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Web instructions complete all fields on this standard written order. Web cgm physician’s order complete and fax toll free to: Order information recurrent, unexplained, severe, symptomatic (generally blood glucose levels less than 50 mg/dl) hypoglycemia and this hypoglycemia puts the patient. Web affordable †1 for your patients.
Fax Both This Order And The Patient’s Most Recent Medical Records That Demonstrate Coverage Criteria Are Met To A Dme Supplier That Provides The Freestyle Libre 14 Day System.
Use the noridian clinician resource letter (continuous glucose monitors) to confirm coverage criteria and medical necessity documentation requirements are met*. Whether you’re new to using a continuous glucose monitoring system (cgm) or need a refresher, this guide is for you. The freestyle libre 2 system is now widely covered by medicare for patients managing diabetes with insulin‡2. Looking for more information on freestyle libre pro?