Verify Day’s Supply on CeQur Simplicity Meal-Time Insulin Patch

CeQur SimplicityTM is a meal-time insulin patch approved for use in adult patients (over the age of 21) with Type 2 Diabetes and can replace up to 12 meal-time insulin doses. The patch delivers rapid-acting insulin in 2-unit doses through a flexible cannula by depressing two buttons, one on each side of the patch.

This patch was originally cleared by the FDA for a 3-day wear time and could replace up to 9 meal-time insulin doses. According to the manufacturer’s website, the FDA cleared an extension in mid-2024, allowing the wear time to increase from three days to four.

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Product SpecificationsOld SpecificationsNew Specifications
Quantity per box10 each8 each
NDC73108-0000-0173108-0000-08
Maximum wear time3 days4 days
Unchanged Product Specifications
CeQur SimplicityTM Inserter (reusable)1 each per box; NDC 73108-0001-00
Number of priming units needed per patch20 units
Minimum fill volume100 units
Maximum fill volume200 units
Equation to calculate the amount of insulin needed per patch(daily bolus insulin use in units) x (# of days) + 20 priming units

PAAS Tips:

  • Bill one 8-count box of CeQur SimplicityTM patches as “8 EA”; the proper days’ supply will be determined by the patient’s insulin utilization and should never be more than a 32-day supply per 8 patches
    • Example: CeQur SimplicityTM, #8 + 11 refills; use with Novolog U-100 insulin up to 12 units TID; change patch every 4 days; bill #8 as a 32 days’ supply
  • Since 20 units are required to prime each patch, that leaves a maximum of 180 units of usable insulin if the patch is filled to capacity. If more than 180 units of insulin are required over the 4-day wearable period, the patch can be replaced earlier than four days
    • Example: CeQur SimplicityTM, #8 + 11 refills; use with NovoLog® U-100 insulin up to 20 units TID
      • Over 4 days, the patient could use up to 20 units x 3x/day x 4 days = 240 units
      • Since each patch has 180 units of usable insulin, the patient may run out of insulin before the 4-day wear time limit is reached and would need to change it more frequently (180 units ÷ 60 units/day = 3 days per patch)
      • Bill #8 as a 24 days’ supply
  • CeQur SimplicityTM patches are disposable and NOT durable, therefore, the patches and the insulin to be used within the patch are not covered under a patient’s Medicare Part B/DMEPOS benefit
  • When billing the insulin used inside CeQur SimplicityTM, be sure to include the 20 units of insulin required to prime each patch in the days’ supply calculation; below is an example:
    • Prescription: NovoLog® U-100, 20 mL + 11 refills; administer up to 12 units three times daily using CeQur SimplicityTM patch
    • Amount of insulin needed per patch: (12 units TID) x (4 days/patch) + 20 priming units = 164 units
    • Amount of insulin needed for the corresponding # CeQur patches: 8 patches x 164 units/patch = 1,312 units total (13.12 mL) per 32 days
    • Suggested billing: 10 mL = 24 days’ supply -OR- 20 mL = 48 days’ supply
  • Be sure the patient receives one CeQur SimplicityTM Inserter when they begin using the CeQur SimplicityTM patch; the patient should call the manufacturer if a replacement inserter is needed

Sara Hathaway, PharmD
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