Call Toll Free: 1-866-422-4866

Convenient Home Delivery of your Diabetic Testing Supplies

Get Started Today
Enroll today to receive a Free Health and Wellness Kit
Customer Testimonials
Get Free Home Delivery of your Diabetes Supplies

Medicare, Medi-Cal and most private insurance companies will pay for your diabetic testing supplies. You pay only your co-pay and deductible, if any. Just fill out the enrollment form below! We will verify your insurance coverage and contact your doctor prior to shipping your first order.

To give us a better understanding of your requirements and needs - please fill out the form as much as you desire. All information is kept strictly confidential.
* Indicated fields are required for the form to work.

You may also call us Toll Free: (866) 422-4866 to get started today
First Name*

Invalid First Name
Last Name*

Invalid Input
Phone Number*

Enter 10 digit phone #
Email Address

Invalid Email
Street Address *

Invalid Address
Address Line 2

Enter Apt, Suite or Unit #
City *

Invalid Input
State *

Invalid Input
Zip Code *

Invalid Input
Date of Birth (MM/DD/YYYY) *
Invalid Input Invalid Day
Invalid Input
My Insurance is *

Invalid Input
Medicare or Insurance ID

Invalid Input
Secondary Insurance

Invalid Input
Secondary Insurance ID

Invalid Input
Physician Name

Invalid Physician Name
Physician Phone

Enter valid 10 digit phone
How Many Times a day do you test your blood sugar?

Invalid Input
Choose a Meter you would prefer

Invalid Input
Comments

Invalid Comments
Send Product Updates


Invalid Input


Get your Free† copy of
Living with Diabetes.
Living with Diabetes Book Cover
†Offer dependent upon enrollment
Preview Here
Get Your Copy Here

Get a No Cost* Meter!

On Medicare?
Call us toll free
1-866-422-4866
or complete this form.

We'll Contact You!


First Name *

Please enter first name
Last Name *

Please enter last name
Phone *

Enter valid 10 digit phone #
Email Address

Please enter email
Do you have Medicare? *



Please check if you have Medicare


Healthcare Professional

Healthcare ProfessionalsOur HCP program is designed to work with Healthcare Professionals. Find out how ADS can save your office valuable time.

HCP learn More

Managed Care Partner

Managed Care PartnersHundreds of payors and employer groups recommend ADS to their members because of the added value we offer.

MCP Learn More

Diabetes Accessories

Diabetes AccessoriesDiabetic Accessories available online including Insulin Coolers, Sharps Containers, Insulin Pump Cases and much more!

Diabetes Accessories Store