Prescribing Info

How to Fill Dexcom G6® CGM Pharmacy Prescription

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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)

Receiver NDC: 08627-0091-11
Displays glucose trends showing when glucose is high, low, or within range.
Refill once per year.
The Dexcom G6 Continuous Glucose Monitoring (CGM) System is indicated for ages 2 years and older.

1 Wireless Transmitter

(Indicated for three-month use)

Transmitter NDC: 08627-0016-01
Fastened on top of the sensor and wirelessly sends data to the receiver or compatible smart device.
Refill every 3 months.

1 Three-Pack of Sensors

(30-day supply)

Sensor Pack NDC: 08627-0053-03
Discreetly worn under clothing to measure glucose levels just underneath the skin.
Refill every 30 days.
With a 10-day sensor life, patients will need to replace sensors every 10 days.

How to Fill

Filling an Rx for Dexcom CGM is easy and timely.

Dexcom CGM supplies are available via next-business-day delivery through your wholesaler.

Patients who do not have a pharmacy benefit should follow up with Dexcom for a DME benefit coverage check:

Toll-free phone: 1-888-738-3646 (Monday - Friday, 6 a.m. to 5 p.m., PT; Saturday, 8 a.m. to 12 p.m., PT)

Toll-free fax: 1-877-633-9266

Email: CustomerService@dexcom.com

More Prescribing Info

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 prescription filled.

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

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 package for Medicare reimbursement. This form...