Reorder Your Supplies
* First Name
* Last Name
Date of Birth
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* Phone
eMail
Account Code (Optional)
Ex) ADSJONES00
Are you authorized to reorder testing supplies?
This is me.
I am a family member, relative, caregiver, or close personal friend of this patient, who is authorized to act on behalf of this patient.
Name
Relation
Has any of your account information, such as your shipping address, doctor, or insurance information, changed since you received your last order?
No, there are no changes to my account information.
Yes, my account information has changed since my last order.
Please describe what information has changed in your account here...
Choose a reorder option...
I authorize my next shipment of blood glucose test strips, lancets, control solution, and all other supplies consistent with my doctor's order on file.
I would like to choose the items to reorder from a list of available supplies below.
Categories
Test Strips, consistent with my Doctor's Order
Lancets, consistent with my Doctor's Order
Control Solution, consistent with my Doctor's Order
A glucose meter battery, if eligible
A lancet device, if eligible
A battery, if eligible
Syringes
Pen Needles
Sterile Wipes
Infusion Sets
Infusion Cartridges
Dexcom Sensors
Libre Sensors
Omnipods
