Insulin Pump Supplies


Note that Product Identification numbers are provided for use by pharmacies and vendors submitting claims to PharmaCare.

PharmaCare maximum reimbursement is up to the manufacturer's suggested retail price. PharmaCare does not cover a dispensing fee for insulin pump supplies.

Correct Quantities — Claims for all items should be entered as “each” and reflect the number of pieces within the kit. For example, for infusion sets/kits:

  • If you dispense 1 kit that contains 1 cannula and 1 tubing, total quantity = 2
  • If you dispense 1 kit that contains 10 cannula and 10 tubing, total quantity = 20 (10 + 10)
  • If you dispense 2 kits and each kit contains 10 cannula and 10 tubing, total quantity = 40 (10 + 10 x 2)

Insulin Pump Supplies - Reservoirs/Cartridges

Product Description PINVendor
ACM Cozmo 3 ml IP Cartridge 47450001 Auto Control Medical (ACM)
ACM Thinset 1.8 or 3ml IP Reservoir 47450002 Auto Control Medical (ACM)
ACM Thinset 3ml IP Syringe Reservoir 47450003 Auto Control Medical (ACM)
 
Animas 2 or 3 ml IP Cartridge 47450004 Animas Canada
 
DMSI Accuchek Spirit 3.15 ml IP Cartridge 47450005 Disetronic Medical Systems Inc. (DMSI)
 
Medtronic Minimed 3cc IP Syringe Reservoir 47450006 Medtronic
Medtronic Paradigm 1.76 or 3 ml IP Cartridge 47450007 Medtronic


Insulin Pump Supplies – Infusion Sets/Kits

Product Description PINVendor
ACM Cleo 90 Infusion Set 46340001 Auto Control Medical (ACM)
ACM Comfort Cannulas Only 46340002 Auto Control Medical (ACM)
ACM Comfort Infusion Set/Combo/ShortCombo 46340003 Auto Control Medical (ACM)
ACM Contact Detach Infusion Set46340004 Auto Control Medical (ACM)
ACM Thalaset Infusion Set 46340005 Auto Control Medical (ACM)
ACM Thinset Infusion Set 46340006 Auto Control Medical (ACM)
 
Animas Comfort Infusion Set or Combo 46340007 Animas Canada
Animas Contact Detach Infusion Set 46340008 Animas Canada
Animas Inset II or 30 Infusion Set 46340009 Animas Canada
 
DMSI Accuchek Rapid D Infusion Set 46340010 Disetronic Medical Systems Inc. (DMSI)
DMSI Accuchek Tender 1 or 2 Infusion Set 46340011 Disetronic Medical Systems Inc. (DMSI)
DMSI Accuchek Ultraflex 1 or 2 Infusion Set 46340012 Disetronic Medical Systems Inc. (DMSI)
 
Medtronic Paradigm Polyfin QR Infusion Set 46340013 Medtronic
Medtronic Paradigm Quickset Infusion Set 46340014 Medtronic
Medtronic Paradigm Silhouette Infusion Set/Combo 46340015 Medtronic
Medtronic Paradigm Sofset QR Infusion Set 46340016 Medtronic
Medtronic Paradigm Sure-T Infusion Set 46340017 Medtronic
Medtronic Minimed Polyfin or Polyfin QR Infusion Set 46340018 Medtronic
Medtronic Minimed Quickset Infusion Set 46340019 Medtronic
Medtronic Minimed Silhouette Infusion Set or Combo 46340020 Medtronic
Medtronic Minimed Sofset or Sofset QR Infusion Set 46340021 Medtronic