Use the following options to prescribe InPen:
CMN Form Instructions:
InPen Settings Form Instructions
Fax BOTH FORMS to: 818-576-6641
To progress your patient’s Meal Therapy Mode in the InPen app from Fixed Dose to Meal Estimation/Carbohydrate Counting or from Meal Estimation to Carbohydrate Counting, you have two options:
EMR confirmation of Meal Therapy Mode to Medtronic MiniMed Pharmacy
If you have trouble locating Medtronic Pharmacy in your EMR you can submit the information via fax or phone:
How to search for Medtronic Pharmacy in EHR:
If you need assistance, contact your EHR’s customer service line. You can also confirm therapy mode changes to Medtronic via phone: 800-646-4633, option 9, option 1.
Please allow 24 business hours to process. Once confirmed, the patient’s app will be automatically updated and will be alerted with an in-app notification when the patient opens their InPen app.
Confirm therapy mode changes to Medtronic via phone: 800-646-4633, option 9, option 1.
If prescribing through EMR, please note that InPen is available in three colors and two different models.
Your patients will need a separate prescription for insulin cartridges.
Important Safety Information: Guardian™ Connect CGM System
The Guardian™ Connect system requires a prescription and is indicated for continuous or periodic monitoring of glucose levels in the interstitial fluid under the skin, in patients (14 to 75 years of age) with diabetes mellitus. The system is intended to complement, not replace, information obtained from standard blood glucose monitoring devices, and is not recommended for people who are unwilling or unable to perform a minimum of two meter blood glucose tests per day, or for people who are unable or unwilling to maintain contact with their healthcare professional. The system requires a functioning mobile electronic device with correct settings. If the mobile device is not set up or used correctly, you may not receive sensor glucose information or alerts. For complete details of the system and its components, including warnings, contraindications, and precautions, please consult the user guide at http://www.medtronicdiabetes.com/support/download-library/user-guides and important safety information.
Important Safety Information: InPenTM Smart Insulin Pen
The InPenTM requires a prescription. It is a home-use reusable pen injector for single-patient use by people with diabetes under the supervision of an adult caregiver, or by a patient age 7 and older for the self-injection of a desired dose of insulin. The pen injector is compatible with Lilly Humalog® U-100 3.0 mL cartridges, Novo Nordisk Novolog® U-100 3.0 mL cartridges, and Novo Nordisk Fiasp® U-100 3.0 mL cartridges and single-use detachable and disposable pen needles (not included). The pen injector allows the user to dial the desired dose from 0.5 to 30 units in one-half (1/2) unit increments.
The InPenTM dose calculator, a component of the InPenTM app, is indicated for the management of diabetes by people with diabetes under the supervision of an adult caregiver, or by a patient age 7 and older for calculating an insulin dose or carbohydrate intake based on user entered data.
For an insulin dose based on amount of carbohydrates, a healthcare professional must provide patient-speciﬁc target blood glucose, insulin-to-carbohydrate ratio, insulin sensitivity parameters, and duration of insulin action to be programmed into the software prior to use as it is required for set up.
For an insulin dose based on ﬁxed/variable meal sizes, a healthcare professional must provide patient-speciﬁc ﬁxed doses/meal sizes to be programmed into the software prior to use.
For additional product and important safety considerations, see User Guide and http://bit.ly/InPenSafety.