Reorder My Diabetes Supplies Online

If you are an Insurance customer and it's time to re-order your supplies please, complete the form below to receive your new order or call us toll-free at (800) 981-2495

If you are part of our Monthly program you do not need to submit a request, your supplies are auto-shipped every 90-days.

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Meter

Please select the items that you are requesting:
Lancets	Control solution
lancing	Batteries
Meter	Test Strips

I’m interested in having all my medications delivered to my home – please call me!

Authorization of Benefit (AOB) – by submitting this form I authorize Total Health Diabetes, "THD", and/or any of their corporate affiliates to contact my physician to obtain a prescription, contact my insurance company to verify my benefits and contact me to discuss my order and authorize the release of my medical information to process and submit claims to my insurer(s) and for THD to receive payments for products authorized and received by me. I certify that THD provided me copies of the Patient Rights & Responsibilities, Protocol for Resolving Complaints and Reporting Fraud, Equipment Warranty Information, Returns and Refunds Policy, THD Notice of Privacy Practices, CMS Medicare DMEPOS Supplier Standards, Home Safety Information and Weather Emergency Information.