The Omnipod® Insulin Management System is now available on some of the largest Part D plans. Therefore, you can finally consider prescribing the Omnipod® System for your Medicare-eligible patients through Part D. For more information on coverage and a full list of Part D plans, call our Medicare Access team at 1.877.939.4384.
With coverage through the pharmacy benefit, patients no longer need to be tethered to the Part B process.
Submit coverage determination request forms to the plan sponsor.
To get the forms, call 1.877.939.4384 or you can visit the CMS website to obtain the necessary forms.
Patient’s Part D carrier
Determines coverage or if additional information is required. In some cases, patients may need to follow an appeals process.
If the patients coverage is approved, they may be eligible to receive reimbursement for the Omnipod® System.