Commercial Reimbursement

Simplified insulin delivery deserves simplified access

The Omnipod® System and Omnipod DASH® System are widely covered by commercial plans, with coverage through both the medical benefit and pharmacy benefit. Broad commercial access provides your patients with the flexibility to choose the channel that best aligns to their unique and personal financial situations, and also simplifies the pump initiation process for your office.

Pharmacy Coverage

The Omnipod® System and Omnipod DASH® System are the only full-featured insulin pumps in the United States available through the pharmacy channel. Prescribing the Omnipod® System and Omnipod DASH® System through the pharmacy channel can mean less paperwork for healthcare providers and faster turnaround for your patients. We currently have access through Express Scripts® and CVS/Caremark™, and are continuing to expand pharmacy access across the United States. To get your patient started, all that is required from you is an electronic prescription (eRx).

Medical Equipment Benefit

Like most other insulin pumps, the Omnipod® System and Omnipod DASH® System are also available as durable medical equipment. To get your patient started, you will need to submit a Certificate of Medical Necessity alongside our Patient Information Form. Your patient’s insurance plan will dictate his or her coverage.

Benefits of the Pharmacy Channel

The pharmacy channel streamlines the prescription and delivery process for both healthcare providers and patients. Benefits include:

  • No Durable Medical Equipment paperwork required
  • Patients can fill their prescriptions online and conveniently receive them through mail order
  • Patients may see out-of-pocket costs as low as $35 per month

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.