Test Strip Subscription Guide


It’s no secret that the cost of diabetes receives a lot of attention lately, and most of it’s been negative. The costs of health insurance, paying for insulin and other medications, and purchasing the other diabetes supplies you need to successfully manage Type 2 diabetes can add up. Test strips can be costly, but you may be able to save money by signing up for a test strip subscription service. We compiled a list of popular companies that offer test strip subscription services and their pros and cons. Use this guide to help you decide which services are the most cost-effective for you.

Accu-Chek® Guide SimplePay and Accu-Chek® To

Roche offers two different test strip subscription programs – Accu-Chek Guide SimplePay and Accu-Chek To.

The Accu-Chek Guide SimplePay program comes with a free Accu-Chek Guide Me meter and starts at $19.99 per month. It allows you to customize how many test strips you need and how often you want to get shipments, up to 300 test strips per month. No prescription is necessary.


  • Receive a FREE Accu-Chek Guide Me meter.
  • Always pay the same price for Accu-Chek Guide test strips, with flexible options.
  • Deliveries every 1, 2, 3, or 6 months.
  • No prescription needed.
  • Free shipping to your home on all subscription orders.


  • The Accu-Chek Guide Me meter is Accu-Chek’s latest and greatest meter on the market, but if you’re a fan of another meter in the Accu-Chek portfolio, this program only applies to the Accu-Chek Guide platform.
  • The pricing in this program cannot be combined with health insurance coverage or government healthcare program, however, it is usually FSA eligible and the costs of this subscription service may be less than out-of-pocket insurance costs.

Roche’s Accu-Chek To program aims to elevate everyday glucose testing with both testing supplies and bonus healthy lifestyle products. The company offers two options for subscribers: 1 box of 50 test strips, which comes with a monthly selection of Accu-Chek’s favorite partner products, or 2 boxes of 50 strips and the monthly partner products.

50-strip subscriptions cost $30 per month and 100-strip subscriptions cost $50 per month. The packages can be shipped every 1, 2, 3, or 6 months, depending on your preference, and subscribers are billed monthly.


  • First-time Accu-Chek users are offered a free meter and can choose from two options: Accu-Chek Aviva Plus and Accu-Chek Guide.
  • Subscriptions include a new selection of healthy lifestyle products each month, including tasty snacks, skincare and hygiene products, teas, and more.
  • Free ground shipping on all other orders.


  • While the Accu-Check To program does include the collection of bonus products and applies to more than one Accu-Chek meter platform, the monthly price point is more expensive than the Accu-Chek Guide SimplePay program.


The mySugr Bundle provides diabetes coaching with certified diabetes educators right in the app along with unlimited Accu-Chek® Guide test strips with free automatic delivery. Because the meter synchronizes to the mySugr app, the service automatically sees when you need more strips and delivers them without any extra thought on your part. There are no orders to place, no buttons to press, and no calls to make. This frees you from keeping track of testing supplies or worrying about how often to check blood sugars. Mastering your diabetes data doesn’t mean adding steps to your routine.

The cost is $49/month and there is a 3-month commitment required.

The mySugr Bundle includes:

Immediate access to:

Within days, your starter kit arrives with:

  • 250 test strips (5 boxes of 50 Accu-Chek® Guide strips)
  • 17 drums of 6 preloaded lancets (102 lancets)
  • 1 FastClix Lancing Device

Ongoing access to:

  • Unlimited test strips, automatically shipped based on how many you use
  • Full access to a certified diabetes educator
  • mySugr app Pro features


  • The mySugr app is highly rated with an average rating of 4.6 stars and over 1.7 million users
  • Automatic shipping based on your usage means you have one less thing to keep track of
  • If you want affordable access to unlimited strips and high-quality diabetes coaching, this may be a great option for you


  • This program cannot be combined with health insurance coverage or government healthcare programs.
  • If you are a fan of a meter outside of the Accu-Chek® Guide platform, this program only supports Accu-Chek® Guide strips.


Dario takes the mobile idea a step further with a meter that connects to a smartphone, allowing users to check their blood glucose directly on their phone. Readings are uploaded to the Dario app, where users can track their trends. Dario is an out-of-pocket service that gives people with diabetes another way to receive test strips other than the pharmacy.

Dario subscribers can choose between a monthly subscription program and a pay-as-you-go plan. Shipments are sent every three months, and subscribers can choose from options that offer monthly allotments of 50, 100, 200, or 300 test strips.

The price breakdown is set up so if you sign up for 50 strips per month, it would cost you $37.50 every three months or $12.50 per month. Other items, like the Dario meter, are sold separately.


  • The Dario app has some cool features that include “hypo alerts” and an option that sends a text message with your GPS location in the event of an emergency.
  •  Dario also doesn’t require customers to have insurance. But, if you do have health insurance, you can still sign up for the subscription service.


  • Dario system leaves users without a place to put used test strips, as there is no carrying case for your phone like there is for a meter


Livongo is a system that includes a glucose meter, unlimited test strips, and personal diabetes coaching. Livongo has two different programs: a free program, if the customer is enrolled in a health plan and a direct-to-consumer “Livongo Family Care Plan” for $65 per month.

What does Livongo’s Family Care Plan Include?

  • Glucose meter: Livongo’s cellular-enabled blood glucose meter that automatically uploads readings to a mobile app and a web interface.
  • Unlimited test strips, no prescription or insurance needed.
  • 24/7 access to Certified Diabetes Educators (CDEs).

When you sign up, you’re connected to the Livongo network. Your glucose readings are stored in a secure server that can be accessed online. Livongo users have access to personalized programs that are available in English and Spanish, as well as to Livongo coaches. Coaching by CDEs is a major part of the program, along with a built-in support network.


  • The Livongo meter, which features a touch-screen, links to the cellular network to upload readings and offers access to the Livongo diabetes support team, blood glucose trends and more.
  • Livongo also offers its subscribers unlimited test strips and lancets, depending on use.
  • Unique feature: health facts and encouraging messages that appear on your meter when you check your glucose.


  • Your healthcare provider, employer, or health plan must be a partner of Livongo, unless you’re subscribed to the Family Care Plan.

One Drop

One Drop is a system that combines glucose monitoring with an app for your smartphone, making your diabetes management mobile and digital. The One Drop subscription service is called One Drop Premium.

You pay an initial fee of $80 for the One Drop Chrome setup, which includes a meter, lancing device, initial test strips, lancets, and a case. You can then choose to pay annually or per month for a premium subscription. If you choose the former, you’d pay $40 per month. Subscribers are allowed to cancel anytime. This subscription includes 24/7 access to a CDE, who is available to answer questions, troubleshoot, and give tips and tricks. You can message your CDE right from the app and receive a response within minutes!

One Drop analyzes your usage of test strips and will send you the appropriate amount you need each month, essentially offering unlimited access to test strips. It will also let you know your estimated number remaining and send an alert when you are running low.


  • No insurance is necessary to participate in the One Drop program. U.S. customers receive free shipping.
  • Diabetes support, programs, and other advice are available on demand through the One Drop Experts feature on the One Drop app (iPhoneAndroid).
  • You can reorder your supplies directly from the app.
  • The app is also on Apple Watch — it allows for quick viewing and logging.
  • The One Drop Professionals feature offers healthcare providers a connection to their patients’ data for continual support.
  • The meter connects to the One Drop app via bluetooth, so it automatically logs blood glucose readings.
  • The One Drop meter case is sleek and made of “vegan” leather.


  • The One Drop monthly payment option costs $80 more per year than paying for the annual subscription.
  • The meter only shows numbers, there are no options to log entries directly on a meter, as this can be done in the smartphone app; some may find this inconvenient.
  • The parts occasionally slip out of the case, so it may be worth it to put meter and strips in a more secure case.


Diathrive is another affordable subscription service. Believing that people with diabetes should be able to check their blood sugar as often as they want, Diathrive helps people with diabetes use their numbers to understand what affects their blood sugar and make informed decisions to optimize their own health. They also work directly with their manufacturers to cut out the middle-men that add layers of unnecessary costs to testing supplies. The first shipment comes with meter, case, lancing device, 100 lancets, a 3-month supply of test strips (based on chosen testing frequency), and control solution. Diathrive plans start as low as $8 per month. For example, if someone checks blood sugar once per day and creates a subscription for 100 strips to be delivered every 3 months, we bill $24 at each quarterly shipment; $8/month equivalent.
  • Build your own plan. Diathrive subscribers can build their own plan based on the frequency of their testing: one-time purchase, every month, every 3 months, and every 6 months.
  • High quality. The company works with manufacturers with exceptional quality assurance practices and proven accuracy. Their products are FDA-approved.
  • Bypass the complex healthcare system. No prescription needed, and Diathrive doesn’t process insurance. So nobody limits how many times you can check per day.
  • Free meter, case, lancing device and lancets with your first order. Always free shipping on your subscription within the USA.
  • Free Diabetes education mobile app. Learn from diabetes professionals in the palm of your hand at your own pace (iOS or Android).
  • HSA and FSA can be used to buy their products.
  • An offering of other products available such as insulin pen needles.
  • 100% money-back guarantee and a 5-year warranty on meters.
  • Diathrive‘s current meter does not have a Bluetooth connection, however, it’s in development.
  • Diathrive does not yet have a mobile app to sync blood sugar numbers and view data. Users can purchase a cable available so users can upload their readings to a PC-based program.
  • Diathrive does not have an “unlimited plan”. But, they do not limit how many you can purchase, and your cost will remain low. Order as needed.

Related Content:

Deciding on how to choose a blood glucose meter (BGM)? We tell you what to look out for before making your purchase.

Wondering how accurate BGMs actually are? Well, we have several factors to show what impacts meter accuracy.

If you’ve been trying to figure out how often you should check your blood sugar, wonder no more — we tell you here.


*Accu-Chek, Accu-Chek Aviva Plus, Accu-Chek Guide, Accu-Chek Guide SimplePay, and Accu-Check are trademarks of Roche.