Omnipod 5 G6 quantity limit

Effective as of December 1, 2024, there is a quantity limit change to the drugs listed below.

Wellpoint recommends that you review our members currently taking the medications listed above. If your patient requires a quantity limit greater than the recommended dose, we will need a new prior authorization request to continue therapy at the higher quantity level.

We appreciate the quality care you give our members, and we recognize the unique aspects of individual cases. If for medical reasons a patient should remain on a higher quantity limit, call Provider Services at 833-731-2162. You may also fax the prior authorization request to 844-474-3341.

Please call Provider Services at 833-731-2162 if you have further questions regarding this communication.