InPen^™
User Access
Program

Now, you can use an insulin pen without sacrificing data and decision support. The InPen system enhances how you manage MDI because it tracks your data in real time and offers personalized dosing recommendations.

Pink InPen and phone showing glucose data

INPEN WORKS SMARTER,
SO YOU DON’T HAVE TO.

Tracks your active insulin
Calculates insulin doses
Missed dose reminder
Long-acting insulin reminder
Blood glucose check reminder
Insulin expiration & temperature alerts
Shareable reports for healthcare team

Reusable for one year; no charging needed
Real-time^* CGM readings now available through the Guardian^™Connect system
Pair multiple InPen units to the app
Convenient for travel and physical activities
Delivers half units

Pay As Little As $35 Per Year, Per InPen.

Each InPen is reusable for one year.
Offer available to eligible patients with commercial insurance.
Terms and conditions apply.^*

Fill out the form below
to see if you are eligible for this offer.

See below for terms and conditions.* Certain restrictions apply.

A member of our team will reach out to you about your eligibility. If you have questions please contact us at 888-882-8602.

I have read and understand the terms of this marketing authorization. I hereby knowingly and voluntarily authorize Medtronic to use such information for the purposes described in the authorization.

AUTHORIZATION FOR USE OF PROTECTED HEALTH INFORMATION

You authorize Medtronic MiniMed, Inc. d/b/a Medtronic Diabetes or its subsidiaries, contractors or representatives to use your personal information, including but not limited to your contact information and health information, for marketing purposes and to share that information with Medtronic representatives and contractors. Information you may receive includes, but is not limited to: (a) Medtronic Diabetes products, therapies or services; (b) marketing and promotional offers; (c) inquiries about your experience with Medtronic Diabetes products, therapies and services; and/or (d) suggestions for how Medtronic Diabetes can enhance its customer support.

This authorization will expire three (3) years from the later of the date you submit this authorization online; or (ii) the last date products or services were received from Medtronic, but may expire sooner if you revoke it by following the instructions below.

You have the right to revoke this authorization at any time by (i) e-mailing takecontrol@medtronic.com; or (ii) signing into your myHome profile and updating my communication preferences at www.diabetes.shop/myhome. A revocation will not affect actions Medtronic Diabetes has already taken based on this authorization. Information disclosed pursuant to this authorization may be re-disclosed by the recipient of the information and may no longer be protected by the federal privacy standards.

You have the right to refuse to sign this authorization. Refusal to sign will not affect your treatment or health insurance eligibility or benefits.

Questions? Contact our Customer Service Center at 800-646-4633, or by email at takecontrol@medtronic.com.

I have read and understand the terms of this phone communications. I consent to receive phone calls and/or artificial or prerecorded voice messages at the phone number(s) provided above sent from or on behalf of Medtronic Diabetes using automated technology.

CONSENT FOR RECEIPT OF PHONE COMMUNICATIONS

You consent to receiving phone calls, including pre-recorded and auto-dialed communications, at the phone number(s) submitted above using automated technology from or on behalf of Medtronic MiniMed, Inc. d/b/a Medtronic Diabetes, concerning the marketing, advertising and/or offers of sale of Medtronic Diabetes products, therapies and services. You also certify that you are (a) age 18 and older and (b) authorizing and consenting to use of the information provided for Medtronic Diabetes to contact you. Your consent is not a condition for purchase. Airtime, message and data rates may apply. You may opt out at any time by (i) e-mailing takecontrol@medtronic.com; or (ii) signing into your myHome profile and updating your communication preferences (www.diabetes.shop/myhome).

I have read and understand the terms of this text communications. I consent to receive text communications at the mobile phone number provided above using automated technology sent from or on behalf of Medtronic Diabetes (message frequency may vary).

CONSENT FOR RECEIPT OF TEXT COMMUNICATIONS

You consent to receiving text messages at the phone number(s) submitted above using automated technology from or on behalf of Medtronic MiniMed, Inc. d/b/a Medtronic Diabetes, concerning the marketing, advertising and/or offers of sale of Medtronic Diabetes products, therapies and services. You also certify that you are (a) age 18 and older and (b) authorizing and consenting to use of the information provided for Medtronic Diabetes to contact you. Your consent is not a condition for purchase. Airtime, message and data rates may apply. You may opt out at any time by (i) texting "STOP" in return to a text; (ii) sending an email to takecontrol@medtronic.com; or (iii) signing into your myHome profile and updating your communication preferences (www.diabetes.shop/myhome).

∆ Data may not appear or be delayed in certain instances, including when there is no internet connection.

* Eligibility Requirements for InPen User Access Program:

Open to insured patients and patients with commercial prescription insurance and those who are not enrolled in any government-funded program that pays for prescription devices or treatments.

Excluded participants include patients enrolled in any federal, state, or government-funded healthcare program such as Medicare, Medicare Advantage, Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA), the Department of Defense (DoD) or TRICARE® that provides coverage for InPen, or where prohibited by law.

Cash Discount Cards and other non-insurance plans are not valid as primary under this offer.

If at any time a patient becomes enrolled under any such federal, state, or government-funded healthcare program, he/she will no longer be able to use this program and must call (858) 522-0252 to stop participation.

Restrictions may apply.

Offer subject to change or discontinue without notice.

This is not health insurance.

Offer applies to a maximum of 2 prescribed InPens per Patient per benefit year.

Offer good only in the USA at participating pharmacies and cannot be redeemed at government-subsidized clinics.

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: InPen^™
The InPen^™ 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 and for calculating an insulin dose or carbohydrate intake based on user entered data. A healthcare professional must assist in dosage programming of the device prior to use, based on various patient- specific criteria and targets. The InPen^™ requires a prescription. For additional product and safety information, please consult the Instructions for Use and bit.ly/InPenRisks.com.

InPen™ User Access Program

INPEN WORKS SMARTER, SO YOU DON’T HAVE TO.

Pay As Little As $35 Per Year, Per InPen.

Fill out the form below to see if you are eligible for this offer.

InPen^™
User Access
Program

INPEN WORKS SMARTER,
SO YOU DON’T HAVE TO.

Fill out the form below
to see if you are eligible for this offer.