Part B diabetic supplies Form

2026 Medicare Part B Diabetic Supplies

Preferred Diabetic Supplies (glucose meters, glucose monitor system/kits, and test strips) • The below list of preferred diabetic testing supplies (glucose meters, glucose monitor system/kits, and test strips) is available for coverage to members. • Coverage for test strip quantities that exceed the standard quantity limits defined by Centers for Medicare & Medicaid Services (CMS) is subject to the coverage criteria in LCD L33822.1

Preferred Diabetic Supplies Accu-Chek Aviva Plus Blood Glucose Monitor Kit Accu-Chek Aviva Plus Test Strips Accu-Chek Guide Blood Glucose Monitor Kit Accu-Chek Guide Me Blood Glucose Monitor Kit Accu-Chek Guide Test Strips Accu-Chek Smartview Test Strips Contour Blood Glucose Monitoring System Contour Monitor Contour Next Blood Glucose Monitor Kit Contour Next EZ Blood Glucose Monitor Kit Contour Next Gen Blood Glucose Monitor Kit Contour Next One Blood Glucose Monitor Kit Contour Next One Monitor Kit Contour Next Test Strips Contour Plus Blue Blood Glucose Monitor Kit Contour Plus Test Strips Contour Test Strips

Non-Preferred Diabetic Supplies (glucose meters, glucose monitor system/kits, and test strips) • Non-preferred diabetic supplies (glucose meters, glucose monitor system/kits, and test strips) may be available for members if certain coverage requirements are met, such as step therapy and quantity limit restrictions. • Coverage for a non-preferred diabetic supply is subject to the Non-Preferred Diabetic Testing Supplies Step Criteria2. Step therapy requires trial of preferred products to treat a medical condition before covering a non-preferred product. • Coverage for test strip quantities that exceed Centers for Medicare & Medicaid Services (CMS) defined quantity limits is subject to the coverage criteria in L33822 – Glucose Monitors1.

References

1. Local Coverage Determination (LCD) L33822 – Glucose Monitors. https://www.cms.gov/medicare-coverage- database/view/lcd.aspx?lcdid=33822
2. Medicare Non-Preferred Diabetic Testing Supplies Step Criteria