More Americans Can Now Get Insulin for $35

More Americans Can Now Get Insulin for $35

Sanofi, a major insulin manufacturer, has joined others in offering price caps or savings programs to reduce insulin costs for many patients to $35. The move is part of an effort by insulin manufacturers to address the long-standing criticism of steeply raising insulin prices, which have led to financial burdens for patients with diabetes. The three major insulin manufacturers, including Eli Lilly and Novo Nordisk, have either instituted $35 caps or launched savings programs that significantly lower the cost of insulin.

The rising prices of insulin have been a contentious issue, leading to challenges for the 8.4 million Americans relying on insulin for survival. The Inflation Reduction Act, pushed through Congress in 2022, ensures that Medicare enrollees pay no more than $35 a month for each insulin prescription. The move by insulin manufacturers to lower list prices and introduce cost caps is seen as a response to increased pressure from Congress, the White House, and new market players.

Sanofi's price cap program includes a $35 monthly cap on out-of-pocket costs for Lantus, its widely prescribed insulin in the US, for all patients with commercial insurance. Other major insulin manufacturers, Eli Lilly and Novo Nordisk, have implemented similar measures. These efforts aim to make insulin more affordable for patients, addressing concerns about insulin rationing due to cost constraints, which can have fatal consequences.

In addition to cost caps, the insulin manufacturers are significantly lowering the list prices for their products. Sanofi has reduced the list price of Lantus by 78%, Eli Lilly is slashing the list prices of Humalog by 70%, and Novo Nordisk has lowered the list prices of several insulin products by up to 75%. These changes are expected to save the companies significant amounts in Medicaid rebates due to recent changes in the rebate program.

The moves by insulin manufacturers are regarded as a response to public pressure, legislative changes, and the introduction of new market players like Civica Rx, which aims to sell insulin for no more than $30 a vial. While the cost caps may limit some profit margins for manufacturers, the goodwill gained by making insulin more affordable is considered significant.

These initiatives are part of a broader effort to address the rising cost of healthcare and make essential medications more accessible to patients, particularly those with chronic conditions like diabetes. The impact of these measures will be closely monitored to evaluate their effectiveness in providing relief to patients and addressing broader concerns about pharmaceutical pricing.

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