Product Details

Dexcom G7 Sensor

Reader Kit And Sensor Kit

Continuous Glucose Monitoring System–Sensor Kit


DIN/PIN/NPN

09858362

Manufacturer

Dexcom, Inc.

Formulary Listing Date

2025-07-31  

Unit Price

NA

Amount MOH Pays

75.0000

Coverage Status

Continuous Glucose Monitoring System

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

Interchangeable Products

NO  

LU Clinical Criteria

NO  

Requirements

Dexcom G7 Sensor

Reimbursement Criteria and Maximum Reimbursed Quantity:

All ODB eligible recipients on insulin therapy for diabetes who have a valid prescription from a physician or nurse practitioner for CGM sensors and/or a CGM reader/receiver designated on the Formulary are eligible to receive the prescribed ODB-funded CGM sensors and/or reader/receiver.

Patients who meet the reimbursement criteria are eligible for a maximum reimbursed quantity of 45 sensors over the course of a 365-day period.

Please refer to the Ontario Drug Programs Reference Manual for more information related to CGM systems (e.g., pharmacy billing procedure, HNS response codes and messages).

EAP Criteria

  NO

Product Monograph

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