Dexcom Coverage Evaluator results

This tool evaluates patient-specific Dexcom CGM pharmacy coverage for clinicians and determines the most affordable option.

Be sure to input your patient’s information exactly as it appears on their insurance card as well as their current ZIP Code for the most accurate result.

Patient First Name

Patient Last Name

Patient Date of Birth

Patient Gender

Patient Zip Code

A valid 5 digit zip code.

Provider NPI Number

Provider’s 10 digit NPI number.

By hitting “Evaluate Coverage”, you agree that you are legally authorized to share the patient information you submit with Dexcom. Health care provider and patient information collected through this form will be processed to investigate patient benefits eligibility as described in our Privacy Policy and Notice of Privacy Practices in accordance with HIPAA and other applicable privacy requirements.

CGM=continuous glucose monitoring; OTC=over-the-counter; PA=prior authorization.
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