Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p652
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 652/706)
Character Range: 2131379–2134633

$8,574.00

MI330  Medtronic MiniMed 770G Insulin Pump  MiniMed 770G Insulin Pump with SmartGuard Hybrid Closed Loop (HCL) technology, with Bluetooth® connectivity and continuous glucose monitoring (CGM) capability which can be programmed to automatically adjust delivery of basal insulin based on CGM, and can suspend delivery of insulin when the sensor glucose value falls below or is predicted to fall below predefined threshold values.  One size only  $8,574.00

     YPSOMED AUSTRALIA PTY LIMITED
YA001  mylife™ YpsoPump Insulin Pump System  The mylife™ YpsoPump Insulin Pump System is a BLE (bluetooth low energy) insulin pump which can be connected to a BLE Smart Phone and has Continuous Glucose Monitoring (CGM) capability. Smart Phone connection is via a secure pairing code, creating a large easy to read display for set-up and monitoring of the system. The system can be set to automatically adjust delivery of basal insulin based on CGM values with treat to target adaptive control.  One size only  $8,574.00

  03.02.03.06 - Insulin Infusion Pump - accessories subsequent annual supply
     ROCHE DIABETES CARE AUSTRALIA PTY LIMITED
RB005  Accu-Chek Solo micropump   subsequent supply  Subsequent supply of replaceable components of Accu-Chek Solo insulin pump system to accommodate a subsequent year usage after the initial year of use of Accu-Chek Solo (via Accu-Chek Solo micropump   starter kit).  Micropump: 68 x 40 x 15 mm  $1,900.00

03.10 - Electronic Controlling Devices (Insulin)
03.10.01 - Personal Diabetes Manager
     INSULET AUSTRALIA PTY LTD
II001  Omnipod DASH® Insulin Management System - Personal Diabetes Manager (PDM) & Software only  An insulin pump system for the continuous subcutaneous delivery of insulin at set and variable rates that receives and stores external glucose information via a rechargeable Personal Diabetes Manager (PDM). The PDM wirelessly activates/deactivates, controls, directs and monitors operation of a tubeless wearable waterproof Pod via secure Bluetooth Low Energy communication, as well as serves as a bolus calculator. The PDM provides audio alarms, alerts and reminders related to insulin delivery and the Pod. The PDM handles all processes for operation of the system and displays up to 90 days of information including basal rates, bolus doses, carbohydrates, alarms and blood glucose entries that are entered manually from any BGM meter.    The Personal Diabetes Manager (PDM)  is 6.3 cm wide x 13.0 cm long x 1.0 cm high) and weighs 106grams.                                                                                                                                                                                                                                             $8,077.00  The Prescribed List reimbursement for the billing code is payable no more frequently than once every 4 years.

03.10.02 - Personal Diabetes Manager with capability to automatically adjust the insulin delivery based on continuous glucose monitoring data
     INSULET AUSTRALIA PTY LTD
QQ717  Omnipod 5 Automated Insulin Delivery System  The Omnipod 5 (OP5) Automated Insulin Delivery (AID) System includes the tubeless insulin Pod, the Omnipod 5 App on the Insulet provided controller,