Your Guide to
Diabetes medication and supply coverage
Affordable Access EpiphanyRx provides a variety of covered products to treat and manage diabetes. Our goal is to provide affordable access so members can better manage their health. For more savings and
Scan the QR Code for our full list of medications on the EpiphanyRx Formulary:
convenience, consider a 30-day retail or 90-day mail order supply from Costco at a 30% copay.
INSULIN
SEMGLEE NOVO Products
INSULIN PUMPS
OMNIPOD V-Go
One free meter per year!
CONTINUOUS GLUCOSE MONITORS*
Accu-Chek Onetouch
Dexcom Freestyle Libre
METERS AND TEST STRIPS
*Requires step therapy and has quantity limit
We also cover additional diabetes medications, many of which are generics and preferred brands. Diabetes medications, including insulin are covered on the Preventive List with the associated copay. For other pumps and supplies, please utilize your medical benefit. 844.820.3260
www.EpiphanyRx.com