Health Insurance Coverage for the Omnipod® 5 Automated Insulin Delivery (AID) System
The Omnipod® 5 System is the only AID System in the US that is available through select pharmacies.
The Omnipod® 5 System Is Available at These Pharmacies*
- CVS Caremark
- Express Scripts
- Advanced Diabetes Supply
- Albertson’s Specialty Care
- Byram Healthcare
- Gentry Health Services
- Kroger Specialty Pharmacy
- Community, A. Walgreen’s Pharmacy
Cash Pay Option
- Costco Mail Order Pharmacy
We anticipate access through the pharmacy to increase over time.
Benefits of Pharmacy
No contract, no commitment, no obligation
The ability to electronically prescribe with no c-peptide test required and less paperwork
People can pick up Omnipod® Pods, insulin, and other medications at one place
Pharmacy Advantage with the OmnipodPromise™
Our OmnipodPromise allows users to start on Omnipod DASH® Insulin Management System or Omnipod® 5 and any newer technology with:
No contract, commitment, or obligation
Easy upgrade to newer Omnipod® technology regardless of an existing contract, when product is available**
FREE Omnipod DASH® Personal Diabetes Manager (PDM) and Omnipod® 5 Controller, included with your first prescription***
Don’t wait, switch your patients diabetes management today and upgrade to a newer Omnipod® product at any time, regardless of whether they are on Omnipod® or any other pump.
Current Omnipod DASH® Users
No waitlist or priority line. Write e-prescriptions and send them to one of the pharmacies below:Ŧ
Specialty pharmacies: Advanced Diabetes Supply; Albertsons Specialty Care; Byram Healthcare; Edgepark; Gentry Health Services Kroger Specialty Pharmacy Community; A Walgreens Pharmacy
Mail-order pharmacies: CVS Caremark; Express Scripts; Humana; Optum
Cash pay option: Costco Pharmacy
Users New to Omnipod® 5 System
People on Multiple Daily Injections:
Have your patient fill out the Get Started Form.
Receive a Pod Packet fax request with the next steps
Once Omnipod® 5 coverage is approved, prescribe Omnipod® 5 System
People on the Omnipod® Insulin Management System and other tubed pumps:Ŧ
Prescribe Omnipod® 5 today, users may have access even if already on an insulin pump or locked into a DME contract
Insurance Coverage Options
The Omnipod® 5 System is covered under select commercial, Medicare, and Medicaid Plans.
For further information please contact Customer Care at 1-800-591-3455. Our experienced team is available 24/7 to help you.
Want to advocate for Omnipod® 5 coverage and access?
Visit https://www.advocacyforaccess.com/ for tools and resources.
**Only available for users with valid prescriptions and coverage through their pharmacy benefit. Upgrades are subject to the user’s insurance coverage.
** *Subject to co-pays as required by insurance coverage.
Ŧ Actual coverage and restrictions are dependent on individuals’ health insurance plan; the patient may be subject to prior authorization or other restrictions
Please visit https://www.omnipod.com/safety for Important Safety Information for Omnipod® 5 System and Omnipod DASH® System