OMNIPOD 5 G6 PODS (GEN 5) 5PK

Product Details

General

Brand name: OMNIPOD 5 G6 PODS (GEN 5) 5PK
Generic Name: insulin pump cart,automated,BT
Manufacturer: Manufacturer: INSULET CORPORA
NDC08508300021
Package Size: 5EA

Product Information

HCPCS Description: Insulin Syringes
HCPCS Code: A4206
COVID-19 Test Kit: No
COVID-19 Vaccine: No
Diabetic Supply Product: Yes
Family Planning Product: No
Home Health Supply Product*: Yes
Mosquito Repellent†: No
Prescription/OTC: Over the counter
Vitamin or Mineral‡: No

Product Pricing

Price: 55.223
Price Effective Date: 03/05/2024

* Refer to the Home Health Supplies section of the Pharmacy Provider Procedure Manual for information.

† Refer to the Mosquito Repellent section of the Pharmacy Provider Procedure Manual for information.

‡ Refer to the Vitamin and Mineral Products section of the Pharmacy Provider Procedure Manual for information.