# Dexcom G6 via Pharmacy/Drug Benefits **URL:** \ **Category:** C/GM\ **Tags:** cgm, dexcom, cost-of-diabetes\ **Created:** [February 28, 2019, 9:02pm UTC](https://forum.fudiabetes.org/t/dexcom-g6-via-pharmacy-drug-benefits/6828 "2019-02-28T21:02:41Z")\ **Posts on this page:** 9\ **Page:** 2
**Author:** ![jim26](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/jim26/32/9780_2.png) [@jim26](https://forum.fudiabetes.org/u/jim26)\ **Post date:** [January 9, 2020, 1:22am UTC](https://forum.fudiabetes.org/t/dexcom-g6-via-pharmacy-drug-benefits/6828/26 "2020-01-09T01:22:11Z")
I decided to give getting Dexcom supplies through my CVS/Caremark pharmacy benefit a try. I was pleasently suprised how smooth the process was. Saturday: Sent a message to my PCP telling him I can now get my Dexcom Supplies filled through CVS. Told them to be sure to follow the Dexcom directions and provided link: [https://provider.dexcom.com/education-research/clinic-resources/prescribing-info/dexcom-g6-cgm-pharmacy-ordering-and-filling](https://provider.dexcom.com/education-research/clinic-resources/prescribing-info/dexcom-g6-cgm-pharmacy-ordering-and-filling) Wednesday: My local CVS pharmacy notified me that my prescription had been filled. When I picked up my order my Doc had prescribed it as 30 day supply with X number of refills (Doc issue not CVS issue. Not sure why my Doc can’t figure out I need 90 day supplies) Anyway CVS said OK they would correct. What shocked the heck out of me was a few minutes later they had the 90 day supply ready for me. I was fully expecting them to tell me they would need to order the sensors and to come back in a couple of days. But they must of had some stock at the store which was pretty cool. Anyway you might give your pharmacy benefit a try if you haven’t. ---
**Author:** ![charity2301](https://avatars.discourse-cdn.com/v4/letter/c/e56c9b/32.png) [@charity2301](https://forum.fudiabetes.org/u/charity2301)\ **Post date:** [January 22, 2020, 8:14pm UTC](https://forum.fudiabetes.org/t/dexcom-g6-via-pharmacy-drug-benefits/6828/27 "2020-01-22T20:14:23Z")
What insurance companies do you all have? And how can you find out if your insurance covers dexcom by pharmacy benefit? ---
**Author:** ![bpollina](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/bpollina/32/7413_2.png) [@bpollina](https://forum.fudiabetes.org/u/bpollina)\ **Post date:** [January 22, 2020, 11:27pm UTC](https://forum.fudiabetes.org/t/dexcom-g6-via-pharmacy-drug-benefits/6828/28 "2020-01-22T23:27:54Z")
See [https://provider.dexcom.com/education-research/clinic-resources/prescribing-info/how-fill-dexcom-g6-pharmacy-prescription](https://provider.dexcom.com/education-research/clinic-resources/prescribing-info/how-fill-dexcom-g6-pharmacy-prescription) . ---
**Author:** ![jim26](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/jim26/32/9780_2.png) [@jim26](https://forum.fudiabetes.org/u/jim26)\ **Post date:** [January 23, 2020, 3:48am UTC](https://forum.fudiabetes.org/t/dexcom-g6-via-pharmacy-drug-benefits/6828/29 "2020-01-23T03:48:25Z")
If your insurance is employer based then you can reach out to your HR department and ask who the pharmacy benefit manager is for your plan. It could be Express Scripts, Caremark or someother company. Mine is Caremark. You can reach out to them about coverage and price. ---
**Author:** ![charity2301](https://avatars.discourse-cdn.com/v4/letter/c/e56c9b/32.png) [@charity2301](https://forum.fudiabetes.org/u/charity2301)\ **Post date:** [January 23, 2020, 12:45pm UTC](https://forum.fudiabetes.org/t/dexcom-g6-via-pharmacy-drug-benefits/6828/30 "2020-01-23T12:45:11Z")
I know OptumRx covers our pharmacy benefits for this employer based insurance plan. But, do you know who to actually contact at the insurance company to find out about medical necessity coverage? I specifically accepted this job because they supposedly covered all my diabetes supplies and now that i am here it doesn’t look like they cover Dexcom cgms… Everytime i call the insurance they give me to some ididot representative that doesn’t even know what medical necessity means. Has anyone else run into this issue? I just want to be able to speak with the right person at the insurance company to have my cgm covered by insurance!! ☹ ---
**Author:** ![jim26](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/jim26/32/9780_2.png) [@jim26](https://forum.fudiabetes.org/u/jim26)\ **Post date:** [January 23, 2020, 7:19pm UTC](https://forum.fudiabetes.org/t/dexcom-g6-via-pharmacy-drug-benefits/6828/31 "2020-01-23T19:19:22Z")
Sorry I dont know anyone at OptumRx. Have you tried just using their website? That’s how I verified with Caremark. [https://www.optumrx.com/public/landing](https://www.optumrx.com/public/landing) ---
**Author:** ![charity2301](https://avatars.discourse-cdn.com/v4/letter/c/e56c9b/32.png) [@charity2301](https://forum.fudiabetes.org/u/charity2301)\ **Post date:** [January 23, 2020, 8:26pm UTC](https://forum.fudiabetes.org/t/dexcom-g6-via-pharmacy-drug-benefits/6828/32 "2020-01-23T20:26:58Z")
it isn’t covered by pharmacy benefit, but we do have medical necessity coverage, so i have the doctor submitting a prior authorization to get them covered as a medical necessity!!! thanks for the answer though. ---
**Author:** ![elver](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/elver/32/8772_2.png) [@elver](https://forum.fudiabetes.org/u/elver)\ **Post date:** [January 25, 2020, 11:56pm UTC](https://forum.fudiabetes.org/t/dexcom-g6-via-pharmacy-drug-benefits/6828/33 "2020-01-25T23:56:35Z")
@charity2301 the following Dexcom link delineates by zip code or NPI which plans have a Dexcom pharmacy benefit. [https://provider.dexcom.com/pharmacy-coverage](https://provider.dexcom.com/pharmacy-coverage) ---
**Author:** ![jim26](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/jim26/32/9780_2.png) [@jim26](https://forum.fudiabetes.org/u/jim26)\ **Post date:** [March 19, 2020, 6:10pm UTC](https://forum.fudiabetes.org/t/dexcom-g6-via-pharmacy-drug-benefits/6828/34 "2020-03-19T18:10:15Z")
Had my first refill of Dexcom sensors through CVS. They had them available same day…I was shocked. They must be stocking them in the pharmacy. [Previous page](https://forum.fudiabetes.org/t/dexcom-g6-via-pharmacy-drug-benefits/6828.md?page=1)