Dexcom Coverage Evaluator

This tool evaluates Dexcom pharmacy coverage for clinicians and determines the most affordable option for each patient.

Simply input the patient information along with NPI in the form below to receive coverage results, recommended action, and consideration.

Verifying patient information is accurate is crucial for determining coverage.

Patient First Name

Patient Last Name

Patient Date of Birth

Patient Gender

Patient Zip Code

A valid 5 digit zip code.

Provider NPI Number

Provider’s 10 digit NPI number.

By hitting "Request Info", you agree that you are legally authorized to share the patient information you submit to Dexcom. Health care provider and patient information collected through this form will be processed to investigate patient benefits eligibility as described in our Privacy Policy and Notice of Privacy Practices in accordance with HIPPA and other applicable privacy requirements.