The Dexcom G5® Mobile Continuous Glucose Monitoring (CGM) System is available by prescription and may be available at your patient's local pharmacy or through Durable Medical Equipment (DME) wholesalers. Below is an example of how to write the prescription to get your patients started today.
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.
In this 2-minute video, get a glimpse of how the Dexcom G5 Mobile Continuous Glucose Monitoring (CGM) System works, the prescription ordering process, insurance coverage - including commercial plans and Medicare, and how CGM may benefit your...
The first prescription should include three items: 1 receiver, 1 wireless transmitter, and 1 four-pack of sensors.
1 Receiver(Indicated for one-year use)
See how to write a pharmacy prescription in the sample below.
Dexcom Continuous Glucose Monitoring (CGM) Systems are currently available for order via Cardinal, McKesson and Amerisource Bergen. Please see the chart below for appropriate order numbers.