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INSULIN HELP

Insulin


HELP WITH INSULIN IS A PHONE CALL AWAY.

If you are struggling to pay for insulin and diabetes medication, the American
Diabetes Association can help. We’ve consolidated all the resources you need so
that you can find help, fast.




MANUFACTURERS ARE NOT REPORTING THAT COVID-19 IS IMPACTING ACCESS TO INSULIN AND
OTHER SUPPLIES:

Leading manufacturers are reporting that COVID-19 is not having an impact on
their current manufacturing and distribution capabilities for insulin and other
supplies at this time. We are continuing to monitor the situation and will
provide updates should anything change. If you are struggling to pay for insulin
or know someone who is, the ADA has resources to help.

GET IMMEDIATE HELP FROM YOUR INSULIN MANUFACTURER

There are four insulin manufacturers who offer immediate assistance and
long-term resources.

This is the fastest way to get help. Be sure to have all of your information
ready before you call. Available options are based on your income, insurance,
and the type of insulin you need.


1. IN ORDER TO FIND THE RIGHT SUPPORT FOR YOU, WHEN YOU CALL, YOU MAY BE ASKED
FOR THE FOLLOWING INFORMATION:

 * Basic contact information
 * Date of birth
 * Income (note: there are supports for all income levels)
 * If you have an active prescription at a pharmacy
 * Cost of insulin for monthly supply and/or amount of deductible
 * Method of insulin administration (via/pen, pump, syringe, inhaled)
 * Dosage
 * How much insulin you have on-hand
 * Type of insurance (private, commercial, Medicare, Medicaid)
 * Whether you are a U.S. resident (required)


2. FIND OUT WHO YOUR MANUFACTURER IS BY CHECKING THE COMPANY LOGO ON YOUR
INSULIN VIAL OR PEN, AND CONNECT USING THE NUMBERS OR LINKS PROVIDED BELOW.

A customer service representative will confirm your eligibility and explain your
options.

Lilly Diabetes Solution Center
1-833-808-1234

Novo Nordisk NovoCare®
1-844-NOVO4ME
1-844-668-6463

Sanofi Patient Savings Programs
1-855-984-6302

MannKind Support Programs
Co-Pay Program
Direct Purchase Program


UPDATED BENEFITS


LILLY

 * NEW as of March 1, 2023: Lilly is expanding its Insulin Value Program that
   caps out-of-pocket insulin costs for legal U.S. residents to $35 or less per
   month. Whether you have commercial insurance or no insurance, you can fill
   your monthly prescription of Lilly insulin for $35 or less.
   
   * For commercially insured patients who fill at a participating pharmacy, you
     do not need to do anything. Lilly is automatically capping out-of-pocket
     costs at $35 for their insulins at participating pharmacies. Some
     pharmacies may not participate, so if that is the case at your pharmacy,
     visit InsulinAffordability.com to immediately download a co-pay Insulin
     Value Program savings card to receive Lilly insulins for $35 per month or
     you can call the Eli Lilly Solutions Center at 833-808-1234 – make sure you
     indicate that you have insurance as the codes for insured and uninsured
     patients are different.
   * If you do not have insurance and are a legal U.S. resident, visit
     InsulinAffordability.com to immediately download a co-pay Insulin Value
     Program savings card to receive Lilly insulins for $35 per month or you can
     call the Eli Lilly Solutions Center at 833-808-1234. Then take that digital
     or printed card to your local pharmacy. When requesting the card, make sure
     you indicate you are uninsured/cash payer as the codes for insured and
     uninsured patients are different.

 * Free insulin options:
   
   * Donated insulin: Donated Lilly insulins are stocked at nearly 350 free
     clinics nationwide.
   * Lilly Cares Foundation: A separate non-profit organization that provides
     free Lilly insulin for eligible patients. Learn more about eligibility
     criteria at www.lillycares.com.

 * You can learn more about Lilly’s insulin affordability solutions
   at InsulinAffordability.com.


NOVO NORDISK

 * MARCH 14, 2023 ANNOUNCEMENT: Novo Nordisk announced that it would reduce the
   wholesale list prices for several types of insulin, effective Jan. 1, 2024.
   This includes:
   
   * Reducing the list price of NovoLog® and NovoLog® Mix 70/30 by 75% off the
     current list price.
   * Reducing the list price of Novolin® and Levemir® by 65% off the current
     list price.
   * The list price of the unbranded insulins (pre-filled pens and vials and
     pre-mix insulins) to match the lowered price of each respective branded
     insulin.
   * THE ADA IS GATHERING MORE INFORMATION ABOUT WHAT THE EXPERIENCE WILL BE FOR
     CONSUMERS BEGINNING IN 2024 AND WILL PROVIDE MORE DETAILS AS THEY BECOME
     AVAILABLE.

 * Patient Assistance Program (PAP): This program has been enhanced to provide
   insulin free of charge for 90 days to eligible participants. Effective April
   1, 2020, Medicare patients were no longer required to pay $1,000 for
   medicines before being eligible for the Novo Nordisk PAP. To be eligible, a
   person must:
    
   * Be a U.S. citizen or legal resident.
   * Have a total household income at or below 400% of the federal poverty level
     (FPL) (See NeedyMeds for a list of the current FPL guidelines) [A family of
     four with an annual income up to $104,800 may receive free medications
     through our PAP. For individuals, the annual income limit for participation
     is $51,040.]
   * Be uninsured, or in the Medicare program.
   * Not be enrolled in or qualify for any other federal, state or government
     program such as Medicaid, Low Income Subsidy or Veterans (VA) Benefits.
   * Exceptions include patients who are Medicaid eligible who have applied for
     and been denied Medicaid.

 * My$99Insulin: For $99, people with diabetes can get up to three vials or two
   packs of FlexPen®/FlexTouch®/PenFill® pens, of any combination of Novo
   Nordisk Inc. insulins with a prescription.

 * Follow-on brand (also known as authorized generics) insulins: Follow-on brand
   versions of NovoLog® and NovoLog® Mix, from Novo Nordisk Pharma, Inc. (NNPI),
   a Novo Nordisk A/S US company, can be ordered at one's local pharmacy, and
   cost 50 percent off the current list prices of the branded medicines.

 * Immediate Supply: A short-term, immediate-need program for those at risk of
   rationing while working to identify a longer-term solution. Novo Nordisk may
   be able to help by providing a free, one-time, immediate supply of up to
   three vials or two packs of pens of Novo Nordisk Inc. insulin with a
   prescription.

 * Novo Nordisk human insulin, named ReliOn™, available at Walmart for about
   $25/vial and for about $44/box of FlexPen®. Similar offerings are found at
   CVS and other national pharmacies.

 * Copay Savings Cards to help defray the costs for commercially insured
   patients who are experiencing high out-of-pocket costs. If you have insurance
   through your employer or private insurance, you may pay as little as $5 per
   30-day supply of Tresiba® (maximum savings of $150 per 30-day supply) and/or
   $25 per 30-day supply of Novolog® (maximum savings up to $100 per 30-day
   supply) for up to 24 months.

 * For more information about Novo Nordisk insulins and affordability programs
   visit MyNovoInsulin.com.


SANOFI

 * Sanofi Patient Connection: Qualified low- and middle-income patients may
   receive free medication through Sanofi Patient Connection (SPC) Patient
   Assistance Program (PAP). Additionally, patients who have already applied to
   Sanofi Patient Connection (SPC) Patient Assistance Program (PAP) and have an
   urgent need for medication can call (888) 847-4877 and request a one-time
   30-day supply of medication at no cost via the Sanofi Temporary Access
   Program.
   
   For information on Sanofi Patient Connection,
   visit www.sanofipatientconnection.com.

 * Insulins Valyou Savings Program: Eligible, uninsured patients, regardless of
   income level, can access one or multiple Sanofi insulins (Lantus/Insulin
   Glargine U-100, Toujeo, Admelog, and Apidra) for a fixed price of $35 per
   month.

 * Co-pay Assistance Programs: Eligible, commercially insured patients,
   regardless of income level, can use a co-pay card, which limits out-of-pocket
   expenses for a majority of patients to $35. These programs exist
   for Adlyxin, Apidra, Lantus/Insulin Glargine, Toujeo, and Soliqua 100/33.
   
   For information on the Sanofi Insulins Valyou Savings Program or the Sanofi
   Co-pay Assistance Programs, visit www.teamingupfordiabetes.com.


MEDICAL DEVICES

Below is a list of medical device manufacturers, call the company directly or
follow the links to learn about their patient assistance program.

Abbott
1-888-522-5226

Dexcom
1-888-738-3646

Eversense CGM
1-844-736-7348

Insulet
1-800-591-3455

Medtronic
1-800-646-4633

Tandem Diabetes Care
1-877-986-0601




LOCAL RESOURCES

Find low (or no) cost options near you.

Want local support? Find a community health clinic or pharmacy in your area that
may offer free or low-cost services and medications.
Find an NAFC Clinic Near You
Visit HRSA.gov


#HEALTHEQUITYNOW


HEALTH EQUITY IS A HUMAN RIGHT. WE MUST SOLVE IT TOGETHER.

Health inequity is obvious and widespread. It contributes to worse outcomes and
higher risk for diabetes and many other diseases. And it undermines the
wellbeing of our most underserved communities. Diabetes drugs, devices,
supplies, and health insurance must be affordable and accessible.

Are you living with type 2 diabetes, looking for more information about insulin
and not sure where to start? We’ve got you covered. We’re arming you with all
the knowledge to make your next medical visit is a success. Check out these
helpful questions to ask your care team, top things to know, and different types
of insulin available:

Top 5 Questions to Ask Your Diabetes Care Team

Top 10 Things to Know About Insulin for Type 2 Diabetes

Types of Insulin for People with Diabetes





COMMUNITY CONNECTION

Easily find the diabetes program or resources in your area you've been looking
for. Search for almost anything from medical care to education, to nutrition and
health. Find resources in every ZIP Code so you can get the help you need
wherever you are.



MORE RESOURCES

The following is a list of diabetes medication manufacturers, drug discount
programs and health care insurers with special patient assistance.

Note: This is not an exhaustive list of companies or programs, many insurers and
drug manufacturers launched new patient assistance programs to help with drug
costs in response to COVID-19. Call your insurers and diabetes medication
manufacturer directly to learn more about cost-saving options.


Benefits Check Up
Info on programs for limited-income seniors
benefitscheckup.org

Blink Health
Discounted prices for many medications
blinkhealth.com

Cigna
Patient Assurance Program helps customers pay less for eligible insulin
products.
1-800-997-1654

FamilyWize
Discounted prices for medications, info on assistance programs
familywize.org

GoodRx
Database of current medication prices and discounts
goodrx.com

Inside Rx
Discounted prices for many medications
insiderx.com

Merck
Find coupons and other assistance with prescriptions.
1-800-727-5400

Needy Meds
Info on pharmaceutical and healthcare assistance programs
needymeds.org

Optum
Through our partnership with Sanofi, we now offer insulin at just $35 a month
for those without insurance.
Optum Rx

Partnership for Prescription Assistance
Helps people without coverage get medications free or nearly free
pparx.org

Rx Assist
Comprehensive database of pharmaceutical assistance programs
rxassist.org

Rx Hope
Helps people get medications free or for a small co-payment
rxhope.com

SingleCare
Discounted prices for many medications
singlecare.com

Xeris
Save on glucagon, may pay as little as $0.
1-877-694-8653


LOWER-COST INSULIN FORMULATIONS

The ADA recognizes that affordable access to insulin is a matter of life and
death, every day for more than 8.4 million Americans with diabetes.



It is important to note that human insulin is not “lower grade.” Rather, it is
cheaper than analog insulins because it has been on the market since the 1980s,
whereas newer analog insulins were introduced more recently in the mid-1990s.

Human insulin formulations include long-acting insulins like NPH, which has a
duration of 8–12 hours, or regular insulin, which has a much quicker onset, as
little as 30 minutes, and shorter duration. In select patients with proper
monitoring, human insulin may be an option for those who struggle with affording
their medications.

In our white paper, published in Diabetes Care, we acknowledge that prescribing
patterns have favored newer, more expensive insulins, and acknowledge that human
insulin may be an appropriate alternative to more expensive analog insulins for
some people with diabetes. We recommend providers “prescribe the lowest-priced
insulin required to effectively and safely achieve treatment goals,” which may
include using human insulin in selected patients.


WE'RE HERE FOR YOU.

If you're struggling with the cost of insulin, you're not alone. Be sure to talk
to your health care team to learn about your options. The ADA has a wealth of
resources for living with diabetes. Call 1-800-DIABETES (800-342-2383) to speak
to an ADA representative. They can connect you with appropriate resources in
your area and can answer questions in English, Spanish, or any language with a
language interpreter service. (Please note that ADA representatives can only
answer non-medical questions. If you need emergency medical service, call 911.)
Learn More


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