Medicare

Yes. The Dexcom G6 is now available for patients who meet the Medicare coverage criteria. 

No. For a complete description of Medicare coverage criteria visit the Centers for Medicare and Medicaid services website

• Has been seen in your clinic within the last 6 months
• Has type 1 or type 2 diabetes
• Performs frequent BGM testing (≥4x/day)
• Uses an insulin pump or takes ≥3 daily injections of insulin
• Requires frequent adjustments to their treatment regimen based on BGM or CGM testing results

HCPs can send their patients to any Walgreens retail pharmacy via the following steps:

• Prescribe to the patient’s preferred Walgreens location*
• Walgreens will reach out to the HCP office for required documentation
• Walgreens will follow-up with the patient to fill their prescription^†

*If a patient cannot or chooses not to fill their Dexcom G6 at a Walgreens, they go through one of the participating DME distributors listed on www.dexcom.com/medicare-coverage.

If a current Dexcom G6 patient “ages into” Medicare eligibility (i.e., turns 65), they will be treated as a new patient. Prescribers should follow the new patient process for Walgreens.

New Medicare patients will have access to Dexcom G6 immediately, and we will begin upgrading existing Dexcom G5 Medicare patients soon.

At launch, Walgreens is the only contracted retail pharmacy able to fulfill Medicare claims. Dexcom is working towards expanding the number of contracted pharmacies and will communicate additional access points when they become available.

If there is not a Walgreens in the patient’s area or they are unable to pick their script up for any reason, Walgreens will ship the Dexcom G6 and supplies directly to the patient. 

If a patient cannot or chooses not to fill their Dexcom G6 at a Walgreens, they will go through one of the participating distributors listed at www.dexcom.com/medicare-coverage. A member must call their plan to confirm that the supplier is in their network. 

If a Medicare patient is denied coverage for Dexcom G6, it will be the Walgreens pharmacy employee’s role to advise the patient or provider on the next steps for obtaining coverage.