Medtronic

Medtronic CGM Pharmacy Copay

Guardian 4: up to $180/mo / $720/yr. Simplera family: up to $380/mo / $2,000/yr.

Instant cardCommercial insurance only

What you need to enroll

Instant card — no doctor needed to enroll

Sign up on the manufacturer's site in about 2 minutes. You don't need a doctor visit to get the card itself — just bring it to your pharmacy with your prescription at fill time.

Your estimated copay

$180per 30-day fill
Max savings / year: $2,000
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Card variants

This program publishes different cards depending on your insurance situation.

Commercial — with coverage

Medtronic Guardian 4 Pharmacy Copay

Monthly max
$180
Annual max
$720
Fills / year
12

Guardian 4 sensor: up to $180/mo savings, $720 annual benefit.

Commercial — with coverage

Medtronic Simplera Pharmacy Copay

Monthly max
$380
Annual max
$2,000
Fills / year
12

Simplera / Simplera Sync sensor family: up to $380/mo savings, $2,000 annual benefit.

Covered medications

  • Medtronic Guardian 4 CGM sensor 7-day sensor
  • Medtronic Simplera CGM sensor 7-day disposable sensor
  • Medtronic Simplera Sync CGM sensor 7-day disposable sensor

Am I eligible?

Need a prescription?
Yes — written by a licensed prescriber for the medications below.
Insurance required?
Commercial insurance only. Medicare, Medicaid, TRICARE, and VA are not eligible.
State restrictions?
Available nationwide.
Income limits?
No income test.

Accepted

  • Prescribed Medtronic Guardian 4 or Simplera CGM
  • Commercial drug insurance plan
  • US resident, age 18+

Not accepted

  • Medicare, Medicaid, or any government program
  • Other CGM brands

How to apply

  1. Visit medtronicdiabetes.com/cgm-pharmacy-copay
  2. Phone: 1-800-646-4633

Using it at the pharmacy

Show the Medtronic copay card before checkout. The pharmacist runs the BIN, PCN, and Group — Guardian 4 sensors cap at $180/mo, Simplera at up to $380/mo.

Terms & limits

Max savings per fill
Up to $380 per 30-day fill
Max savings per year
Up to $2,000 per year
Fills per year
12 fills per year, per covered drug
Renewal
Renew every year

Per-card-type caps may vary — see the variants above for details.

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