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Diabetes facts

Over 38 million people in the U.S. have diabetes and another 97.6 million adults are considered prediabetic1.

Health plan costs for members with diabetes is 3x higher than those without2.

$306 billion in medical costs is attributed to diabetes spend each year3.

What is the Diabetes Care Value Program?

Designed to proactively combat the rising prevalence and seemingly insurmountable costs of diabetes, the Diabetes Care ValueSM Program, part of the SafeGuardRx® platform, seeks to tackle the diabetes dilemma and its all-too-common comorbidities like prediabetes, high cholesterol and obesity.

The program continues to evolve to provide support for patients every step of the way.

Member Benefits

Easy-to-use tools

Members have free access to tools that encourage healthy lifestyles by engaging clinicians that provide coaching to help avoid diagnoses and reduce medication non-adherence.

Real-time insights

Continuous Glucose Monitors (CGMs) are provided, when clinically appropriate, to facilitate simpler access to deeper insights. 

Experienced support

Therapeutic Resource Center® support, which includes medication education and counseling for patients already diagnosed with diabetes and those we’re helping to avoid a diagnosis.

Plan Benefits

Manage costs

Preferred quality pharmacy network options providing supplies to promote adherence and mitigate unnecessary medical expenses, providing lowest net-cost diabetes medications driven by National Preferred Formulary and utilization management tools.

Financial protection

Reimbursements are provided when patients fall off therapy through an early discontinuation credit for participating Diabetes Care Value Program medications.

Frequently Asked Questions

  • How does Omada for Prevention work with Digital Diabetes Solution?

    Omada for Prevention will work in parallel with Digital Diabetes Solution. Omada for Prevention targets those at risk of developing a chronic condition and Digital Diabetes Solution targets patients already living with diabetes. Both programs focus on member engagement, working to drive member adherence and lower costs.

  • What is the member impact with implementing Remote Monitoring or Omada for PreventionSM?

    There is no member impact when a client implements Digital Diabetes Solution/Digital Diabetes Prevention and Obesity Solution, as it is at the patient’s discretion whether or not they would like to participate.

  • What is the benefit of a CGM as compared to a traditional finger stick blood glucose monitor?

    A CGM offers real-time, dynamic information about glucose levels that can paint a more complete picture of how diabetes is affecting the patient than a single blood glucose meter reading. By measuring blood sugar levels continuously throughout the day, typically every five minutes, this wearable technology helps members more easily track their blood sugar levels over time.

    CGMs are also convenient to wear because a small sensor is positioned just under the skin and secured there with adhesive tape. Blood sugar data can be sent from the sensor to either a handheld receiver device, an app on a smartphone or an insulin pump.

  1. Centers for Disease Control and Prevention. National Diabetes Statistics Report.
  2. Express Scripts. Pricing, Affordability & Value. Reducing Diabetes Drug Spending and Health Risk.
  3. American Diabetes Association. New American Diabetes Association Report Finds Annual Costs of Diabetes to be $412.9 Billion.