Endor Health is an authorized Omnipod distributor offering direct insurance billing and free delivery across Canada. Here is everything you need to know to place your first order.
Do I need a prescription to order Omnipod pods through Endor?
For most patients, no. If you are paying upfront and submitting receipts to your private insurer for reimbursement, you do not need a prescription on file with us. A prescription is only required if your plan supports direct billing and we are submitting the claim on your behalf.
Do I need to transfer my prescription from my current supplier?
No. If you are in BC, your pharmacist can write your Omnipod prescription directly through PharmaNet. There is nothing to transfer. If you have been ordering from Bayshore or another supplier, we can continue your prescription on our end as long as it is on your PharmaNet profile. If you are outside BC, a prescription is not required for most orders.
Do I need to cancel my existing auto-order with my current supplier?
Yes. If you are on an automatic reorder cycle with your current supplier, contact them directly to cancel it before placing your first Endor order. They will need to hear from you to confirm the cancellation. Allow some time between cancelling your auto-order and placing your first order with us to avoid any overlap or gap in supply.
Do I need to have completed Omnipod training before I can order?
Yes, in practice. Most patients ordering Omnipod pods have completed training through their care team or Insulet before starting. Endor does not provide pump training directly. If you have not completed training yet, connect with your endocrinologist or diabetes educator first.
Ontario
Do I need a prescription for Omnipod in Ontario?
Not for most patients. Since the majority of Ontario orders are pay-and-submit, a prescription is not required. If your plan allows direct billing, we will need your policy details and a prescription on
How does pay-and-submit work in Ontario?
You pay upfront when you order. We include an official pharmacy receipt in your package with everything your private insurer needs to process your reimbursement claim: date, drug name, DIN, quantity, prescribing doctor, your name, amount charged, and pharmacy details with pharmacist signature.
What if I have ADP coverage?
ADP supply grants are paid directly to you in four quarterly payments of $600, for a total of $2,400 per year. This is separate from your order with Endor. We do not bill ADP directly. If you have both private insurance and ADP coverage, your private plan covers what it covers and you can apply your ADP grant toward any remaining balance.
British Columbia
Does Endor direct bill BC PharmaCare for Omnipod pods?
Yes, for patients enrolled in an eligible PharmaCare plan. Pods for all Omnipod systems are covered as insulin pump supplies under BC PharmaCare. No Special Authority approval is required for pods specifically. We bill PharmaCare directly through PharmaNet on your behalf.
What if I am new to Omnipod and need the Omnipod 5 starter kit?
The Omnipod 5 starter kit requires Special Authority approval before PharmaCare will cover it. Your endocrinologist or diabetes specialist submits the request to PharmaCare on your behalf. Once approved, you will receive a written confirmation letter. You will need this letter before purchasing the starter kit, as PharmaCare cannot provide retroactive coverage for purchases made before approval is confirmed. Omnipod DASH is available at no cost through PharmaCare regardless of your plan or deductible, with no Special Authority required for the device itself.
What if my Omnipod prescription is not on PharmaNet?
We will need to confirm your prescription is on PharmaNet before we can process your order. If you are unsure whether your prescription is on file, contact your prescribing doctor or specialist to have it entered. Once confirmed, we can move forward with your order.
How much will PharmaCare cover?
Patients on Plan B, Plan C, Plan F, or Plan W receive 100% coverage for the Omnipod 5 starter kit and pods. Patients on Fair PharmaCare pay out of pocket until their deductible is met, then PharmaCare covers 70% of costs, and 100% after reaching the family maximum.
Alberta
How does billing work for Alberta patients?
We direct bill IPTP and Alberta Blue Cross for eligible patients. Have your insurance details ready when you order. Supplies ship from a local centre.
What do I need to have ready?
Your insurance policy number and any relevant plan details. A prescription is not required for most pay-and-submit orders.
Rest of Canada
Can Endor direct bill my private insurance for Omnipod?
It depends on your specific plan. Direct billing for insulin pump supplies is not available across the board. It varies by employer plan and insurer, not just the carrier. Some plans support it, many do not. Share your insurance details when you order and we will attempt a test bill. If it goes through, any balance after your plan pays is charged to you. If your plan does not support direct billing, we will include an official pharmacy receipt in your package so you can submit for reimbursement yourself.
Do I need to do anything before placing my order?
No pre-approval is required. Having your insurance policy number ready when you order speeds up the billing attempt, but you can place an order without it.
What does the pharmacy receipt include?
Date, drug name, DIN, quantity, prescribing doctor, your name, amount charged, and pharmacy details with pharmacist signature. Everything a private insurer needs to process your claim.
Ready to get started?
Every Endor delivery includes:
Free delivery across Canada
Official pharmacy receipt for insurance reimbursement
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