Omnipod® is covered under Medicare Part D!

The #1 prescribed insulin pump¹ Omnipod 5 is the first and only tubeless Automated Insulin Delivery system FDA-cleared for type 1 and type 2 diabetes covered by Medicare Part D!

Your patients can choose a part D plan that best covers their medications, including Omnipod. Selecting a plan that fits their budget and prescription needs may help lower their costs.

Unlike other insulin pumps covered under Medicare Part B, Omnipod 5 is covered by Part D. This means:

• No more qualifying c-peptide tests to get an insulin pump
• Majority of Medicare patients pay less than $50/month
• Pod therapy can start as soon as tomorrow at your patient’s preferred pharmacy

Several changes coming to Medicare in 2025 will benefit your patients:

1. Coverage Gap (also known as the donut hole) will be eliminated, leading to more predictable costs for your patients²
2. Annual out-of-pocket maximum for all Part D medications will be capped at $2,000, down from $3,300 in 2024²
3. Medicare Prescription Payment Plan (M3P) enables Medicare beneficiaries to pick up their prescription with no payment at the pharmacy counter and spread the out-of-pocket cost over the year

Omnipod is committed to helping you support your patients’ Pod therapy treatment.

1) Omnipod offers a free coverage check and support with the coverage determination process.

• Send prescription to ASPN Pharmacies in Livingston, New Jersey location today to start the coverage check and support process for your patient
• Our dedicated team at ASPN Pharmacy can eliminate the uncertainty around formulary exceptions, prior authorization form selection and submission processes

2) Through CoverMyMeds

• Initiate electronic PA (ePA) as would for any medication that needs Prior Authorization
• Once approved, send prescription to patient’s preferred retail pharmacy

If you’d like more information about Medicare, please visit:
Medicare.gov or call 1-800-MEDICARE