Dexcom G7 is more accessible to Medicare and Medicare Advantage patients than ever before†
No other CGM system is more affordable than Dexcom G7 for Medicare patients*
AND 3 OUT OF 4 MEDICARE ADVANTAGE PATIENTS PAY $0 AT THE PHARMACY‡,1
DME Distributors: Dexcom CGM is available for Medicare FFS patients nationwide
Dexcom G7 can be shipped or
conveniently delivered to a
patient’s home
DME Distributors & Pharmacies: Dexcom CGM is available for Medicare Advantage patients nationwide for plans including:
Medicare and Medicare Advantage patients may be eligible for Dexcom G7 if they meet the following criteria:
the patient has been diagnosed with diabetes and is
treated with any insulin
OR
the patient has a history of hypoglycemia with
documentation of either:
-one or more hypoglycemic events (level 2 hypoglycemia)i
-one hypoglycemic event (level 3 hypoglycemia)i
how to prescribe the Dexcom G7 CGM system for
Medicare patients
follow these four simple steps to get your Medicare patients started quickly on Dexcom G7:
ensure that the chart notes verify that the Medicare patient meets the criteria above
send the patient’s prescription/certificate of medical necessity, and chart notes to one of the distributors listed below
let your patient know that they will be contacted by the distributor regarding their Dexcom G7 order
make sure your patient has an in-person visit within 6 months of starting CGM and every 6 months thereafter
| DISTRIBUTOR | PHONE NUMBER | FAX NUMBER |
| Byram Healthcare | 800-775-4372 | 888-457-1277 |
| CCS Medical | 800-949-6481 | 800-557-8256 |
| Solara Medical Supplies | 800-423-0896 opt 2 | 800-999-7021 |
| Edgepark Medical Supplies | 866-400-5183 opt 2 | 866-510-6583 |
| Edwards Health Care Services | 888-344-3434 | 502-657-0237 |
| Advanced Diabetes Supply | 877-838-3026 | 760-444-8771 |
CGM = continuous glucose monitoring; DME = durable medical equipment; FFS = fee for service.
*Under Medicare’s DME fee schedule, reimbursement and coinsurance for CGMs using CPT codes A4239 and E2103 are the same, regardless of CGM brand. †The local coverage determination expands coverage of CGM and related supplies to Medicare beneficiaries treated with insulin at least once daily or with a history of problematic hypoglycemia. For the full list of Medicare coverage criteria, visit the Centers for Medicare and Medicaid Services website. ‡Individual pricing may vary depending on insurance coverage.
1 Dexcom, Data on File, 2024.