CGM Coverage with Manitoba Pharmacare
Does Manitoba Pharmacare† provide Dexcom CGM coverage?
Yes, Dexcom G7 and Dexcom G6 are eligible benefits under Manitoba Pharmacare.
Manitobans of all ages living with type 1 or type 2 diabetes who use on basal and bolus insulin or use an insulin pump may be eligible for Dexcom CGM coverage.
Do I need a prescription to get Dexcom CGM?
Yes, you will need a valid prescription for Dexcom G6 or G7. You can obtain this from your doctor or your pharmacist.
If you are switching from Dexcom G6 to Dexcom G7, you should obtain a new prescription for Dexcom G7 from your prescribing healthcare professional.
What do you need for coverage approval?
If you believe you or your loved one meet the program criteria, obtain a prescription for Dexcom G6 or Dexcom G7 from your doctor or pharmacist. Take your prescription to your local pharmacy and present it to your pharmacist who will then verify your eligibility.
How long will I be approved for?
Coverage may be continued if the eligibility criteria are met.
Where can I get my Dexcom CGM supplies?
Dexcom G6 or G7 CGM supplies can be ordered from your local pharmacy.
What if I need the optional receiver?
Your pharmacist can submit a claim for the Dexcom G7 Receiver on your behalf.
Will I have any out-of-pocket costs?
When enrolled in Pharmacare and eligible for CGM coverage:
- Your pharmacist will direct bill Pharmacare first, which will determine if you have reached your annual deductible amount.
- If the deductible is not met, the claim will charge to your private insurance plan if you have one.
- Once the deductible is met, Pharmacare will then cover 100% of the costs.
In some cases you may have out-of-pocket costs when purchasing at your pharmacy. If you find you do have a co-pay amount, the Dexcom G7 Patient Benefit Program assists in reducing or even eliminating up to 20% of out-of-pocket costs.* Download a copy of the program certificate below, which can be redeemed at your pharmacy with a valid Dexcom G7 prescription.
Secondary insurance plans may also work with your primary plan to help cover gaps in cost, services, or both. Check with your secondary insurer for details.
Do you have questions?
Our team is here to help! One of our Insurance Specialists can assist you in determining your coverage for Dexcom CGM. Get started by filling out our online form or call us at 1-844-832-1810.
*Based on reasonable upcharge, mark-up and customary pharmacy dispensing fee.
† Best available information as of July 29th, 2024. Subject to change.
† Best available information as of July 29th, 2024. Subject to change.