V-Go Wearable Insulin Delivery
															U-100 Rapid-Acting
Insulin Vials
							
							
							
							
							
							
							
							
							
							
							
							
															
															
															Consider 1 click with snack
1 click = 2 units
*Individual dosing needs may vary.
Send prescriptions to the patients’ preferred pharmacy.
Example Prescription For:
V-Go Device
Heading #3  | Heading #3  | 
|---|---|
Rx:  | V-Go 20, 30 or 40  | 
Dispense:  | # 1 box of 30 V-Go devices for 30 days  | 
Sig:  | Use 1 V-Go every 24 hours as directed  | 
															Example Prescription For:
Insulin to Fill V-Go 30
Heading #3  | Heading #3  | 
|---|---|
Rx:  | U-100 rapid acting insulin  | 
Dispense:  | # 3 x 10 mL vials  | 
Sig:  | Administer up to ____ U/day
  | 
• 2 10 mL vials required for V-Go 20
• 3 10 mL vials required for V-Go 30
• 3 10 mL vials required for V-Go 40
															*If V-Go is not covered by your patients’ insurance plan and they are commercially insured, a cash pay option is available.
To access V-Go cash pay* for a patient e-prescribe the V-Go prescription to:
ASPN Pharmacies
290 W. Mount Pleasant Ave.
Livingston, NJ 07039
NPI: 1538590690 | NCPDP: 3147863
Phone: 844-323-7399
Fax: 800-561-6174
Hours: 8:30AM – 8:00PM EST
Eligible patients may pay as little as $99 for a 30 day supply of V-Go
															References: 1. Instructions for Patient Use. ART-1361 Rev D V-Go IFU 2023. 2. Adapted from Edelman SV, Bode BW, Bailey TS, et al. Insulin pump therapy in patients in patients with type 2 diabetes safely improved glycemic control using a simple insulin dosing regimen. 3. Chun J, Strong J, Urquhart S. Insulin Initiation and Titration in Patients With Type 2 Diabetes. Diabetes Spectr. 2019 May;32(2):104-111. 4. Data on File (V-Go Weight Based Calculation Data, 2024). MannKind Corporation.
US-VGO-0145