Health Net
Dexcom G5 Mobile Receiver (blood-glucose meter,continuous)
Medical Supplies and Durable Medical Equipment : Medical Supplies and Durable Medical Equipment
  • Diabetic Medical Supplies:
    Duration: 12 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)

  • Prior Authorization: Diabetic Medical Supplies:
    Documented Diagnosis: Yes
    Duration: 12 Month(s)
    Reauthorization Required: Yes