Diabetes Care

Manitoba Pharmacare has extended coverage for advanced glucose monitors (AGMs) to all adults with Type 1 or Type 2 Diabetes and who meet the established clinical criteria.

The Exception Drug Status Request Pre-Approval Form is no longer required when prescribing AGMs to eligible patients.

Who is eligible for the AGM program?
Individuals with Type 1 or Type 2 diabetes requiring the use of insulin and who meet the eligibility criteria are eligible for an AGM through the Pharmacare Program.

What types of AGM are included?
Continuous Glucose Monitors (CGM) and Flash Glucose Monitors (FGM) are covered for all eligible Manitobans.

What is the process for a patient obtaining an AGM device?
With the removal of the previously required pre-approval, patients who meet the eligibility criteria may be provided a prescription for an AGM. Once a patient has a prescription, they can obtain an AGM device from an approved vendor or through a pharmacy of their choosing. Patients who choose to purchase through a device vendor directly can submit their receipt for reimbursement and/or have it applied toward their Pharmacare deductible. 

Resources for Providers

• Clinical Memo
• Information for Pharmacists – Claims Submission Procedures AGMs
• Provider FAQs
• Link to pharmacare
• Link to patient page

Manitoba Health has expanded coverage for eligible Manitobans with Type 1 Diabetes who are 18 years of age and older to access Insulin Pumps.

Patients will require pre-approval from an endocrinologist or Diabetes Specialist before ordering/accessing an insulin pump. Insulin pump therapy may not be appropriate for all patients.

For more information about MAIPP, please email insulinpumpprogram@sharedhealthmb.ca.

Please see our Frequently Asked Questions for full information about this program.

What pumps are eligible for the program?

The insulin pumps eligible for reimbursement through this program are listed here.

More information on these pumps can be found on the suppliers’ website:

• Omnipod®
• Tandem Diabetes Care
• Medtronic
• Ypsomed Selfcare Solutions

How do I become a Diabetes Specialist?

Diabetes specialists are defined in the Shared Health Prescribing Standards for Continuous Subcutaneous Insulin Infusion (Insulin Pump) Therapy for Adult Patients with Type 1 Diabetes

Additional information on becoming a diabetes specialist will be shared soon.

How do I receive Pump Training Competency as a Certified Diabetes Educator?

Information on receiving Pump Training Competency as a Certified Diabetes Educator is coming soon.

How do I refer a patient to the Manitoba Adult Insulin Pump Program?

Requests can be submitted using the Manitoba Adult Insulin Pump Program Patient Referral Form, which can be found in the Manitoba Forms Repository of your Manitoba Certified EMR.

Resources for providers

• Provincial Clinical Practice Change: Revised Provincial Clinical Guideline for Prescribing Insulin Pumps (August 24, 2023)
• Prescribing Guideline for Continuous Subcutaneous Insulin Infusion (Insulin Pump) Therapy for Adult Patients with Type 1 Diabetes (August 24, 2023)
• Clinical Memo: Expanded Coverage of Insulin Pumps and Advanced Glucose Monitors (March 16, 2023)
• Guidance for Prescribers on Available Insulin Pump Education and Training Streams for Patients
• Insulin Pumps – Patient Information
• Manitoba Adult Insulin Pump Program Patient Referral Form
• MAIPP Provider FAQs
• MAIPP Website
• Patient brochure – When an Insulin Pump may be Beneficial
• Educational Video for Patients Considering an Insulin Pump