Optical 55-18-140Black/Grey

Brown/BeigeBurgundy/Mauve

After Modern Optical 52-17-140BrownNavyPlum

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 21 of 90 pages

Page 23: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Agree Modern Optical 52-16-140Black/SilverBrown/Gold

Burgundy/Silver

Alexis Modern Optical 55-15-135Black

BrownBurgundy

Allie Modern Optical53-18-14056-18-145

BrownRoseViolet

Alma Modern Optical 52-19-135BrownGoldRose

Amber Modern Optical 51-16-140Black/CrystalPurple/LilacTeal/Crystal

Amelia Modern Optical 54-19-135Burgundy

GoldOrchid

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 22 of 90 pages

Page 24: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Angel Modern Optical 47-17-135Blue

Matte BrownViolet

Anne Modern Optical48-17-13550-17-140

Black/BurgundyBrown

Dark Blue/Light Blue

Answer Modern Optical 52-15-140Black Blue

Brown

Anthem Modern Optical 54-16-140Black Matte/BrownBlack Matte/GreyBlack Matte/Navy

Appeal Modern Optical 51-20-140Blue/PurpleGrey/Blue

Tortoise/Burgundy

Appreciate Modern Optical 55-15-140Black Matte/CherryBlack Matte/Mint

Black Matte/Sky Blue

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 23 of 90 pages

Page 25: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Apprentice Modern Optical 47-19-135BrownGold

Gunmetal

Approach Modern Optical 52-16-140Black/Crystal

Black/Navy MatteBrown/Crystal

Aries Modern Optical48-20-14050-20-145

BrownGold

Gunmetal

Around Modern Optical 45-22-140BrownGold

Matte Black

Arthur Modern Optical 53-17-140D.A./Antique Brown

GoldGunmetal

ASAP Modern Optical 49-20-140Black/SilverBlue/Silver

Brown/Silver

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 24 of 90 pages

Page 26: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Attain Modern Optical 53-15-140Black/CherryBlack/CoralBlack/Grape

Attract Modern Optical 53-17-140Black

BurgundyNavy

Audrey Modern Optical 52-15-135Amethyst/GoldBlue/Gunmetal

Brown/Gold

Award Modern Optical 56-17-140Black/Crystal

BrownPlum

Aware Modern Optical 50-17-140Matte Brown

Matte BurgundyMatte Plum

Balance Modern Optical 56-17-135

Blue FadeBurgundy Fade

Grey FadePlum Fade

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 25 of 90 pages

Page 27: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Ballet Modern Optical 48-20-135BrownRoseViolet

Banzai Modern Optical 47-19-135Blue

BrownMatte Black

Barb Modern Optical 54-16-140Black/Purple

BrownBurgundy

Bashful Modern Optical 42-16-130Black/Crystal

Blue/RoseBurgundy/Blue

Before Modern Optical 56-17-140BlackNavyPlum

Belong Modern Optical 51-17-140Black/CrystalPlum/Crystal

Tortoise

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 26 of 90 pages

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Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Beth Modern Optical50-18-13552-18-140

Antique SilverGold

Matte BrownRose

Between Modern Optical 53-17-140Black/BlueBlack/PlumBlack/Red

Bicycle Modern Optical45-15-13047-15-135

Black MatteNavy Matte

Purple Matte

Blake Modern Optical 52-20-140Matte Black

Matte BrownMatte Gunmetal

Blitz Modern Optical 55-16-140Matte Black

Matte BrownMatte Gunmetal

Bo Modern Optical 55-17-140Matte Black

Matte GunmetalMatte Navy

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 27 of 90 pages

Page 29: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Bobby Modern Optical52-16-14054-16-145

Brown FadeGrey Fade

Tan

Bouquet Modern Optical 52-18-135Brown

BurgundyNavy

Brave Modern Optical50-15-13552-15-140

BlackBlue

Brown

Breeze Modern Optical 45-17-135Blue

BrownRose

Bria Modern Optical 53-16-135BrownLilacRose

Bridget Modern Optical49-16-13552-16-135

BlackBrown

Burgundy

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 28 of 90 pages

Page 30: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Burt Modern Optical52-17-14054-17-145

BlackBrownGrey

Buzz Modern Optical 54-16-145Black

TortoiseCrystal

Cal Modern Optical 50-19-140Gold

Matte BrownMatte Gunmetal

Camille Modern Optical 51-19-135Gunmetal

Light BrownRose

Capricorn Modern Optical47-20-13549-20-140

Matte BlackMatte BrownMatte Silver

Care Modern Optical42-15-12544-15-13046-15-135

Black/CrystalNavy/CrystalPink/Crystal

Purple/Crystal

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 29 of 90 pages

Page 31: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Casey Modern Optical 55-18-140Brown

GunmetalMatte Black

Catchy Modern Optical50-17-14052-17-145

BlackBrown

Burgundy

Certain Modern Optical48-18-13050-18-135

Black/LimeBrown

Burgundy

Cheerful Modern Optical40-18-12042-18-12544-18-130

Antique BrownBlack

Demi AmberGold

Satin Pink

Chill Modern Optical 51-17-140

Black/BlueBlack/LilacBlack/Lime

Black/OrangeBlack/Pink

Black/PurpleBlack/Red

Black/TurquoiseBlack/White

Chris Modern Optical50-20-14052-20-145

BlackBlonde

Demi AmberGrey

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 30 of 90 pages

Page 32: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Climb Modern Optical 45-16-130Black Aqua MattteBlack/Lime MatteBlack/Red Matte

Clout Modern Optical 53-16-145Black

BrownGrey

Clutch Modern Optical 52-18-140Brown FadeGrey Fade

Cole Modern Optical 53-17-140Black Matte

Brown Matte FadeCharcoal Matte Fade

Colleen Modern Optical 50-18-130Black

BrownBurgundy

Commando Modern Optical53-18-14055-18-14558-18-150

BlackGold

GunmetalSilver

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 31 of 90 pages

Page 33: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Compliment Modern Optical 53-16-135Blue Fade

Purple FadeWine Fade

Concert Modern Optical 53-18-135Black/Red

Black/WhiteBrown/Caramel

Confetti Modern Optical 45-16-125Blue

FuchsiaTeal

Connie Modern Optical50-17-13552-17-140

BrownGreyRose

Cowboy Modern Optical 46-15-130Black/BrownBlack/FrostBlack/Green

Cosmo Modern Optical

48-20-14550-20-15050-22-15052-22-15052-24-15054-22-15054-24-150

BlackBrown FadeGrey Fade

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 32 of 90 pages

Page 34: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Courage Modern Optical 51-19-140Black

BrownGunmetal

Cozy Modern Optical 52-16-140Black/Crystal

Burgundy/CrystalPlum/Crystal

Craze Modern Optical 50-18-140

Black/BlueBlack/Burgundy

Black/GreenBlack/Grey

Black/Taupe

Create Modern Optical 54-17-140Brown

BurgundyOrchid

Crusader Modern Optical

49-16-13551-16-13553-16-14055-16-145

BlackGold

Gunmetal

Cuddle Modern Optical42-16-12544-16-130

BlueBrown

Burgundy

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 33 of 90 pages

Page 35: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Culture Modern Optical 54-15-140Blue

BurgundyPurple

Cutie Modern Optical32-15-11535-15-120

Antique Purpled.a./Antique Brown

Gold

Cyclone Modern Optical 50-19-140Brown

GunmetalNavy

Dabble Modern Optical 45-20-135Black/Blue Matte

Cherry/Black MatteFuchsi/Black Matte

Daisy Modern Optical50-16-13052-16-135

BlueBrownRose

Dance Modern Optical 53-16-140Black/AquaBlack/Lilac

Tortoise

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 34 of 90 pages

Page 36: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Daniel Modern Optical 50-17-140Mattte BlackMatte Brown

Matte Gunmetal

Data Modern Optical 50-17-135Matte Black/Burgundy

Matte Brown/BlackGunmetal/Blue

Dave Modern Optical53-18-14555-18-150

BrownGold

Gunmetal

Dawn Modern Optical41-16-12043-16-12545-16-130

Satin BrownSatin Pink

Satin Purple

Dazzle Modern Optical49-20-13551-20-14053-20-145

BrownGoldRose

Debbie Modern Optical 53-17-140Matte Black

Matte BrownMatte Burgundy

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 35 of 90 pages

Page 37: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Dee Modern Optical 54-16-135Black/Crystal

Brown/CrystalPlum/Crystal

Defy Modern Optical 53-16-140Black/Burgundy MatteNavy/Tortoise MatteTortoise/Black Matte

Degree Modern Optical 51-17-135Black

Tortoise

Deluxe Modern Optical 54-18-145Matte Black

Matte BrownMatte Gunmetal

Diana Modern Optical 52-18-135BrownLilacRose

Dillon Modern Optical50-19-14052-19-14554-19-150

BlackBrown FadeGrey Fade

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 36 of 90 pages

Page 38: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Dividend Modern Optical44-18-13546-18-140

Blackd.a./Antique Brown

Gold

Doug Modern Optical52-20-14054-20-14556-20-145

Antique SilverGold

Matte Brown

Dramatic Modern Optical 53-18-140Matte Burgundy

Matte MochaMatte Orchid

Driver Modern Optical 52-16-145Black Matte

Brown MatteCrystal

Dynamite Modern Optical42-18-13045-18-13547-18-140

Antique BrownBlackSilver

Eileen Modern Optical 56-17-140Black/CrystalBrown/crystalBurgundy/Pink

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 37 of 90 pages

Page 39: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Elated Modern Optical 53-15-140Black

PurpleTortoise

Elwood Modern Optical 55-13-140Black Matte

Brown MatteGrey Matte

Emma Modern Optical 51-18-140Black/White

BlueBrown/Beige

Envied Modern Optical 53-17-140Blue/Lilac

Brown/RoseGrey/Mint

Equal Modern Optical 50-19-140

Black/GreyBlack MatteBlack/Pink

Black/PurpleBlack/Red

Erin Modern Optical48-19-13550-19-140

Antique BrownGoldWine

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 38 of 90 pages

Page 40: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Esteem Modern Optical 50-20-140Black Matte

Tortoise/Black

Ethel Modern Optical49-18-13552-18-14055-18-140

Black/Silverd.a./Antique Brown

Matte Gold

Eunice Modern Optical 51-18-140Antique Silver

BrownRose

Everett Modern Optical56-16-14558-16-150

Demi AmberGrey

Timber

Everly Modern Optical 54-17-145Blue/Lilac Matte

Brown MattePurple Matte

Exit Modern Optical 53-17-145Blue/Lilac

Plum/BurgundyTortoise/Blue

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 39 of 90 pages

Page 41: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Exotic Modern Optical 52-16-130Black

BrownBurgundy

Factor Modern Optical 53-16-140Black/CrystalBlue/CrystalPlum/Crystal

Falcon Modern Optical 47-20-140

BlackBrownCrystal

Demi Amber

Feline Modern Optical 51-19-140Black

BrownTeal

Fifi Modern Optical45-16-12547-16-130

BlackBrownPurple

Fighter Modern Optical 52-20-140Black

BrownGrey

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 40 of 90 pages

Page 42: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Finale Modern Optical48-19-13550-19-14052-19-145

Antique BrownAntique Silver

Gold

Finesse Modern Optical 49-17-135Brown

Matte BlackRose

Fireworks Modern Optical 46-16-135Black/Crystal

Brown/Light BrownPlum/Pink

Floral Modern Optical 51-17-140Brown/Black/CrystalBurgundy/Blk/CrystalPurple/Black/Crystal

Floyd Modern Optical 49-18-140BlackNavy

Tortoise

Fluid Modern Optical 53-15-140Black MatteRed MatteTeal Matte

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 41 of 90 pages

Page 43: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Follow Modern Optical 54-15-140Black/Blue/Cryst

Black/Brown/CrystBlack/Purple/Cryst

Forbidden Modern Optical 48-18-140Black/Crystal

TortoiseWine

Forward Modern Optical 49-19-135Black

BrownGunmetal

Freedom Modern Optical 50-16-140Black/Blue Matte

Black/Burgundy MatteBlack/Frost Matte

Freeway Modern Optical 57-17-145Gunmetal

Matte BlackMatte Brown/Tortoise

Frolic Modern Optical 48-16-135Berry

BrownGrape

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 42 of 90 pages

Page 44: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Gary Modern Optical 53-15-140Antique SilverDemi Amber

Gold

Gauge Modern Optical 55-17-145Black MatteNavy Matte

Tortoise Matte

Gemini Modern Optical 47-18-135Blue

BrownMatte Black

Genius Modern Optical 47-21-140Black/Crystal

Burgundy/CrystalTortoise/Crystal

Gentle Modern Optical 46-17-130BlackBlue

Burgundy

Genuine Modern Optical 48-18-140Matte Black

Matte BrownMatte Burgundy

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 43 of 90 pages

Page 45: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Gift Modern Optical47-17-13549-17-140

Black/CrystalBrown/CrystalPurple/Brown

Glenn Modern Optical53-18-14055-18-145

Matte BlackMatte Brown

Matte Gunmetal

Global Modern Optical 49-19-140Black

BrownGold

Gloria Modern Optical54-20-14056-20-145

BrownRoseViolet

Goodies Modern Optical 45-16-130Black/Blue

Black/FuchsiaBlack/Lime

Gracious Modern Optical 51-18-140Black/BlueBlack/RoseBlack/Violet

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 44 of 90 pages

Page 46: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Gradual Modern Optical 54-17-140Black Gradient

Brown GradientPlum Gradient

Gravity Modern Optical 55-19-140Black/Tortoise

Brown/TortoiseGunmetal/Black

Great Modern Optical 52-22-145Antique Brown

GoldGunmetal

Greg Modern Optical 54-16-145Gold

GunmetalMatte Coffee

Gumball Modern Optical 40-18-120Blue

BrownPink

Halftime Modern Optical 57-18-145Black Matte

Brown MatteNavy Matte

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 45 of 90 pages

Page 47: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Hannah Modern Optical 51-16-140Black/White

BrownBurgundy/Black

Harper Modern Optical 50-19-140Blue/PurpleGrey/Blue

Tortoise/Burgundy

Harvest Modern Optical 55-16-140Matte Black/BlueMatte Black/PinkMatte Black/Red

Heat Modern Optical 50-20-140Black

BrownMatte Gunmetal

Hector Modern Optical 51-18-140Black

Brown

Heritage Modern Optical 50-19-140Black

BrownBurgundy

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 46 of 90 pages

Page 48: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Hide & Seek Modern Optical42-19-12544-19-130

BrownNavy

Purple

Holiday Modern Optical 54-17-140Black

PurpleRed

Hopscotch Modern Optical 46-15-130Blue Tortoise

Honey TortoiseLilac Tortoise

Hudson Modern Optical 60-19-150Black

Grey/CrystalTortoise

Hunter Modern Optical53-16-14055-16-14558-16-150

GoldGunmetal

Matte Brown

Ice Modern Optical 52-17-140Black/CrystalNavy/CrystalPlum/Crystal

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 47 of 90 pages

Page 49: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Icon Modern Optical51-19-13553-19-140

Antique SilverBlack

Matte BrownSatin Gold

Idea Modern Optical 56-19-145

BlackBrown

Burgundy FadeTeal Fade

Identity Modern Optical 51-18-145Black Matte

Brown Matte

Illusion Modern Optical 50-16-130Black

BrownBurgundy

Incognito Modern Optical 47-18-135Black MatteBlue Matte

Tortoise Matte

Indulge Modern Optical 54-16-135Black/Blue/Crystal

Black/Brown/CrystalBlack/Purple/Crystal

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 48 of 90 pages

Page 50: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Influence Modern Optical 55-16-140Black/Crystal

Burgundy/CrystalNavy/Crystal

Innocent Modern Optical 49-16-130Black/TortoiseBlue/TortoiseRed/Tortoise

Inviting Modern Optical 52-17-135BrownLilacRose

Iris Modern Optical 52-18-135Blue/Silver

Matte Brown/GoldRose/Silver

James Modern Optical56-17-14058-17-14560-17-150

CoffeeGold

Gunmetal

Janet Modern Optical51-16-12553-16-13055-16-135

BlueBrownRose

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 49 of 90 pages

Page 51: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Jazz Modern Optical

52-18-14054-18-14556-18-15058-18-15060-18-155

BlackBrown

Gunmetal

Jenny Modern Optical50-16-13552-16-140

BrownGreyRose

Joanne Modern Optical 54-18-140Black

BurgundyGold

Jocelyn Modern Optical 53-17-135Blue Toroise

Burgundy TortoisePurple Tortoise

Joel Modern Optical 54-16-140Antique BrownAntique SilverDemi Amber

Johhny Modern Optical51-16-14053-16-145

Matte BrownMatte GoldMatte Grey

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 50 of 90 pages

Page 52: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Jonah Modern Optical 52-17-140Black/Gunmetal

Tortoise/Gunmetal

Joseph Modern Optical54-19-14056-19-14558-19-150

BlackMatte Brown

Silver

Judi Modern Optical50-16-13553-16-140

Black/CrystalTortoise

Wine/Grey

Juggle Modern Optical 44-16-125Black Matte

Fuchsia MatteNavy Matte

Juliette Modern Optical 52-17-140Black/Crystal

Blue HazePurple Haze

Junior Modern Optical

35-18-11537-18-12039-18-12541-18-125

BlueDemi Amber

Rose

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 51 of 90 pages

Page 53: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Karen Modern Optical 52-16-135Black

BrownBurgundy

Karma Modern Optical 55-16-140Black

BrownLavender

Keith Modern Optical54-16-14056-16-14558-16-150

Antique SilverGold

Matte Brown

Kelly Modern Optical52-17-13554-17-140

Matte BrownMatte Gunmetal

Matte Rose

Kelsie Modern Optical 55-14-135Black

BrownBurgundy

Kendall Modern Optical 45-17-130Matte Black

Matte BrownMatte Navy

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 52 of 90 pages

Page 54: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Kevin Modern Optical

54-18-13556-18-14058-18-14560-18-150

Antique SilverGold

Matte Brown

Keynote Modern Optical 51-17-135Matte Black

Matte BrownMatte Plum

Kim Modern Optical 53-17-140Black

BurgundyTortoise

Kind Modern Optical 53-19-135Brown

BurgundyPlum

Kiss Modern Optical 52-16-135Black

BrownBurgundy

Kitty Modern Optical53-14-12555-14-130

AmethystBrownGrey

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 53 of 90 pages

Page 55: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Kody Modern Optical52-18-14054-18-145

BlackBrown

Gunmetal

Landmark Modern Optical 53-19-140Black/Crystal

BrownTortoise

Laugh Modern Optical 45-17-130Black/Blue MatteBlack/Brick MatteBlack/Pink Matte

Launch Modern Optical 51-18-140Black/GreyBlack/Red

Black/White

Lauren Modern Optical 54-15-140Black-in-line

Brown-in-lineRed-in-line

Legacy Modern Optical 54-21-145Black Fade

Brown FadeSmoke

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 54 of 90 pages

Page 56: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Leisure Modern Optical 50-18-145Black FadeBlue Fade

Burgundy Fade

Limit Modern Optical 52-16-145Black/WhiteBrown/Tan

Navy/Light Blue

Liquid Modern Optical 50-18-140Jade/PurpleMocha/TealNavy/Brown

Lisa Modern Optical52-17-13555-17-140

BrownRoseViolet

Logic Modern Optical 50-18-140Matte Black

Matte BrownMatte Navy

Lollipop Cable Modern Optical39-20-13041-20-13543-20-140

Antique BrownDemi Amber

Rose

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 55 of 90 pages

Page 57: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Lollipop Skull Modern Optical39-20-12041-20-12543-20-125

Antique BrownDemi Amber

Rose

Loner Modern Optical 50-20-145Antique Brown

Demi AmberGold

Lucid Modern Optical 54-18-140Black

BrownOrchid

Luke Modern Optical 51-20-140Black

BrownGunmetal

Lulu Modern Optical 50-16-135Black/RoseBlack/Violet

Brown

Lyndsay Modern Optical 51-18-135Black

BrownBurgundy

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 56 of 90 pages

Page 58: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Lyric Modern Optical 51-15-140Black

Tortoise

Maddie Modern Optical 51-18-140Black/Crystal

Brown/CrystalBurgundy/Crystal

Marcus Modern Optical 54-17-140Black MatteBrown FadeGrey Fade

Maria Modern Optical 53-17-135Gold/Pearl

Matte Mocha/BrownMatte Plum/Pink

Marilyn Modern Optical53-18-13555-18-140

BrownCherryPurple

Teal

Market Modern Optical 52-18-140Matte Black

Matte BrownMatte Gunmetal

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 57 of 90 pages

Page 59: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Marshall Modern Optical 56-17-140Grey MatteNavy Matte

Tortoise Matte

Mary Modern Optical 50-19-135BrownLilacRose

Mathew Modern Optical 50-20-140Antique Silver

BrownDemi Amber

Matrix Modern Optical 49-19-140BrownGoldGrey

Measure Modern Optical 54-17-140Blue/Crystal

Brown/CrystalGreen/Crystal

Media Modern Optical 54-16-140Black/Blue

Black/BrownBlack/Burgundy

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 58 of 90 pages

Page 60: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Melanie Modern Optical 53-17-140Matte Black

Matte BrownMatte Plum

Mellow Modern Optical 52-17-145Black/Blue Fade

Black/CrystalBlack/Plum Fade

Mentor Modern Optical 51-18-135Matte Black

Matte BrownMatte Gunmetal

Merger Modern Optical 56-15-135Black/Gunmetal

Brown/Gold

Metropolitan Modern Optical 53-18-150Black Matte

CrystalTortoise

Midnight Modern Optical 45-20-140Black

BrownGunmetal

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 59 of 90 pages

Page 61: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Mindy Modern Optical 55-16-140Black

BrownBurgundy

Mingle Modern Optical 53-18-135Black

BrownBurgundy

Mission Modern Optical 54-18-140BrownGold

Gunmetal

Monica Modern Optical50-17-13052-17-13554-17-140

BrownGreyRose

Motion Modern Optical 52-17-140Black/Pink

Brown/BlueBurgundy/Red

Muffin Modern Optical 45-17-125Black/Crystal

Burgundy/PinkPlum/Lilac

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 60 of 90 pages

Page 62: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Mutual Modern Optical 53-18-140Black Matte

Burgundy MatteTortoise Matte

Nancy Modern Optical 52-18-135Antique Brown

GoldSilver

Nate Modern Optical

48-18-13550-18-13552-18-14054-20-14556-20-14558-20-150

Brown FadeGrey FadeShadow

Negotiate Modern Optical 53-16-135Black/TortoiseGrey/TortoiseNavy/Tortoise

Nella Modern Optical 52-18-135Gold

Matte BrownMatte Burgundy

Neon Modern Optical 45-19-140Blue

BrownBurgundy

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 61 of 90 pages

Page 63: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Next Modern Optical 55-16-135Blue Fade

PlumTortoise

Ninja Modern Optical44-18-13046-18-135

Matte BlackMatte Blue

Matte BrownMatte Burgundy

Violet

Norma Modern Optical 52-15-140BrownGoldSilver

Notable Modern Optical 50-18-140BlackPlum

Tortoise

Now Modern Optical 53-15-140Black/RoseBlue/Pink

Brown

Observe Modern Optical 55-13-145Black/Brick MatteBlack/Tan Matte

Black/White Matte

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 62 of 90 pages

Page 64: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Opera Modern Optical 53-16-140BlackPlum

Tortoise

Outgoing Modern Optical 52-16-140Blue Fade

Burgundy FadePlum Fade

Overview Modern Optical 50-22-145

AmethystBlack

BrownGrey

Purple

Parallel Modern Optical 53-20-145Blue Fade

Burgundy FadeGrey Fade

Patches Modern Optical 45-18-130Black/CrystalNavy/Crystal

Purple/Crystal

Patience Modern Optical 54-14-140Black/Tortoise Matte

Blue MattePlum Matte

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 63 of 90 pages

Page 65: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Pause Modern Optical 52-15-140Black/Blue

Black/BrownBlack/Rose

PeeWee Modern Optical36-14-11538-14-120

BlueBrown

Tortoise

Pertain Modern Optical 54-16-145Black

BurgundyPlum

Phase Modern Optical 52-17-145Blue

BurgundyTeal

Piper Modern Optical 52-17-140Black/Grey

Burgundy/PinkNavy/Light Blue

Pixie Modern Optical 48-16-130Black/Crystal

Brown/CrystalPlum/Crystal

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 64 of 90 pages

Page 66: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Plasma Modern Optical51-16-14053-16-145

BlackBrownNavy

Plaza Modern Optical 56-18-140Brown/Rose

Navy/Ice BluePurple/Ice Blue

Pleasure Modern Optical 52-18-140Black

Teal/CrystalTortoise

Poetic Modern Optical 53-17-135Brown/Tortoise

BurgundyGold/Black

Positive Modern Optical 48-15-135Black/CrystalBrown/Blue

Red/Rose

Precise Modern Optical 51-18-140Black/Crystal

GreyRed

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 65 of 90 pages

Page 67: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Pride Modern Optical 54-17-140Black

BrownGunmetal

Pumpkin Cable Modern Optical40-16-13042-16-135

BlackBlue

BrownGold

Pumpkin Skull Modern Optical40-16-12042-16-125

BlackBlue

BrownGold

Ralph Modern Optical52-17-14054-17-14556-17-150

BlackBrownGrey

Reaction Modern Optical 51-18-145Tortoise/Blonde

Tortoise/BlueTortoise/Rose

Rebecca Modern Optical 51-16-135Black

BrownBurgundy

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 66 of 90 pages

Page 68: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Relax Modern Optical 50-19-140Black/TortoisePlum/TortoiseTeal/Tortoise

Relevant Modern Optical 54-14-140Black

BurgundyNavy

Remote Modern Optical 48-18-135

Black/BlueBlack/LimeBlack/Pink

Black/Purple

Rescue Modern Optical50-20-13552-20-140

Matte BlackMatte Brown

Matte Gunmetal

Research Modern Optical 56-17-140Black

BrownGunmetal

Retro Modern Optical 52-18-140Black

Tortoise

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 67 of 90 pages

Page 69: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Rigid Modern Optical 49-17-140BlackBlue

Brown

Rivalry Modern Optical 46-22-140Black/TortoiseTortoise/Black

Rori Modern Optical 50-17-135Black

BrownBurgundy

Route Modern Optical 54-17-140Matte Black

Matte GunmetalMatte Navy

Ruffle Modern Optical 53-17-135Brown

BurgundyLilac

Sadie Modern Optical 49-18-135Black

BrownBurgundy

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 68 of 90 pages

Page 70: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Scoop Modern Optical 46-15-130

Black/BerryBlack/Blue

Black/BubblegumBlack/Lime

Score Modern Optical44-15-13046-15-135

BlackTortoise

Serenity Modern Optical 52-17-140Black

BrownBurgundy

Sheer Modern Optical 51-15-140Black/BlueBlack/MintBlack/Violet

Shelby Modern Optical 53-16-135Black

BrownPlum

Sherman Modern Optical 52-17-140Black

BrownGunmetal

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 69 of 90 pages

Page 71: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Shock Modern Optical 48-18-140Black

Brown/BlueTortoise

Shortstop Modern Optical43-17-12045-17-125

Antique BrownBlackBlue

Skateboard Modern Optical 45-15-125Black/Blue Matte

Brown MatteNavy Matte

Skippy Modern Optical44-16-12546-16-130

BlueBrownRose

Sky Modern Optical47-17-13049-17-135

BlackBrown

Burgundy

Slam Dunk Modern Optical 49-16-135Matte Black

Matte BrownMatte Navy

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 70 of 90 pages

Page 72: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Slick Modern Optical

49-17-13551-17-14054-17-14557-17-15060-17-150

BlackRed

TortoiseWhiteCrystal

Slide Modern Optical 48-20-135Matte Black

Matte BrownMatte Burgundy

Smart Modern Optical 45-20-135Black

BrownGrey

Sneakers Modern Optical42-18-12545-18-13047-18-135

BlondeBrown/BlueWine/Grey

Soda Modern Optical44-20-13046-20-135

BlackBlue

Brown

Solution Modern Optical 52-16-145Black/Blue Matte

Black/Purple MatteBlack/Red Matte

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 71 of 90 pages

Page 73: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Sonata Modern Optical 52-17-140Black Fade

Burgundy/BlueTortoise

Sonia Modern Optical54-18-14056-18-145

BrownGoldRose

Source Modern Optical 53-16-140Black/Blue

Black/CherryBlack/Purple

Special Modern Optical46-20-13048-20-13550-20-140

BlackBrownViolet

Speckle Modern Optical44-17-13046-17-135

BlueBrownPurple

Splash Modern Optical46-18-13048-18-135

Black-in-lineBlue-in-line

Brown-in-lineRed-in-line

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 72 of 90 pages

Page 74: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Sporty Modern Optical44-17-12546-17-130

Black/CrystalBlue

Brown

Sprinkles Modern Optical 46-15-130Berry

Bubble GumGrape

Spunky Modern Optical 47-16-130

Black/NavyBlack/PinkBlack/Red

Black/Sky Blue

Stefanie Modern Optical 53-19-135Matte BrownMatte GoldMatte Silver

Storm Modern Optical 48-16-140

BlackBlonde

BlueBrown

BurgundyDemi Amber

Strike Modern Optical47-19-13549-19-14051-19-145

BlackBrown

Gunmetal

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 73 of 90 pages

Page 75: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Structure Modern Optical50-17-13052-17-135

BlackBrownNavy

Studio Modern Optical 51-19-140Black

BrownGunmetal

Sunset Modern Optical 51-17-135Brown/Orange

Grey/PurpleOlive/Green

Surreal Modern Optical 53-17-145Black

Brown FadeGrey Fade

Suzanne Modern Optical 52-16-135Antique BrownAntique SilverGold/Chrome

Swift Modern Optical50-19-14052-19-145

Antique BrownBlackGold

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 74 of 90 pages

Page 76: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Swirl Modern Optical 51-16-135Black

BrownBurgundy

Tackle Modern Optical45-16-13047-16-135

BlackNavy

Tortoise

Tactic Modern Optical 53-18-140Matte Black

Matte BrownMatte Gunmetal

Takeoff Modern Optical47-17-13549-17-140

Black/BlueBlack/Grey

Black/Hot Pink

Tangle Modern Optical 53-16-145Black/LilacBlack/Mint

Black/White

Tango Modern Optical 53-17-135Brown

BurgundyGrey

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 75 of 90 pages

Page 77: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Taunt Modern Optical 57-19-145Black

CrystalTortoise

Teach Modern Optical 56-16-145Black Fade

Purple FadeTeal Fade

Teagan Modern Optical 49-18-140

Black/CrystalBlue/CrystalPlum/CrystalTeal/Crystal

Telltale Modern Optical 53-17-135Black

BurgundyTeal

Tender Modern Optical 47-19-130Black/Teal

PurpleTeal/Black

Tess Modern Optical 51-18-135Brown

BurgundyViolet

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 76 of 90 pages

Page 78: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Theory Modern Optical 50-21-140Black

Brown

Thomas Modern Optical

56-18-14058-18-14560-18-15062-18-155

GoldGunmetal

Throttle Modern Optical 55-17-145Black Matte

Tortoise Matte

Tie Dye Modern Optical45-17-13047-17-135

BlueBrownPurple

Tiger Modern Optical 49-18-135Black/Tortoise

Gunmetal/BlackNavy/Blue

Tigress Modern Optical 52-16-140Black

BrownBurgundy

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 77 of 90 pages

Page 79: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Tinsel Modern Optical 53-17-135BrownGreenPurple

Todd Modern Optical46-18-13548-18-14050-18-145

Antique BrownAntique GoldMatte Black

Tomorrow Modern Optical51-17-13553-17-14055-17-145

BlackBrownGrey

Tony Modern Optical54-16-14056-16-145

Demi AmberGold

Tori Modern Optical44-15-13046-15-135

BlackBlue

BrownPink

Tornado Modern Optical52-18-14054-18-14556-18-150

BrownGrey

Smoke

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 78 of 90 pages

Page 80: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Tranquil Modern Optical 54-16-135BlackPlum

Tortoise

True Modern Optical50-18-14052-18-145

BlackBrownGrey

Trust Modern Optical50-18-14052-18-145

Black/BlackBrown/TortoiseNavy/Tortoise

Tycoon Modern Optical52-20-14054-20-14556-20-150

BlackCognac

Grey

Unite Modern Optical 51-17-140Black

Crystal/BlackTortoise

Update Modern Optical 53-17-140Brown Fade

Burgundy/MintNavy/Rose

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 79 of 90 pages

Page 81: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Urban Modern Optical 51-17-140

Black MatteCrystal

Navy/TortoiseTortoise Matte

Valerie Modern Optical51-16-13053-16-135

BlueBrownRose

Valiant Modern Optical 51-20-140Matte Black

Matte BrownMatte Gunmetal

Vern Modern Optical52-20-13554-20-140

BlackBrownGold

Vibrant Modern Optical44-16-13046-16-135

Blue MatteFuchsia Matte

Teal Matte

Visa Modern Optical 54-17-140Black/Crystal

Brown/CrystalNavy/Crystal

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 80 of 90 pages

Page 82: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Wayne Modern Optical 50-17-140Antique Brown

GoldMatte Silver

Weekend Modern Optical 52-16-140Black/Blue Fade

Black Fade/CrystalPlum/Pink Fade

Welcome Modern Optical 49-19-140Burgundy/Black

Crystal/BlackTeal/Black

Wiggle Modern Optical40-16-12042-16-12544-16-130

BlackBrownPurple

Willy Modern Optical 56-17-145BlackGoldSilver

Windy Modern Optical41-17-12043-17-125

Black/CrystalBrown/CrystalViolet/Crystal

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 81 of 90 pages

Page 83: Frame Brochure STATE OF Alaska The Department of Health ...

Standard Frames

Frame Name Manufacturer Sizes Colors Picture

Wisdom Modern Optical 52-17-140Brown

Charcoal

Wise Modern Optical

46-18-13048-18-13550-18-14052-18-145

Antique BrownBlackGold

Wow Modern Optical49-16-13551-16-140

Black/LimeBrown

Burgundy/Grey

Yippee Modern Optical 49-18-135Black/Hot Pink

Black/GreyBlack/Red

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 82 of 90 pages

Page 84: Frame Brochure STATE OF Alaska The Department of Health ...

Miraflex Special Needs FramesALL FRAMES LISTED REQUIRE PRIOR AUTHORIZATION

Frame Name Manufacturer Sizes Colors Picture

Baby Lux Miraflex 38/17 See Chart

Baby Lux 2 Miraflex 40/18 See Chart

Baby One Miraflex 37/14 See Chart

Baby One 2 Miraflex 44/16 See Chart

Baby Plus Miraflex 39/14 See Chart

Baby Plus 2 Miraflex 42/14 See Chart

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 83 of 90 pages

Page 85: Frame Brochure STATE OF Alaska The Department of Health ...

Miraflex Special Needs FramesALL FRAMES LISTED REQUIRE PRIOR AUTHORIZATION

Frame Name Manufacturer Sizes Colors Picture

Baby Zero Miraflex 31/15 See Chart

Baby Zero 2 Miraflex 34/15 See Chart

Eva Miraflex 42/16 See Chart

Maxi Baby Miraflex 38/12 See Chart

Maxi Baby 2 Miraflex 40/15 See Chart

Mayan 1 Miraflex 39/14 See Chart

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 84 of 90 pages

Page 86: Frame Brochure STATE OF Alaska The Department of Health ...

Miraflex Special Needs FramesALL FRAMES LISTED REQUIRE PRIOR AUTHORIZATION

Frame Name Manufacturer Sizes Colors Picture

Mayan 2 Miraflex 42/15 See Chart

Mayan 3 Miraflex 47/17 See Chart

Mini Baby Miraflex 34/15 See Chart

New Baby 1 Miraflex 39/17 See Chart

New Baby 2 Miraflex 42/16 See Chart

New Baby 3 Miraflex 45/17 See Chart

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 85 of 90 pages

Page 87: Frame Brochure STATE OF Alaska The Department of Health ...

Miraflex Special Needs FramesALL FRAMES LISTED REQUIRE PRIOR AUTHORIZATION

Frame Name Manufacturer Sizes Colors Picture

New Baby 4 Miraflex 47/17 See Chart

Nicki 48 Miraflex 48/16 See Chart

Nicki 50 Miraflex 50/19 See Chart

Nicki 53 Miraflex 53/19 See Chart

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 86 of 90 pages

Page 88: Frame Brochure STATE OF Alaska The Department of Health ...

Specs4us Special Needs FramesALL FRAMES LISTED REQUIRE PRIOR AUTHORIZATIONSpecs4us Frames are designed for individuals with Down Syndrome to fit their unique needs.Custom designed with shortened temples, extra wide frame fronts and a lowered bridge.

Frame Name Manufacturer Sizes Colors Picture

Model 1 Specs4us

35-16-10538-16-11040-16-11043-18-120

BrownPinkNavyViolet

Model 2 Specs4us40-16-11043-16-12046-18-125

PinkVioletWine

Model 3 Specs4us

38-16-11040-16-11043-18-12046-18-125

Eye Sizes 38, 40, 43, 46Blue Demi

Green LightViolet

Eye Sizes 43 and 46Blue Light

Model 4 Specs4us41-16-11543-16-12046-18-125

Green DarkGunmetal Light

PinkPink Demi

Navy

Model 5 Specs4us48-18-12551-18-125

Black DemiBrown & Silver Matte

Green DarkGunmetal Light

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 87 of 90 pages

Page 89: Frame Brochure STATE OF Alaska The Department of Health ...

Specs4us Special Needs FramesALL FRAMES LISTED REQUIRE PRIOR AUTHORIZATIONSpecs4us Frames are designed for individuals with Down Syndrome to fit their unique needs.Custom designed with shortened temples, extra wide frame fronts and a lowered bridge.

Frame Name Manufacturer Sizes Colors Picture

Model 6 Specs4us

33-15-10535-16-10538-16-11041-16-11543-18-120

Eye Size 33Brown

Pink

Eye Sizes 35, 38, 41,43Blue Demi

BrownGunmetal Light

Pink

Model 7 Specs4us42-16-12045-16-12048-20-125

BrownNavyRed

Violet Dark

Model 8 Specs4us43-16-12046-18-125

BrownBrown & Silver Matte

Gold DemiNavy

Model 9 Specs4us

35-16-10538-16-11040-16-11043-16-12046-18-12548-18-125

Eye Sizes 35, 38, 40, 43Green Dark

Gunmetal DarkPink Demi

Wine

Eye Sizes 38, 43Navy

Eye Sizes 46, 48Aqua

Pink AntiqueBlue

Brown/Silver Matte

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 88 of 90 pages

Page 90: Frame Brochure STATE OF Alaska The Department of Health ...

Specs4us Special Needs FramesALL FRAMES LISTED REQUIRE PRIOR AUTHORIZATIONSpecs4us Frames are designed for individuals with Down Syndrome to fit their unique needs.Custom designed with shortened temples, extra wide frame fronts and a lowered bridge.

Frame Name Manufacturer Sizes Colors Picture

Model 11 Specs4us38-17-10540-17-12043-17-120

Eye Sizes 38, 40, 43Blue Bright

BrownBlack ShinyWine Matte

Eye Size 43Dark Violet

Model 12 Specs4us46-18-12048-18-125

Gunmetal DarkBrown MatteWine MatteDark Violet

Model 13 Specs4us

43-20-12046-20-12548-22-13051-22-130

BrownGreen Dark Matte

Wine MatteBlack

Model 14 Specs4us43-18-12046-20-12548-20-130

Eye Sizes 43, 46, 48NavyViolet

Brown & Silver

Eye Sizes 43, 46Light Green

Model 15 Specs4us46-20-12548-20-13054-22-135

Eye Sizes 46, 48, 54Brown & Lt. Orange

Navy & Lt. BlueBlack & Lt. Gray

Eye Sizes 46, 48Red/Pink Matte

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 89 of 90 pages

Page 91: Frame Brochure STATE OF Alaska The Department of Health ...

Specs4us Special Needs FramesALL FRAMES LISTED REQUIRE PRIOR AUTHORIZATIONSpecs4us Frames are designed for individuals with Down Syndrome to fit their unique needs.Custom designed with shortened temples, extra wide frame fronts and a lowered bridge.

Frame Name Manufacturer Sizes Colors Picture

Model 16 Specs4us43-17-12046-20-12551-20-130

Matte BlackMatte Brown

Turquiose

Effective 9/01/2019Revised 1/01/2021

Classic Optical Laboratories, Inc.Alaska Medicaid Frame Brochure Page 90 of 90 pages

Page 92: Frame Brochure STATE OF Alaska The Department of Health ...

MIRAFLEX

Flexible & Safe Color

Baby Zero

31/15

Mini Baby 34/15

Baby Zero2 34/15

BabyOne 37/14

Baby Lux 38/17

Maxi Baby 38/12

Baby Plus

39/14

Mayan1 39

39/14

New Baby1 39/17

Baby Lux2 40/18

Maxi Baby2 40/15

Baby Plus 2 42/14

Mayan2 42

42/15New Baby2

42/16Eva

42/16Baby One 2 44/16

New Baby3 45/17

Mayan 347/17

New Baby 4 47/17

Nicki 48/16

Nicki 50 50/19

Nicki 53 53/19

Reference BZ.31 M1.34 BZ2.34 B1.37 MBL.38 MB.38 BP.39 √ NB1.39 MBL2.40 MB2.40 BP2.42 √ NB2.42 EVA.42 B1.44 NB3.45 √ NB4.47 Ni.48 N.50 N.53

B - Pink B B B B B B B B B B B B B B B B B B B

BC - Clear Pink BC BC BC BC BC BC BC BC BC BC

BCP - Clear Pink Pearl BCP BCP BCP BCP BCP BCP BCP BCP

BP - Blush Pink BP

BS - Magenta BS BS BS BS BS BS BS BS BS BS BS

CP -Royal Blue CP CP CP CP CP CP CP CP CP CP CP CP CP

D- Dark Blue D D D D D D D D D D D D D D D D D D D D D D

DP - Dark Blue Pearl DP DP DP DP DP DP DP DP DP DP DP DP DP DP DP DP DP DP

DS - Navy Blue DS DS DS DS DS DS DS DS DS DS DS DS DS DS DS DS DS DS

DV - Teal DV DV DV DV DV

E - Light Blue E E E E E

EC - Clear Blue EC EC EC EC EC EC EC EC EC EC EC

ECP - Clear Blue Pearl

EP - Light Blue Pearl EP EP EP EP EP EP

FC - Clear Beige FC

HP - Yellow Pearl HP HP HP HP HP HP

HSP - Mustard

I - Red I I I I I I I I I I I I I I

IN - Bright Orange IN IN IN

IP - Red Pearl IP IP IP IP IP IP IP IP IP

J - Dark Gray J J J J J J J J J J J J J J J J J J J J J J

JC - Clear Gray JC JC JC JC JC JC JC JC JC JC JC

JS - Black JS JS JS JS JS JS JS JS JS JS JS

K - Burgundy K

KM - BurgundyMetallic

KP - Burgundy Pearl KP KP KP KP KP KP KP KP KP KP KP KP KP KP

L - Lavender L L L L L L L L L L L L L L L L L L L L L

M - Milk Chocolate M M M

MM - Dark Brown MM MM MM MM MM MM MM MM MM MM MM MM

N - Fr ost White N N

NC - White Glitter NC

OM - Indigo OM OM OM OM OM OM

P - Plum P P P P P P P P P P P P P P P

S - Lilac S S S S S

V - Green

VC - Clear Green VC VC VC

VCP - Clear Green Pearl VCP

VM - Dark Turquoise VM VM VM VM VM VM VM VM VM VM VM VM VM VM VM

VP - Green Pearl VP VP VP VP VP VP VP VP VP VP VP

VS - Hunter Green VS VS VS VS VS

Available Frame Color Revised 20201023

Unavailable Frame Color

Color Available While Inventory Lasts √ Not Available On All Contracts