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As if March 1, 2026, the National Pharmacare Plan will cover the full cost of many insulins.
PharmaCare covers:
Insulin pump coverage is available to people who:
Speak to your endocrinologist or diabetes specialist. If you meet the criteria for coverage of a pump, your specialist will submit a Special Authority request to PharmaCare.
If the request is approved, PharmaCare will send an approval letter to your specialist's office. Your specialist will give you a copy of this letter to take to the insulin pump manufacturer when purchasing your pump.
Be sure to wait for the approval letter before purchasing your insulin pump. PharmaCare cannot provide retroactive coverage for purchases made before your approval is confirmed.
PharmaCare provides coverage for:
The Omnipod system's personal diabetes manager is available to you at no cost, regardless of the PharmaCare plan you are covered under or any deductible you may have. PharmaCare considers the Omnipod system's pods as insulin pump supplies, which are covered according to the rules of your plan. Read Infusion sets and supplies.
The mylife YpsoPump is available as part of a starter kit which includes the insulin pump, a mylife infusion set (any length), reservoir, inserter (if applicable), reservoir storage box and screen protector. The starter kit is supplied at a cost of $7,000 and is covered as follows, subject to the rules of your PhamaCare plan:
The MiniMed Insulin Pump System is supplied at the cost of $6,600 and is covered as follows, subject to the rules of your PharmaCare plan:
Infusion sets and supplies for all insulin pump systems are covered as follows:
PharmaCare covers certain insulin pump supplies if you are covered under:
This coverage is available whether or not your pump was covered by PharmaCare.
Special Authority pre-approval is not required for insulin pump supplies.
PharmaCare covers pods, infusion sets/kits, and insulin pump reservoirs/cartridges.
PharmaCare does not cover batteries, battery caps, adhesive pads, skin wipes, etc.
PharmaCare covers eligible insulin pump supplies purchased from pharmacies and approved insulin pump vendors who submit claims on PharmaNet. PharmaCare cannot accept manual/paper claims for insulin pump supplies.