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CGM Ordering - Pharmacy or DME: A Coverage Guide Quick Reference
Updated: 02/27/25
This one-page quick reference guide outlines CGM ordering by major Michigan insurance plans/payors, indicating whether CGM prescriptions should be sent to the pharmacy or to a DME supplier based on the insurance plan's line of coverage/benefit (pharmacy or medical). This tool is intended to save clinical time, answering the common prescriber question, "Where do I send the CGM order: Pharmacy or DME?", with the ultimate goal of getting patients a CGM more quickly and efficiently.
Tags: For Providers, Handout, Created By MCT2D, Point-of-care, Coverage Guides, Endocrinology
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Support for The Michigan Collaborative for Type 2 Diabetes (MCT2D) is provided by Blue Cross Blue Shield of Michigan as part of the BCBSM Value Partnerships program.
Although Blue Cross Blue Shield of Michigan and MCT2D work collaboratively, the opinions, beliefs and viewpoints expressed by the author do not necessarily reflect the opinions, beliefs and viewpoints of BCBSM or any of its employees.