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*

Mail-Order Pharmacies

  • CVS Caremark
  • Express Scripts
  • Humana
  • Optum

Specialty Pharmacies

  • Advanced Diabetes Supply
  • Albertson’s Specialty Care
  • Byram Healthcare
  • Edgepark
  • 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. 

*Distribution network may be limited at initial launch.

**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

Regional Disclaimer

Are you a resident of the United States?

Yes No

The content of the webpage that you are about to access is exclusively reserved for residents of the United States.

If you are a resident of the United States, please click 'Yes' to continue. If not, please click 'No' to exit and do not access the webpages. If you selected this country/language in error, you can go back to the previous page and select your country/language.

Thank you.