Dexcom G6/G7 Sensors: Retail vs DME

PAAS National® analysts have received numerous calls from pharmacies related to continuous glucose monitor (CGM) products made by Dexcom, particularly the G6/G7 sensors. There appears to be two different versions of Dexcom products – those labeled for “Retail” (pharmacy benefit) and those labeled for “DME” (medical benefit). Pharmacies report finding both products on wholesaler websites with different list prices and they aren’t sure which product they can buy, and which payors will pay for what product.

PAAS has spoken with Dexcom officials who confirmed the following:

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  1. The products are the same but are intended for different channels
  2. The “Retail” product is intended for pharmacy benefit and includes an NDC on the box
  3. The “DME” product is intended for medical benefit (e.g., Medicare Part B) and does NOT include an NDC on the box
  4. There is an authorized distribution list (ADL) that is not yet posted on Dexcom’s public website

Here is a list of Dexcom products with associated NDC (or SKU)

Government ONLY
Product DescriptionDexcom SKU
G6 Medicare Touchscreen Receiver KitSTK-FM-001
G6 Medicare Transmitter Kit, DexcomSTT-OM-001
G6 Medicare Sensor 1-Pack, DexcomSTS-OM-001
G6 Medicare Sensor Kit 3-Pack, USSTS-OM-003
G7 US Medicare Receiver KitSTK-AT-013
G7 US Medicare Sensor/Transmitter 1-PackSTP-AT-013
G7 15-Day US Medicare Sensor/Transmitter 1-PackSTP-FT-013
DME Benefit ONLY
Product DescriptionDexcom SKU
G6 Touchscreen Receiver KitSTK-FE-001
G6 Transmitter Kit, DexcomSTT-OR-001
G6 Sensor 1-Pack, DexcomSTS-OR-001
G6 Bundled Transmitter Kit, DexcomBUN-OR-TX6
G7 US DME Receiver KitSTK-AT-011
G7 US DME Sensor/Transmitter 1-PackSTP-AT-011
G7 15-Day US DME Sensor/Transmitter 1-PackSTP-FT-011
Retail Rx Pharmacy Benefit ONLY
Product DescriptionDexcom SKU“NDC”
G6 Receiver Kit (Retail)STK-OE-00108627-0091-11
G6 Retail Transmitter KitSTT-OE-00208627-0016-01
G6 Retail Sensor 3-PackSTS-OE-00308627-0053-03
G7 US Retail Receiver KitSTK-AT-01208627-0078-01
G7 US Retail Sensor 1-PackSTP-AT-01208627-0077-01

PAAS Tips:

  • Pharmacies must be careful when dispensing these products depending on whether the CGM is covered under the pharmacy or medical benefit
  • Caremark and Express Scripts require that network pharmacies purchase diabetic testing supplies directly from the manufacturer or an authorized distributor only

Eric Hartkopf, PharmD
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