How do I prescribe a CGM device?

Use these fast tips to prescribe CGM devices.

Before prescribing, determine if you are a provider type that is permitted to do so. Then find the device you are prescribing below.

Dexcom G6

Make a standard written prescription for:

  • Dexcom G6 Receiver: 0 refills
  • Dexcom G6 Transmitter: Dispense 1 / 3 Refills
  • Dexcom G6 Sensors: Dispense 1 box (3 sensors / month) / 12 refills

 

Abbott FreeStyle Libre

Make a standard written prescription for:

  • Freestyle Libre 2 Sensor
    • Quantity: 2 sensors / month NDC# 75799-0800-00
    • Sensor Refills: PRN or 12 refills annually
    • Optional FreeStyle Libre 2 reader for patients without a compatible smartphone: NDC# 75799-0803-00
  • FreeStyle Libre 3 Sensor
    • Quantity: 2 sensors / month NDC# 57599-0818-00
    • Sensor Refills: PRN or 12 refills annually