HICAP has compiled a list of manufacturer’s assistance programs and other discounts on insulin as of 6/25/2019.
Insulin Cost Savings Programs for Medicare Beneficiaries
If you cannot afford your insulin, check for assistance programs/discounts for your brand. You may also want to show this list to your doctor to discuss alternatives to your current insulin as some brands have more generous assistance programs than others. Many insulins within a category (e.g., rapid acting) are often interchangeable with each other. Assistance/discount programs change frequently, and exact details vary, so check with the programs for more information. Details on available programs for each brand are also available at www.needymeds.org or www.rxassist.org.
Patient Assistance Programs by Manufacturer:
Rapid/Fast acting: Humalog, Humalog 75/25, Humalog 50/50 – vial or Kwikpen; Humulin R, Humulin 70/30 – vial
Long/Medium acting: Basaglar (“generic” for Lantus) Kwikpen; Humulin N vial
PAP Eligibility: can’t have private insurance (except if insulin is not on formulary) or full LIS, Medi-Cal or VA Coverage. Income ≤ 400% FPL, proof of income needed. If eligible for Part D must have spent ≥ $1100 on meds in current calendar year. If not eligible for Part D must have no insurance. Call 800-545-6962, http://www.lillycares.com/
Other: Lilly now has “authorized generic” Insulin Lispro (Humalog with a different label) for half the price of Humalog for people with no coverage, in a high deductible plan or in the donut hole. $137.50/vial or $265.20/box of 5 pens.
Rapid acting: Apidra or Admelog (“generic” for Humalog) – vial or Solostar pen
Long acting: Lantus – vial or Solostar pen; Toujeo – Solostar or Max Solostar U300 pen
PAP Eligibility: no insurance or existing insurance doesn’t cover the product. Income ≤ 250% of FPL. People with Part D qualify if they’re not eligible for LIS or Medi-Cal, and they spend ≥ 5% of their annual household income on meds. 888-847-4877, www.sanofipatientconnection.com
Other: Valyou program for Sanofi insulins for people paying cash due to high deductible plans or no insurance. Not for people with Medicare, Medi-Cal or other federal coverage (except for FEHB). $99/month for up to ten vials and $149/month for up to 5 boxes of pens.
Rapid/Fast acting: Fiasp, Novolog, Novolog 70/30 – vial or Flexpen; Novolin R – vial
Long/Medium acting: Levemir – vial or FlexTouch pen; Tresiba U-100 and U-200 – vial or FlexTouch pen; Novolin N or Novolin 70/30 – vial
PAP Eligibility: No private insurance or VA and not eligible for Medi-Cal. Income ≤400% of FPL. People with Part D are eligible if drug expenses have been ≥ $1000 in the calendar year and LIS has been denied. If no Part D then must have been denied LIS. 866-310-7549, www.novocare.com
Other: Walmart Relion (Novolin) R and N sell for $25/vial, and most chain pharmacies sell Novolin R and N for $28/vial. These are older insulins (fast and medium acting vs the newer rapid and long acting). They do not need an Rx, but always get your doctor’s permission to switch as onset and duration times differ from the newer insulins.
(not allowed for people with Medicare, Medi-Cal, VA or Tricare):
All manufacturers also provide copay coupons for at least some of their brands. These typically require you to have commercial insurance, but can’t be used if you have Medicare, Medi-Cal or other federal benefits except for FEHB. They either provide savings on the cash price for those with a high deductible or reduce your copays. Copays can be as low as $0-$25/month with these coupons. Details vary by product. See www.needymeds.org or www.rxassist.org.