Prescribing Info

CMN – Commercially Insured Patients

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

More Prescribing Info

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 prescription filled.

Prescribe Dexcom G6 for your intensive insulin therapy patients. See the sample prescription below.

The first prescription should include three items: 1 receiver, 1 wireless transmitter, and 1 three-pack of sensors.

1 Receiver

(Indicated for one-year use)