Please contact a participating pharmacy or supplier* for more info about out-of-pocket costs. Please note, prices vary based on pharmacy or supplier and geographical differences, and are subject to change at any time and at the sole discretion of the pharmacy or durable medical equipment (DME) supplier.

Abbott provides this information as a courtesy, it is subject to change and interpretation. The customer is ultimately responsible for determining the appropriate codes, coverage, and payment policies for individual patients. Abbott does not guarantee third party coverage or payment for our products or reimburse customers for claims that are denied by third party payors.

* Participating pharmacies and durable medical equipment (DME) suppliers are subject to change without notice.

The FreeStyle Libre 2 and FreeStyle Libre 3 system are covered by the Department of Veterans Affairs for those who qualify^1,2. Please contact your physician as a prescription is required for FreeStyle Libre 2 or FreeStyle Libre 3 readers and sensors. Your physician may also be able to provide more information on accessing the FreeStyle Libre 2 or FreeStyle Libre 3 system using any applicable benefits & eligibility criteria.

• When your doctor prescribes the CGM they, must confirm and document that you have diabetes and are being treated with daily insulin. It is recommended that CGM be considered under the following circumstances:
  • If you require daily insulin to achieve desired glycemic management targets and/or avoid hypoglycemia
  • If you have uncommon conditions in which hypoglycemia is a significant concern (for example, post-gastrectomy, paraneoplastic syndromes, reactive hypoglycemia) may be considered on a case-by-case basis by the Endocrinology subject matter expert at the VISN or facility
• You will need to know:
  • How to use a CGM device
  • About fingerstick testing for calibration to evaluate “high” or “low” blood glucose results or trends based on readings and/or alarms recommended by your healthcare team
• You have followed your doctor’s recommendations for glucose testing and medication adherence
• You agree to ongoing medical appointments with the multidisciplinary team at least every 6 months

Therapeutic CGM is provided based on the Veteran’s individual medical needs and is prescribed based upon clinician and patient shared decision making as recommended by the VA/DoD Guidelines of Management of Diabetes Mellitus in Primary Care (2017)².

Abbott provides this information as a courtesy, it is subject to change and interpretation. The customer is ultimately responsible for determining the appropriate codes, coverage, and payment policies for individual patients. Abbott does not guarantee third party coverage or payment for our products or reimburse customers for claims that are denied by third party payors.

1. Data on File. Abbott Diabetes Care. 2. https://www.healthquality.va.gov/guidelines/CD/diabetes/DMCPGPocketcardfinal508.pdf (Accessed April 3, 2023).

The FreeStyle Libre 2 and FreeStyle Libre 3 system are covered by the Department of Defense TRICARE for those who qualify. Please contact your physician as a Prior Authorization (PA) is required for FreeStyle Libre 2 or FreeStyle Libre 3 readers and sensors.

• Your doctor has filled out an initial prior authorization (expires in 1 year)
• You have been diagnosed with Type 1 diabetes OR Type 2 diabetes mellitus
• One of the following situations applies to you:
  • You have been using basal and prandial insulin injections
  • You are using a continuous subcutaneous insulin infusion (i.e., insulin pump)
  • You have Type 2 diabetes mellitus and are receiving insulin therapy, and have a history of severe hypoglycemia episodes requiring medical intervention
• Your FreeStyle Libre 2 or FreeStyle Libre 3 system is prescribed by an endocrinologist or diabetes specialist
  
• Your patient records are submitted with all required documentation
• You must be 4 years of age or older

Abbott provides this information as a courtesy, it is subject to change and interpretation. The customer is ultimately responsible for determining the appropriate codes, coverage, and payment policies for individual patients. Abbott does not guarantee third party coverage or payment for our products or reimburse customers for claims that are denied by third party payors.

1. Department of Defense Pharmacy and Therapeutics Committee Recommendations from the November 2021 Meeting Information for the Uniform Formulary Beneficiary Advisory Panel.