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Medicare Coverage and Prescribing Information

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Prescribe Dexcom G6 for Your Medicare Patients

Use these simple steps to get your new Medicare patients quickly started on the Dexcom G6 Continuous Glucose Monitoring (CGM) System.

Dexcom G6 CGM is now available from Walgreens for Medicare-eligible patients

1. Ensure the chart notes* verify that the Medicare patient:

  • Has been seen in your clinic within the last 6 months
  • Has type 1 or type 2 diabetes
  • Performs frequent blood glucose meter (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

*For the full list of Medicare coverage criteria, visit the Centers for Medicare and Medicaid services website.

2. Let your patient know that Dexcom G6 is available at Walgreens

  • Prescribe to the patient’s preferred Walgreens location. Walgreens will reach out to your 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 may go through one of the participating distributors listed on dexcom.com/medicare-coverage.
If a patient does not live near a Walgreens, you can prescribe to any Walgreens and the product will be shipped by mail.

Medicare Coverage Criteria

Medicare patients with type 1 and type 2 diabetes on intensive insulin therapy may be able to obtain reimbursement if the following Medicare coverage criteria are met:

  • The patient has diabetes;
  • The patient has been using a home blood glucose monitor (BGM) and performing frequent (four or more times a day) BGM testing;
  • The patient is insulin-treated with three or more daily injections (MDI) of insulin or a continuous subcutaneous insulin infusion (CSII) pump;
  • The patient's insulin treatment regimen requires frequent adjustments based on therapeutic CGM testing results;
  • Within six months prior to ordering the CGM, the patient had an in-person visit with the treating practitioner to evaluate their diabetes control and determine that the above criteria have been met; and
  • Every six months following the initial prescription of the CGM, the patient has an in-person visit with the treating practitioner to assess adherence to their CGM regimen and diabetes treatment plan.

In order to qualify for Medicare coverage of your Dexcom G6 supplies, Medicare requires that you have a receiver that is compatible with Dexcom G6 and that you use that receiver with your supplies, even if you also use a compatible smart device.  Medicare does not cover Dexcom G6 supplies that are only used with a smartphone or other mobile device.

Medicare covers Dexcom G6 for insulin-requiring patients who meet the Medicare coverage criteria. For the full list of Medicare coverage criteria, visit the Centers for Medicare and Medicaid services website.

Distribution Options

See alternative distributors of Dexcom G6 for Medicare.

Medicare Coding

Find the latest coding references and billing instructions for Medicare patients.

Medicare Frequently Asked Questions

Learn about Medicare coverage criteria, distribution options, and more.

Contact Dexcom

If you are a clinician and want to learn more about Dexcom’s Continuous Glucose Monitoring Systems, please fill out the form and a Dexcom representative will contact you.

If you are a Dexcom User or Patient, please contact Dexcom here.

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