Simplified insulin delivery deserves simplified access.

Omnipod® systems are available through the pharmacy. And while all of our systems require a prescription, they are covered under private insurance companies, Medicare, select State Medicaid and Managed Medicaid Programs. When you submit your health insurance information, we’ll contact your insurance provider(s) to determine your benefits. We will then contact you to review your benefits before getting started. For more information, call 1-800-591-3455

Omnipod DASH® users pay on average less than $50/mo. co-pay through the pharmacy.

*Average calculated based on a consumption of ten (10) Pods per month. 131,049 paid claims between January 1st, 2020, and December 31st, 2020, both for commercial plans and Medicare, were analyzed Actual co-pay amount depends on patient’s health plan and coverage, they may fluctuate and be higher or lower than the advertised amount on a monthly basis. Source: Data on file.

The only tubeless, full-feature insulin pumps available through the pharmacy

The pharmacy channel makes it convenient to pick up your Pods where you’d normally pick up your insulin. Omnipod® products are available nationwide through retail and mail-order suppliers. Click here for a list of available pharmacies.

Benefits of the pharmacy channel include: 

  • Convenience of picking up your Pods and insulin supplies in one place  

  • Alleviates high start-up costs by providing the Omnipod 5 Controller or DASH Personal Diabetes Manager (PDM) at no charge with your first prescription*  

  • Simplifying payments with a monthly, commitment-free, pay-as-you-go cost structure

To receive Omnipod through your pharmacy benefit, your health care provider will need to submit a prescription, which allows you to receive your Pods just like you receive your insulin.

*Data on File
†Seagrove Partners syndicated services; 2020. The diabetes forum: 2020 insulin pump market primer

How much will Omnipod cost?

While on average, most Omnipod DASH® users pay less than $50 per month through the pharmacy, your actual cost will differ based on your insurance coverage. To get a sense of your out-of-pocket cost for Omnipod, give us a call at 1-800-591-3455 or get started online  with a no-commitment benefits check.
 

How to get started with your pharmacy benefit 

  1. Once you and your doctor have determined that Omnipod is the best choice for you, complete our form to get started. This will allow our Omnipod Specialists to contact your insurance plan to determine if you have coverage. 
  2. After reviewing your insurance information, you will receive an email or phone call from an Insulet Customer Care representative to discuss your insurance results. 
  3. Once you're ready to get started, our team will connect you with a serviceable pharmacy. We will also follow up with your health care provider directly to request a prescription. 
  4. Once your health care provider sends the prescription to the specified pharmacy, your Omnipod system will be processed and ready for pick up or shipped. 
* Average calculated based on a consumption of ten (10) Pods per month. 131,049 paid claims between January 1st, 2020, and December 31st, 2020 both for commercial plans and Medicare were analyzed. Actual co-pay amount depends on patient’s health plan and coverage, they may fluctuate and be higher or lower than the advertised amount on a monthly basis, Source: Data on file.

Covered by Medicare? So are we

Omnipod is covered under Medicare Part D. But unlike pharmaceutical products, Omnipod does not appear on Medicare’s plan finder site since it is a medical device. Still, there are access options for some Part D plans under a Tier 3 and Tier 4 co-pay benefit. 

Curious what Medicare coverage options may be available for you? 

Don’t let cost get in the way - financial help is available

We’re constantly assessing our financial assistance program. Eligibility will depend on product and insurance coverage. Call us to discuss the details*. 

*Eligibility is for U.S. based residents who meet specific eligibility criteria and income guidelines. As well as the following requirements – Currently using Omnipod, Ordering directly through Insulet Corporation, Uninsured – meaning, insurance does not cover Omnipod or one of its individual components, or cannot afford their insurance out-of-pocket obligations.

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