Colby, diagnosed 2007
Get a Tandem pump for less than you think

Order a Tandem Diabetes Care Automated Insulin Delivery System Today.

A Tandem Pump Specialist will help to check insurance coverage and get you started.

See What You Can Expect With Pharmacy Benefits

If you’re eligible through your insurance plan, you can use Tandem Pump Rx to help you
get a Tandem insulin pump and supplies with:

  • Lower upfront costs

  • More predictable monthly payments for refill orders of infusion sets and cartridges

  • Home delivery


Learn More
Text in image: As little as $0 for Pumps & Supplies◆ Delivered to Your Door Through Pharmacy. Terms and conditions apply.

Questions?

If you have questions or need assistance, please call us at (877) 801‑6901. Our Pump Specialists are available Monday - Friday from 6 am to 5 pm (Pacific).

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Mail or Fax Your Paperwork

If you prefer not to submit your information through the online form, getting started is still simple. Just follow the instructions below to mail or fax your information to us. Or you can always call us and our Pump Specialists can take your information over the phone.

1

Complete and Sign Forms

Download and add your information to both the Patient Information Form and Healthcare Questionnaire.

2

Insurance Information

Send the completed forms and a copy of your insurance card (front and back) via mail or fax to (855) 875-4648.

Patient Information Form

◆ $0 pump claim based on pump cost data for Tandem customers with pharmacy benefits (3/2/2026 - 7/31/2026). $0 pump supplies claim based on supply cost data for Tandem customers with pharmacy benefits and use of the Tandem copay card (3/2 /2026 -7/31/2026). Pump supplies cost calculation reflects the average monthly out- of-pocket cost for disposable infusion sets and cartridges necessary to utilize Tandem pump therapy and assumes consumption of 10 infusion sets and cartridges per month. The Tandem copay card has a maximum benefit of $100 per month for 12 months. Copays less than $100 will result in complete coverage for disposable infusion sets and cartridges only. The Tandem copay card is not available for customers on Kaiser, Medicare, Medicaid, or TRICARE plans. Additional terms and conditions apply. Actual cost may vary and is subject to individual's particular pharmacy benefits. Interested customers should contact Tandem for a free benefits check to determine actual cost for their situation.