Omnipod 5 — United Healthcare
type 1 diabetes
Initial criteria
- For Omnipod 5: Diagnosis of diabetes
- For Twiist: Diagnosis of Type 1 diabetes
- AND Patient or caregiver is motivated to assume responsibility for self-care and insulin management
- AND Patient or caregiver demonstrates knowledge of importance of nutrition including carbohydrate counting and meal planning
Reauthorization criteria
- Documentation of positive clinical response
Approval duration
12 months