Prescribing Info | Dexcom Provider

the most covered CGM brand^*,1 is easy to prescribe and free to sample

STARTING YOUR PATIENTS WITH DIABETES ON DEXCOM IS EASY, AND WE HAVE TEAMS IN PLACE
TO SUPPORT EVERY STEP OF THE PROCESS

prescribe in 2 easy steps

CHOOSE THE DEXCOM CGM SYSTEM AND NECESSARY COMPONENTS

Enter Dexcom G7 in your e-prescribing software and select the quantities and refills for each component

10-day sensor

NRC CODE: 08627-0077-01

fill 3 boxes (1 sensor per box, refill every 30 days)

receiver (optional)

NRC CODE: 08627-0078-01

fill 1 (refill every year)

SUBMIT YOUR PRESCRIPTION BY FAX, PHONE, AND MORE

Sign, order, and submit a prescription to the pharmacy or ASPN Pharmacies

prescribe via fax

please fax your patient’s Dexcom CGM prescription  to (866)-879-8150

prescribe via phone

call us at (888)-489-0221

alternate prescribing programs

Veterans Affairs

Medicare

clinical resources to support you

View all resources

Medicare Certificate of Medical Necessity

Required documentation for prescribing CGM to Medicare patients When prescribing a Dexcom CGM System to a Medicare patient, the Certificate of Medical Necessity is a required part of the document...

Prescribing Info

Improving the Clinical Value and Utility of CGM Systems: Issues and Recommendations

A Joint Statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group Petrie J, et al. Improving the Clinical Value and...

Professional Society Guidelines

How to Order Dexcom CGM Through a Pharmacy Wholesaler

Dexcom Continuous Glucose Monitoring (CGM) Systems are currently available for order via Cardinal, McKesson and Cencora. Please see the chart below for appropriate order numbers. Dexcom G6 ® Dexcom...

Prescribing Info

View all resources

SEE ALL PRESCRIBING INFO RESOURCES

get your patients

started for free today

PRESCRIBE & SAMPLE

easily check your patient's pharmacy

coverage for Dexcom CGM

COVERAGE EVALUATOR

CGM = continuous glucose monitoring.

*Individual coverage may vary depending on insurance plan. †For Dexcom G7: to view a list of compatible devices, visit dexcom.com/compatibility.

1 Dexcom, Data on File, 2024.

Contact Us

If you are a healthcare provider and want to learn more about Dexcom, please fill out the form and a representative will contact you. If you are a Dexcom User or Patient, please contact Dexcom here.

Request a Visit from a Dexcom Representative

Request a G7 Sample

Request Stelo Education Materials

Please note: To ensure a successful transaction, please provide information that matches the Provider’s medical license information. A valid business address is required for a request to be fulfilled.

Do not include prefix (Mr., Mrs., Dr.)

As listed on Provider’s medical license (no MD, Jr., Sr.)

Please use the Provider’s NPI

Please provide Facility/Office address Only- We will not ship to home address

Is your patient on a connected pump device?

Yes

By submitting the above form, I certify that I am a licensed practitioner, authorized to receive and dispense samples of the Dexcom G6 Continuous Glucose Monitoring System and/or Dexcom‘s next generation product, Dexcom G7 (the "Samples"). I represent that I am requesting the Samples for evaluation purposes and that I will not (i) sell, resell, barter, return for credit or seek reimbursement for the use of the Samples, or (ii) for professional services for dispensing or evaluating the Samples, I also agree to inform my patients that they should not submit claims for reimbursement to any third party for any Samples.

The Samples are FDA cleared for use with a compatible smart device or separate piece of durable medical equipment called a receiver. Neither devices nor receivers are included in the Samples. Accordingly, and in light of the applicable G6 or G7 Dexcom Instructions for Use, you should dispense Samples only to a patient who (or whose authorized caregiver), in the exercise of your clinical judgment, (i) has reliable access to a compatible smart device and/or automated insulin delivery system, and (ii) is capable of safely using the Samples with their smart device, without the need for a separate dedicated receiver.

Please note that Medicare will reimburse for sensors only if the beneficiary also uses a receiver covered by Medicare. Accordingly, it is appropriate to give Samples to Medicare patients only if they have (in the case of the G6 Samples) or would be eligible to obtain (in the case of the G7 Samples), a Medicare-covered receiver.

You agree that you will not provide the Samples to any patients that are beneficiaries under the Maine or Colorado state Medicaid programs. I understand that Dexcom will be tracking, and if necessary, reporting and may be subject to disclosure requirements with respect to the provision of these Samples. I agree not to reuse any Samples. I acknowledge that Dexcom provides no warranties for the Samples other than the warranties outlined in the applicable Dexcom Instructions for Use. I will comply with all applicable federal, state and local laws in receiving and dispensing these Samples, and I agree to store and use these Samples in a manner consistent with the applicable Dexcom Instructions for Use. Dexcom is a registered trademark of Dexcom, Inc. in the United States and/or other countries. ©2023 Dexcom, Inc. All rights reserved.

LBL-1004145 Rev001

By submitting the above form, I certify that I am a licensed practitioner, authorized to receive and dispense these Dexcom G6 Continuous Glucose Monitoring Systems and/or Dexcom‘s next generation product, Dexcom G7 (the "Dexcom Education Devices") which are provided in the quantities listed above.

The Dexcom Education Devices are FDA cleared for use with a compatible smart device or separate piece of durable medical equipment called a receiver. Neither smart devices nor receivers are included with the Dexcom Education Devices. I understand that these Dexcom Education Devices are being requested for me and other healthcare professionals ("HCPs") for evaluation purposes to learn more about the Dexcom Education Devices and experience the benefits of the Dexcom Education Devices through a product demonstration, and that each HCP will need a compatible smart device for the product demonstration.

I acknowledge that Dexcom provides no warranties for the Dexcom Education Devices other than the warranties outlined in the applicable Dexcom Instructions for Use. I will comply with all applicable federal, state and local laws in receiving and dispensing these Dexcom Education Devices in a manner consistent with the applicable Dexcom Instructions for Use, and agree not to reuse any Dexcom Education Devices. I agree to receive, store, distribute, and/or use these Dexcom Education Devices in a manner consistent with the applicable Dexcom Instructions for Use and device labeling. I understand that Dexcom will be tracking, and if necessary, reporting and may be subject to disclosure requirements with respect to the provision of these Dexcom Education Devices. I understand and agree to properly dispose of the Dexcom Education Devices immediately following the completion of the product demonstration. The Dexcom Education Devices are being provided at no cost, without any expectation of remuneration, HCPs have no obligations under the federal supply schedule contract for participating in the product demonstration, and Dexcom waives any rights under this contract or applicable law to pursue a claim for the costs associated with the Dexcom Education Devices.

Dexcom is a registered trademark of Dexcom, Inc. in the United States and/or other countries. ©2023 Dexcom, Inc. All rights reserved.

By choosing to request info, you are granting Dexcom, Inc. permission to process your personal information to send you additional information and promotional communications related to Dexcom products. You may opt-out of these communications at any time. Dexcom respects the privacy and confidentiality of your personal information. The information you provide will be sent securely and subject to the Dexcom Terms of Use and Privacy Policy.