Veterans Affairs and TRICARE coverage

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.

Medicare and other payor criteria may apply. Abbott provides this information as a courtesy and does not guarantee payment or coverage.

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

The FreeStyle Libre systems 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 3 or FreeStyle Libre 2 readers and sensors. Your physician may also be able to provide more information on accessing the FreeStyle Libre systems using any applicable benefits & eligibility criteria.

• When your healthcare provider prescribes the CGM, they must confirm and document that you have diabetes and are being treated with daily insulin.
• You will need to know:
  • How to use a CGM device.
  • About fingerstick testing for calibration, and how to evaluate “high” or “low” blood glucose results or trends based on readings and/or alarms.
• You have followed your healthcare provider’s recommendations for glucose testing and medication as directed.
• You agree to ongoing medical appointments with your healthcare provider(s) 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.

Medicare and other payor criteria may apply. Abbott provides this information as a courtesy and does not guarantee payment or coverage.

References: 1. Data on file. Abbott Diabetes Care, Inc. 2. Department of Veterans Affairs. VA/DoD Clinical Practice Guideline for the Management of Type 2 Diabetes Mellitus in Primary Care: Pocket Card. Accessed August 19, 2024. https://www.healthquality.va.gov/guidelines/CD/diabetes/DMCPGPocketcardfinal508.pdf.

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

• Your healthcare provider has filled out an initial prior authorization (expires in 1 year).
• You have been diagnosed with Type 1 OR Type 2 diabetes.
• One of the following situations applies to you:
  • You have been using long-acting (basal) and meal-time (prandial) insulin injections.
  • You are receiving insulin infusions continuously (through an insulin pump, for example).
  • You have Type 2 diabetes and are receiving insulin therapy, and have a history of severe hypoglycemia episodes requiring medical intervention.
• Your FreeStyle Libre 3 or FreeStyle Libre 2 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.

Medicare and other payor criteria may apply. Abbott provides this information as a courtesy and does not guarantee payment or coverage.

Reference: 3. Department of Defense Pharmacy and Therapeutics Committee Recommendations from the November 2022 Meeting Information for the Uniform Formulary Beneficiary Advisory Panel. Accessed August 19, 2024. https://www.health.mil/Reference-Center/Meeting-References/2022/12/16/BAP-Background-Document-for-the-Nov-2022-PT-Meeting.