Prescription Required
BlueStar is available by prescription only. We will work with your provider to obtain a prescription for you to use BlueStar. Please complete the information in the following screens to get started!
Thank You
We have all the information needed to request your BlueStar prescription. We will contact you when your account is activated!
Register for your BlueStar account
First Name
Last Name
Date of Birth
Gender
Consent to text messages or remove mobile number
Are you pregnant?
Do you use Insulin Pump?
GINA Authorization
GINA Authorization
Due Date
Height
Pre-pregnancy weight
Member ID
Email:
Choose Password:
Confirm Password:
What type of diabetes do you have?
Type 1 diabetes
Less than 10% of all people with diabetes have type 1 diabetes. For people with type 1 diabetes, insulin is usually the only therapy. Some people with type 2 may also take insulin.
Type 2 diabetes
Over 90% of all people with diabetes have type 2 diabetes. Their therapy may include lifestyle changes, pills, non-insulin injectable medication, and insulin.
Gestational diabetes
This form of diabetes develops during pregnancy in women who did not have diabetes before the pregnancy.
Do you take medication for diabetes?
How did you hear about us? (Optional)
Address Line 1
Address Line 2
(Optional)City
ZipCode
State
Enter captcha
Please search for your diabetes care provider by entering their first and last name and also selecting the state.
Provider's First Name
Provider's Last Name
Provider's State
Please select your diabetes care provider:
If you don’t see your diabetes care provider in the above list, enter below:
There are no provider details for the selected state. So please enter below details.
Provider's First Name
Provider's Last Name
Provider's Office Phone
BlueStar is covered by most insurance plans. To understand your coverage for BlueStar, we need your insurance information.
Enter your primary medical insurance information or attach a photo of your insurance card.
This is the insurance card that you use at your doctor’s office.
If you have any question, please contact our customer support at on
Relationship
Insurance Company Name
Member ID
Group Number
Subscriber’s Name (if not self)
Name
Date of Birth
(OR)
Attach insurance card photos (optional)
Enter your secondary medical insurance information or attach a photo of your insurance card, if you have a second medical plan.
Do you have other insurance cards that you use for health insurance?If not, click "Next" button.
If you have any question, please contact our customer support at on
Relationship
Insurance Company Name
Member ID
Group Number
Subscriber’s Name (if not self)
Name
Date of Birth
(OR)
Attach insurance card photos (optional)
Enter your Rx Card information and if you have a photo of your Rx Card card, you can attach below.
Do you use a separate prescription benefit card for the pharmacy? If yes, enter your prescription insurance card information or attach a photo of your prescription insurance card. This is the insurance card you use at the pharmacy for your prescription medications. If not, click "Next" button
If you have any question, please contact our customer support at on
Rx Drug Card Name
Member ID
RxPCN
RxBIN
RxGRP
(OR)
Attach Rx drug card photos (optional)
We will let you know when your provider has submitted your prescription for BlueStar. How would you like us to contact you?
If you have any question, please contact our customer support at on
Choose how to be notified :