Dexcom 360 Programme & Pricing Information - THE NEXT GENERATION OF NOW APPROVED FOR WEAR ON THE BACK OF UPPER ARM* - NZMS Diabetes
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THE NEXT
GENERATION OF
NOW APPROVED
FOR WEAR ON THE
BACK OF UPPER ARM*
and for use during pregnancy
*
Dexcom G6 - Using your G6 IFU, 2019
Dexcom 360 Programme &
Pricing Information
GET STARTED WITH DEXCOM G6 TODAY
WITH THE DEXCOM 360 PROGRAMME
Dexcom 360 Programme Benefits
Automatic delivery of: Simple payment plan of Save over $1800(3)
• 36 x Dexcom G6 10-day $379.50/month for 12 months(2)
wear Sensors(1)
• 4 x Transmitters(1) Includes GST and excludes delivery and
• 24/7 Technical Support credit card fees (if applicable).
• Product Training
• Dexcom Clarity
GET STARTED BY FILLING OUT THE REGISTRATION FORM & RETURN TO DIABETES@NZMS.CO.NZ
The Dexcom G6 provides real-time glucose readings every five minutes for people with
diabetes. The Dexcom G6 lets you know where your glucose is at and which direction it is
heading from your compatible smart device.*
ZERO FINGERPRICKS OUTSTANDING ACCURACY
Enjoy the freedom of managing your
Our outstanding accuracy offers you
diabetes with ZERO† fingerpricks
reliable results that you can trust.1
and no calibrations. Make treatment
decisions without lifting a finger.
No Alerts or Alarms 3.1 mmol/L within 20 minutes Urgent Low
Share Share Share Share
Urgent Lo
URGENT LOW SOON ALERT106
Sensor Warmup Your sen
CUSTOMISABLE ALERTS
7.9 & ALARMS
Share Share
98 103 6.2 3.7 13.9 2.9
hr 59min remaining
mg/dL
Sometimes, glucose levels fall
mg/dL mg/dL mmol/L mmol/L
Set your range and let Dexcom do
mmol/L mmol/L mmol/L
quickly. The new Urgent Low Low Glucose Alert
Your sensor glucose reading is low.
the rest. Dexcom will alert you when
High Glucose Alert
Urgent Low
Act now to
warming up. 400 400 400 22 22 Your sensor glucose reading is high. 22 22 22
eceive alerts, alarms, or sensor
ngs during the 2-hour sensor
Soon alert is designed to provide a
300 300 300 16
OK
16 you’re going high or low. 16 16 16
O
OK
20-minute advance warning ahead
200 200 200 11 11 11 11 11
of a low. §
100 100 100 6 6 6 6 6
40 40 40 2 2 2 2 2
8AM 9AM Now 8AM 9AM Now 8AM 9AM Now 8:00 9:00 Now 8:00 9:00 Now 8:00 9:00 Now 8:00 9:00 Now 8:00 9:00 Now
Events Events Events Events Events Events
Settings Settings Settings Settings Settings Settings
34 36
REAL-TIME37READINGS 37 37 38 39 40
42
With just a quick glance at your smartphone
or watch,* you will be able to see your
current glucose levels, where they are
heading and how fast they’re getting there so
you can take action.
SLIM DEVICE PROFILE
The redesigned transmitter now has a
lower profile. The slim water-resistant
sensor is discreet and easy to wear for
up to 10 days.‡ The new one-touch
applicator facilitates the insertion.
1. Delivery of goods is based on a fixed schedule as detailed in the subscription agreement. Additional Dexcom consumables may be purchased outside of this
offer. 2. Monthly payment plan includes GST and excludes delivery costs and credit card fees. Delivery costs and credit card fees will be payable at the same time
as, and in addition to, the monthly payment. Credit card fees can be avoided by setting up an automatic payment with your bank. Goods will only be dispatched
on receipt of monthly payment in full. Credit cards accepted are Visa and MasterCards. We do not accept American Express. 3. Saving is calculated based on
purchasing the same number of transmitters and sensors at list pricing excluding credit card fees and delivery fees. * For a list of compatible devices, visit
www.dexcom.com/compatibility. Dexcom updates its compatibility list regularly. Important: Please review specific OS range set(s) to determine
compatibility prior to purchasing Dexcom G6. We also recommend turning “auto-install updates” off in order to avoid compatibility issues when new
operating system platforms are rolled out.† If your glucose alerts and readings from the G6 do not match symptoms or expectations, use a blood glucose meter
to make diabetes treatment decisions. § The urgent low soon can warn you in advance of severe hypoglycemia—allowing you time to take appropriate action be-
fore it happens. ‡ The Dexcom G6 Sensor and Transmitter are water resistant and may be submerged under eight feet of water for up to 24 hours without failure
when properly installed References: 1. Wadwa RP, Laffel LM, Shah VN, Garg SK. Accuracy of a Factory-Calibrated, Real-Time Continuous Glucose Monitoring
System During 10 Days of Use in Youth and Adults with Diabetes. Diabetes Technol Ther. 2018.DEXCOM 360 PROGRAMME AGREEMENT
SIGN UP FORM
Customer Details
Customer Name: _______________________________ Home Phone: ___________________________
Name of User:
_______________________________ Mobile: __________________________________
(if different)
Delivery Address: _______________________________ Email: __________________________________
_______________________________ Current Make of smart device: ________________
_______________________________ Current Model of smart device: _______________
Home Address: Important Information:
_______________________________
(if different) Dexcom G6 app Compatibility: Please check the compatibility of your
smart device and operating system prior to purchasing Dexcom G6.
Operating System Updates: Additionally, we recommend you check
_______________________________ your smart device Operating System updates are compatible with Dex-
com apps before you install the update, and also that you turn automatic
updates off. You can view a full list of compatible smart devices and
_______________________________ operating systems here. www.dexcom.com/compatibility
Payment Details (please select one payment option)
Credit Card Payment (please fill out details below)
Card Number: _____________________________________
Expiry Date: ______________________________________ CVV: ___________________________________
Card Holder’s Name: _______________________________
Card Holder’s Signature: _____________________________ Today’s Date: _________________________
Set up Automatic Payment by Bank Transfer (details including account number and reference will be emailed to you)
Please tick the box if you would like to receive a paper copy of the Instructions For Use.
Please tick the box if you do not want to receive any promotional emails and offers from NZMS Diabetes.
Please fill in & return both the form & agreement to diabetes@nzms.co.nz
To complete the document directly on your computer, you may need to download the PDF file and open it with a PDF viewer
supporting electronic signatures such as Adobe Acrobat Reader.
Page 1/2DEXCOM 360 PROGRAMME AGREEMENT
By signing this agreement, I acknowledge that in return for lower than the retail list price, I am committing to You agree to indemnify NZMS against all losses and expenses which NZMS may suffer or incur due to your
a 12-month subscription to purchase Dexcom G6 from New Zealand Medical and Scientific Limited (NZMS) failure to observe your obligations under this Agreement and any claims made against NZMS by any third
and agree to the following terms and conditions: party in respect of any loss, damage, death or injury arising from the subject matter of this Agreement.
To the extent permitted by law all causes of action against NZMS, arising out of or in connection with the
1. Term provision of the products under this Agreement expire upon the termination of this Agreement.
The term of this agreement will be 12 consecutive full months from the First Payment Date (as that term is NZMS shall not be liable for any failure of any guarantee made by a manufacturer of goods other than as
defined in paragraph 3 below) as per the shipping and payment schedule set out in Schedule 1. stated on the packaging or label.
2. Collection and Use of Information 14. Variation
I authorise NZMS to collect, retain and use any information about me, for the purpose of assessing my credit Any variation to this agreement including to the payment and delivery schedule can only be made by prior
worthiness and enforcing any rights under this Agreement. These authorities are authorities and consents for agreement from NZMS and is to be recorded in writing between you and NZMS.
the purposes of the Privacy Act 1993.
15. Renewal
3. Payment This Agreement can be renewed with written agreement of both parties at the expiry of the current Agree-
NZMS is authorised to take the first payment due under this Agreement on the first working days after the ment term and such may include different terms than this Agreement, including but not limited to alteration
date of this Agreement. First Payment Date shall be defined as the date on which cleared payment is to the price.
received by NZMS.
16. Termination
4. Early termination This Agreement will automatically terminate at the end of the Agreement term unless renewed in accordance
If this agreement is terminated prior to expiry of the 12 month term, I acknowledge that an early termination with section 15 of this Agreement.
fee as per the early termination fee schedule set out in Schedule 2 shall become immediately due and owing
to NZMS. NZMS reserves the right to immediately charge the balance of the subscription due under this 17. Waiver
Agreement to the credit card provided under this Agreement. These terms and conditions remain in force notwithstanding any neglect, forbearance or delay in enforce-
ment. NZMS shall not be deemed to have waived any term or condition unless such waiver shall be in
5. Temporary suspension of subscription writing and signed by a director of NZMS and any such waiver shall apply only to the particular transaction to
NZMS understands that personal situations may change which can impact on your ability to meet the which it refers.
obligations of this Agreement. During the term of this Agreement, you may, by written notice to NZMS,
temporarily suspend your subscription for a period not exceeding three months by giving NZMS a minimum 18. Severability
of one month’s notice. During the period of temporary suspension, you will not receive any Dexcom products If any clause or provision of these terms and conditions shall be held illegal or unenforceable by any
under this Agreement. Once the suspension period has ended, the payment and shipping schedule will judgment of any court or tribunal having competent jurisdiction, such judgment shall not affect the remaining
automatically resume and the subscription term will be extended by the same period of time as the duration provisions hereof which shall remain in full force and effect as if such clause or provision held to be illegal or
of the temporary suspension. If the temporary suspension has resulted in you requiring additional Dexcom unenforceable had not been included herein.
supplies to resume using the Dexcom system in full, this will be at cost to you at standard list pricing and
19. Governing Law
NZMS will not be obligated to provide any additional products outside of Schedule 1 under this Agreement. A
These terms and conditions will be interpreted in accordance with New Zealand legislation, which will have
subscription plan can only be temporarily suspended once for the duration of the Agreement term under this
exclusive jurisdiction over any dispute in relation to the products or these terms and conditions.
clause.
6. Payments Customer Name: ____________________________________________
I agree for NZMS to charge the credit card (as provided on page one of this Agreement) 12 consecutive
monthly charges of $379.50 (including GST) as set out in schedule 1 to be charged on the monthly
anniversary of the First Payment Date for the balance of the term of this Agreement. Customer Signature:__________________________________________
I understand that payment at the start of the agreement term will be required prior to any product being
shipped to me. I also understand that subsequent deliveries as per Schedule 1 will only be made following
Date:____________________
receipt of payment by NZMS. I acknowledge that failure to make a monthly payment without prior written
notification to NZMS may, at the discretion of NZMS, be considered as an early termination of this agreement
Schedule 1: Shipping Schedule
in which case I acknowledge that I will be liable to pay the early termination fee as set out in Schedule 2.
I acknowledge I will be responsible for payment of any and all credit card surcharge fees and hereby Month Product Monthly Payment
authorise NZMS charge such fees to my credit card in addition to the payments for the product due under this
Agreement. 1 1 x G6 Transmitter and 1 x G6 Sensor (3 pack) $379.50
I acknowledge that the payments 12 monthly payments due under this Agreement are exclusive of shipping 2 1 x G6 Sensor (3 pack) $379.50
and I hereby authorise NZMS to charge to my credit card all shipping costs associated with the product being
3 1 x G6 Transmitter and 1 x G6 Sensor (3 pack) $379.50
shipped to me.
I confirm I have the authority of the credit card holder (if that is not me) for the card to be charged by NZMS 4 1 x G6 Sensor (3 pack) $379.50
for these payments. 5 1 x G6 Sensor (3 pack) $379.50
7. Default 6 1 x G6 Transmitter and 1 x G6 Sensor (3 pack) $379.50
In the event of default by me under this Agreement, then NZMS shall have the right to charge interest
accruing daily at the rate of 15% per annum on all amounts which are unpaid by the due date. This shall 7 1 x G6 Sensor (3 pack) $379.50
be payable on any monies outstanding under this Agreement from the date payment was due until the date 8 1 x G6 Sensor (3 pack) $379.50
payment is received by NZMS but without prejudice NZMS’s other rights or remedies in respect of my default
in failing to make payment on the due date. Any fees or expenses incurred in effecting the collection of 9 1 x G6 Transmitter and 1 x G6 Sensor (3 pack) $379.50
accounts in default of this condition (including solicitor/client costs) will be added to the amount owing. Credit 10 1 x G6 Sensor (3 pack) $379.50
card payments may incur a credit card surcharge fee.
11 1 x G6 Sensor (3 pack) $379.50
8. Delivery
NZMS shall deliver the products as set out in schedule one of these terms to the delivery address recorded 12 1 x G6 Sensor (3 pack) $379.50
on page one. I acknowledge that I will advise NZMS in writing of any change to my delivery address and
shall provide NZMS at least 5 working days’ notice of any change to my delivery address. As per paragraph 6, products will only be shipped on receipt of payment by NZMS. All pricing includes GST
and excludes delivery costs and credit card fees.
9. Return of the goods
In the event the products are not of acceptable quality, NZMS must require return of the products and NZMS
will within 10 working days of return of the products at its option repair, replace the same, or refund the Termination Month Early termination fee (incl. GST)
associated purchase price. 2 $690
10. Notice of defects 3 $690
You must have regard to the nature of the products, and the price, and consider any statements on the pack-
aging or labels or by the manufacturer on the goods, or by NZMS at the time of purchase, and any specific 4 $690
defects of the goods drawn to your attention.
5 $575
11. Other agreements 6 $575
I acknowledge I must use the goods in a reasonable manner having regard to their nature.
7 $575
12. Product Support
This agreement includes the following local support (as may be required): 8 $575
9 $460
(a) 24-hour 0800 technical support;
(b) In-person specialist local training from a New Zealand field agent; 10 $460
(c) Replacement sensors if there is a fault or at the discretion of NZMS in cases of training issue
11 $460
13. Limitation of Liability 12 $379.50
NZMS will not be liable for any loss, damage or injury caused to you or other persons.
For all other liability arising in connection with these terms and conditions (including but not limited to breach
of contract, tort, negligence or under an indemnity), then to the extent permitted by law, NZMS’s liability is Please fill in & return both the form & agreement Page 2/2
limited to an amount equal to the sum paid by you to NZMS for the Services.
to diabetes@nzms.co.nzDEXCOM G6 PRICE LIST
Code Description Price (excl. gst)
STT-GS-003 DEXCOM G6 TRANSMITTER $400.00
or $460 (incl. GST)
STS-GS-003 DEXCOM G6 SENSOR PACK (3) $330.00
or $379.50 (incl.GST)Why NZMS Diabetes?
With NZMS Diabetes, you get more than a continuous glucose monitor, you join our family.
In addition to our ground-breaking products, you get the benefit of:
24/7 customer care.
care Local support. Expert training.
Our 24/7 Customer Care Assistance is available Even though our products
Team is always available on from an NZMS Diabetes are simple to learn and
0508 634 103. representative in your area. simple to use, we offer
personal product training
to every new customer.
Online resources. Shopping online. Staying updated.
Resources for all our At your convenience, you can We'll keep you up-to-date
products are readily shop online at with NZMS Diabetes news,
available online at www.nzmsdiabetes.co.nz. events, promotions and
www.nzmsdiabetes.co.nz new product information
through direct email and
social media.
Your Choice. Your Life. Your Freedom®
We’re devoted to helping people living with diabetes. For over 20 years
we’ve given thousands of people the tools and support they need to
improve their quality of life.
For more information on our products, please contact NZMS Diabetes on
0800 500 226 or diabetes@nzms.co.nz
nzmsdiabetes.co.nz
Always read the label and use only as directed. Consult your healthcare professional to see
which products are right for you.
BRIEF SAFETY STATEMENT: Failure to use the Dexcom G6 Continuous Glucose Monitoring System (G6) and its components
according to the instructions for use provided with your device and available at https://www.dexcom.com/safety-information and
to properly consider all indications, contraindications, warnings, precautions, and cautions in those instructions for use may
result in you missing a severe hypoglycemia (low blood glucose) or hyperglycaemia (high blood glucose) occurrence and/or
making a treatment decision that may result in injury. If your glucose alerts and readings from the G6 do not match symptoms or
expectations or you’re taking over the recommended maximum dosage amount of 1000mg of paracetamol every 6 hours, use a blood
glucose meter to make diabetes treatment decisions. Seek medical advice and attention when appropriate, including for any medical
emergency. Dexcom, Dexcom G6, Dexcom Share, and Dexcom CLARITY, are registered trademarks of Dexcom, Inc. in the United
States and/or other countries. Distributed in New Zealand by NZMS Diabetes 2a Fisher Crescent, Mt Wellington, Auckland 1060.
Ph: 09 259 4062. NZDI_DEX_025B. Sept2020.You can also read
