Prescribing Omnipod® Products

Omnipod 5 Pod PDM No Adhesive Dexcom Right 600x825 Omnipod 5 Pod PDM No Adhesive Dexcom Right 600x825
Pod and Dexcom G6 CGM shown without the necessary adhesive. Dexcom G6 CGM sold separately.

Are you looking to prescribe the Omnipod® 5 Automated Insulin Delivery (AID) system?

Prescribe Omnipod 5
DASH Pod Left No Adhesive 600x825 DASH Pod Left No Adhesive 600x825
Pod shown without the necessary adhesive.

Are you looking to prescribe Omnipod DASH®?
 

Prescribe Omnipod DASH

Convenience for you:

  • e -Rx directly to ASPN Pharmacy
  • Reduced burden on your office staff
  • No C-peptide test or Medicare MDI step-through requirements

Support for your patients:

  • No technology lock-in or long-term commitment
  • Many can start on Omnipod regardless of existing DME contract*
  • Finds coverage and coordinates fulfillment with an in-network pharmacy with inventory
*Only available for users with valid prescription and coverage through their pharmacy benefit. Exact coverage depends on patient’s insurance plan. Upgrades subject to user’s insurance coverage. Distribution network may be limited at initial launch.
DASH Pod Left No Adhesive 600x825 DASH Pod Left No Adhesive 600x825
The Omnipod DASH® System
Pod shown without the necessary adhesive.
Omnipod 5 Pod PDM No Adhesive Dexcom Right 600x825 Omnipod 5 Pod PDM No Adhesive Dexcom Right 600x825
The Omnipod® 5 System
Pods and Dexcom G6 CGM shown without the necessary adhesive. Dexcom G6 CGM sold separately.

Streamlined prescription process with Dexcom G6 CGM through ASPN Pharmacies Steps to prescribe:

e-Prescribe: 

  1. Enter “Omnipod” in your EHR system.
  2. Select prescriptions for Omnipod DASH® or Omnipod® 5 including the Intro Kit and Pods.
  3. Select quantity dispensed and number of refills.
  4. Select and submit to: ASPN Pharmacies, LLC

              290 West Mount Pleasant Ave
              Building 2, 4th Floor, Suite 2400
              Livingston, NJ 07039
              NPI: 1538590690

For your patient’s Omnipod prescriptions

              Fax to: 1-877-881-1067
              Call in: 1-866-347-0036

For your patient’s Dexcom G6 CGM prescriptions

              Fax to: 1-866-879-8150
              Call in: 1-888-489-0221

ASPN Pharmacies will coordinate fulfillment with your patient at the pharmacy of their choice.

Prescription Options

Product Description NDC Number Package Contents Quantity Refills Dosing/Rx SIG Instructions
Omnipod 5 G6 Intro Kit (Gen 5) 08508-3000-01 Controller and 10 Pods 1 None Change Pod every 72 or 48 Hours* (Based on total daily insulin usage)
Omnipod 5 G6 Pods (Gen 5) Refill 5-Pack) 08508-3000-21 5 Pods per box 2 boxes One year (Monthly fills) Change Pod every 72 or 48 Hours* (Based on total daily insulin usage)

NOTE: The Dexcom G6 requires a separate prescription and is necessary to use Omnipod 5 in Automated Mode.

Product Description NDC Number Package Contents Quantity Refills Dosing/Rx SIG Instructions
Omnipod DASH Intro Kit (Gen 4) 08508-2000-32 PDM and 10 Pods 1 None Change Pod every 72 or 48 Hours* (Based on total daily insulin usage)
Omnipod DASH Pods (Gen 4) Refill 5-Pack 08508-2000-05 5 Pods per box 2 boxes One year (Monthly fills) Change Pod every 72 or 48 Hours* (Based on total daily insulin usage)
*Clinical rationale must be provided for 48-hour Pod change

An Omnipod Product Specialist is available to help you and your office staff with PAs or appeals, if needed. To contact a Specialist, call 1-866-247-0026.