Prescribing Info

Certificate of Medical Necessity (CMN) for Commercial Insurance

Use this Dexcom Certificate of Medical Necessity (CMN) to document medical necessity of Dexcom G6 CGM for your commercially insured patients. This fillable CMN form can also serve as the Dexcom G6 CGM prescription.

For Medicare patients, please visit our Dexcom Medicare CMN page

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Dexcom G6 CGM Pharmacy Ordering and Filling Info Sheet

The Dexcom G6 CGM is Available Through Pharmacy! We’ve put together a few tips to help ensure a seamless experience in getting your patient’s Dexcom G6 Continuous Glucose Monitoring (CGM) System...

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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.

Please note: To ensure a successful transaction, please provide information that matches the Provider's medical license information.

Dexcom G7 samples are the only version currently available online. Please consult with your Dexcom representative if you need Dexcom G6 samples.

Do not include prefix (Mr., Mrs., Dr.)
As listed on Provider's medical license (no MD, Jr., Sr.)
Please use the Provider's NPI
Is your patient on a connected pump device?

 

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