CGM coverage in Saskatchewan

Saskatchewan provides coverage for continuous glucose monitoring systems (CGMs) and flash glucose monitoring systems through the Saskatchewan Drug Plan. These systems are referred to as Advanced Glucose Monitors. Coverage is available for eligible residents living with diabetes who meet the program requirements. Effective April 1, 2025, Saskatchewan expanded coverage to include young adults aged 18 to 25 and seniors aged 65 and older who use insulin. This expansion builds on pediatric coverage that has been in place since 2021.

To learn more about which CGM systems are available across Canada, visit Our Guide to Continuous Glucose Monitors in Canada.

Saskatchewan Drug Plan coverage is available for three age groups with different eligibility criteria.

Young adults (ages 18 to 25) and seniors (ages 65 and older) 

You qualify if both of the following apply: 

• You have diabetes
• You are treated with insulin; any type of insulin is acceptable including basal insulin, bolus insulin, or insulin pump therapy

The formulary requires only that insulin is used. There are no restrictions based on insulin type. 

Children and youth (under 18) 

• Children and youth under 18 may qualify if they meet all of the following criteria: 
• They are under the care of a pediatric endocrinologist, pediatric diabetes specialist, pediatric metabolic physician, or a certified diabetes educator within the Saskatchewan Health Authority who is working with a pediatric diabetes specialist
• The patient or caregiver shows the ability to use the technology properly
• The patient or caregiver demonstrates understanding of how the technology works and how it benefits diabetes care
• The patient or caregiver affirms willingness to use the device correctly and use the data to support safe and effective diabetes management

Additionally, pediatric patients must meet one of the following: 

• Approval for the Saskatchewan Insulin Pump Program
• Use of both basal and bolus insulin
• Hyperinsulinism requires frequent blood glucose monitoring

All applicants must be Saskatchewan residents with valid Saskatchewan Health coverage.

Saskatchewan funds several real time CGM systems and flash glucose monitoring systems as listed in the Saskatchewan Formulary. Currently approved CGM and flash glucose monitoring systems include: 

• Dexcom G6
• Dexcom G7
• FreeStyle Libre 2
• FreeStyle Libre 3 Plus
• Medtronic Guardian Sensor 3
• Medtronic Guardian Sensor 4
• Medtronic Guardian Link 3 transmitter kits for MiniMed 670G and 770G pumps 
• Medtronic Guardian Link 4 transmitter for MiniMed 780G pump 
• Medtronic Guardian Connect transmitter starter kits 

Approved CGM products are available through pharmacies. A prescription is recommended so that private insurance coverage can be applied if available.

The Saskatchewan Drug Plan covers approved CGM components according to formulary policy:

• CGM sensors in approved quantities
• CGM transmitters in approved quantities

The following items are not funded:

• FreeStyle Libre readers which are not listed in the formulary
• Abbott Customer Service may provide readers directly
• Accessories such as adhesives, batteries, tape, insertion devices, and adhesive removers
• Devices that are lost or damaged as a result of misuse

If you have a compatible smartphone, you can use the appropriate CGM app instead of a reader.

The application process depends on the age group of the patient. 

For young adults (ages 18 to 25) and seniors (ages 65 and older) 

These groups do not require Exception Drug Status pre approval. 

Step 1: Obtain a prescription for your CGM system 

Your doctor, nurse practitioner, or pharmacist can provide a prescription confirming that you use insulin. 

Step 2: Bring your prescription to your pharmacy 

Your pharmacist will process the claim through the provincial Drug Plan system. Insulin use is verified automatically based on your medication history.

Step 3: Receive your CGM system at no cost 

Once the claim is approved, the pharmacy bills the Drug Plan. Saskatchewan covers 100 percent of the cost. There are no copayments, deductibles, or renewals required as long as insulin use continues and you remain in an eligible age group. 

For children and youth (under 18) 

Step 1: Contact your pediatric diabetes specialist

A qualified pediatric prescriber within the Saskatchewan Health Authority begins the application. 

Step 2: Complete the CGM or Flash Glucose Monitor application

Your healthcare provider completes the Exception Drug Status form to document clinical eligibility. 

Step 3: Submit the application 

Applications may be adjudicated online when submitted by approved diabetes care providers. 

Step 4: Receive notification of approval

Your diabetes care team will notify you when the approval is granted. Initial approval lasts one year. 

Step 5: Pick up your CGM supplies

Your prescription is sent to your pharmacy. Supplies are provided at no cost to the family. Annual renewal Coverage may continue if your child remains under 18 and continues to meet program criteria. Renewal is required each year.

Private insurance: Many private and employer insurance plans offer CGM coverage. Requirements vary among insurers. Private plans can coordinate benefits with the Saskatchewan Drug Plan when applicable.

‍Out-of-pocket costs: CGM systems can be purchased without insurance. Costs vary by device and usage patterns. Expenses typically include sensors and possibly a transmitter or reader depending on the system.

Managing your supplies and staying connected with your diabetes care team is important for safe and effective CGM use. The Endor Health app supports ongoing communication with your care team so questions about your CGM data or therapy can be addressed promptly. The app also provides convenient home delivery of insulin, prescription items, and CGM sensors at no added cost, helping reduce the risk of missed refills or last minute pharmacy visits.

The information in this article is for educational purposes only and should not replace advice from your healthcare provider. Always consult with your diabetes care team before making changes to your diabetes management.