Glucose monitors

This page describes PharmaCare coverage of glucose monitors.

PharmaCare provides coverage of continuous glucose monitors (CGM) and flash glucose monitors (FGM) through Special Authority. Initial coverage is for 1 year. After the first year, your prescriber can request a Special Authority renewal for 5 years.

You are eligible for coverage if:

• Blood glucose testing with a CGM/FGM has been deemed medically necessary for you
• You agree to comprehensive and age-appropriate diabetes education by an interdisciplinary diabetes healthcare team and commit to regular follow-up, and
• You are covered under one (or more) of these plans:

If you are already using a CGM/FGM and would like to be covered by PharmaCare, your prescriber will need to apply for Special Authority. You must meet the eligibility criteria.

You do not need a certificate of training from a diabetes education centre to qualify for this coverage.

Covered glucose monitors:

• Continuous/flash glucose monitors eligible for PharmaCare coverage

CGMs, FGMs and blood glucose test strips

If using a CGM/FGM, you may occasionally need blood glucose test strips (for example, if your monitor displays an error code or if your symptoms don’t match your readings). CGM and FGM users are covered for 200 blood glucose test strips per year. Read about blood glucose test strips coverage.

• Blood glucose test strips (BGTS)
  • Annual quantity limits - BGTS