PumpsE0784

External Insulin Infusion Pump

Name: External Insulin Infusion Pump
Brand: United Healthcare Speciality RX
SKU: E0784

A small wearable device that delivers insulin steadily through a thin tube placed just under the skin, with adjustable dosing across the day and mealtime boluses. Coverage and eligibility are verified before anything ships or bills.

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Prescribed medical equipment — use only as directed by your healthcare provider. Not for emergency use; in an emergency call 911.

Features & options

continuous subcutaneous deliveprogrammable basal ratesbolus dosingwearableadjustable settings

What to expect

Delivers your insulin around the clock so you are not managing as many separate injections.
Wears discreetly under clothing and lets you fine-tune doses for meals and activity.
Our team walks you through setup and answers questions once your order is confirmed.

For providers

Billed under HCPCS E0784 (external ambulatory insulin infusion pump).
Requires a standard written order (SWO) and face-to-face documentation supporting continuous subcutaneous insulin infusion (diagnosis, current insulin regimen, and applicable clinical criteria).
Coverage and eligibility are verified before dispensing; medical necessity documentation kept on file.

Documents typically needed

Standard Written Order (SWO) — Signed by the prescriber with the item, quantity, and date.
Face-to-face / chart notes — A recent visit documenting the medical need.

We request these from your physician's office on your behalf — you don't need to gather them yourself.

Coverage is determined by your specific insurance plan and medical necessity as documented by your physician. This information is for reference and does not guarantee coverage.

Related insulin pumps

SuppliesA4225

Insulin Pump Reservoir Supplies

Replacement reservoirs (cartridges) that hold the insulin inside an external pump and are changed out on a regular schedule. Coverage and eligibility are verified before anything ships or bills.

What to expect

The refillable cartridge that holds your insulin inside the pump, swapped out routinely.
Delivered alongside your other pump supplies so everything arrives together.
We confirm exactly which reservoir fits your pump once your order is verified.

For providers (HCPCS A4225)

Billed under HCPCS A4225 (supplies for external insulin infusion pump reservoir, per week).
Supplied with active pump therapy under a valid standard written order (SWO); documentation of ongoing use required.
Coverage and eligibility are verified before dispensing; typically resupplied in coordination with infusion-set supplies.
Coverage varies by payer — DWO and supporting documentation required.

Request a quote Start a request

SuppliesA4224

Insulin Pump Supplies (Weekly)

The weekly supplies that keep an external insulin pump running, including infusion sets and related components for maintaining the pump. Coverage and eligibility are verified before anything ships or bills.

What to expect

Keeps your pump ready with the parts you go through each week.
Set up on a regular refill rhythm so you are not scrambling when supplies run low.
Reach out anytime and we will confirm what you need once your order is on file.

For providers (HCPCS A4224)

Billed under HCPCS A4224 (supplies for maintenance of external insulin infusion pump, per week).
Dispensed on an ongoing basis with a valid standard written order (SWO) and documentation of active pump therapy.
Coverage and eligibility are verified before each fill; refill and utilization records maintained.
Coverage varies by payer — DWO and supporting documentation required.

Request a quote Start a request

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External Insulin Infusion Pump

Prescribed medical equipment — use only as directed by your healthcare provider. Not for emergency use; in an emergency call 911.

Related insulin pumps

SuppliesA4225

Insulin Pump Reservoir Supplies

Replacement reservoirs (cartridges) that hold the insulin inside an external pump and are changed out on a regular schedule. Coverage and eligibility are verified before anything ships or bills.

What to expect

The refillable cartridge that holds your insulin inside the pump, swapped out routinely.
Delivered alongside your other pump supplies so everything arrives together.
We confirm exactly which reservoir fits your pump once your order is verified.

For providers (HCPCS A4225)

Billed under HCPCS A4225 (supplies for external insulin infusion pump reservoir, per week).
Supplied with active pump therapy under a valid standard written order (SWO); documentation of ongoing use required.
Coverage and eligibility are verified before dispensing; typically resupplied in coordination with infusion-set supplies.
Coverage varies by payer — DWO and supporting documentation required.

Request a quote Start a request

SuppliesA4224

Insulin Pump Supplies (Weekly)

What to expect

Keeps your pump ready with the parts you go through each week.
Set up on a regular refill rhythm so you are not scrambling when supplies run low.
Reach out anytime and we will confirm what you need once your order is on file.

For providers (HCPCS A4224)

Billed under HCPCS A4224 (supplies for maintenance of external insulin infusion pump, per week).
Dispensed on an ongoing basis with a valid standard written order (SWO) and documentation of active pump therapy.
Coverage and eligibility are verified before each fill; refill and utilization records maintained.
Coverage varies by payer — DWO and supporting documentation required.

Request a quote Start a request

External Insulin Infusion Pump

Features & options

What to expect

For providers

Related insulin pumps

Insulin Pump Reservoir Supplies

Insulin Pump Supplies (Weekly)

Ready when you are.

External Insulin Infusion Pump

Features & options

What to expect

For providers

Related insulin pumps

Insulin Pump Reservoir Supplies

Insulin Pump Supplies (Weekly)