Pharmacy benefit considerations for continuous glucose monitoring acquisition: Vermont Medicaid

Many individuals with diabetes are not achieving their glycemic goals. Use of continuous glucose monitoring (CGM) improves diabetes management. Access to CGM is often hindered when individuals must acquire their supplies through the traditional durable medical device chan-nel. Vermont Medicaid transitioned CGM coverage from a medical/durable medical equipment benefit to a pharmacy benefit. This improved access and lessened the burden on prescribing health care provid-ers. We describe the process the Vermont Medicaid program implemented to make this transition.