How To Get Insulin If You Can’t Afford It?

Published On: May 21, 2024

Managing diabetes depends on having and using insulin. It’s a life-saving medicine for millions of people worldwide. Unfortunately, insulin is very expensive. It places a huge financial burden on many people. It leaves them struggling to afford this essential treatment.

The lack of access to insulin makes health problems worse. It can also be deadly. This article aims to provide practical solutions and resources for those who can’t afford insulin. It offers guidance on how to get this vital medication. You can get it through aid programs. They are run by non-profits, the government, and other new groups.

You may be facing temporary financial difficulties or dealing with long-term affordability issues. The information provided here will help you navigate the challenges. It will also ensure you get the insulin you need to manage your diabetes. Here’s a guide on how to get insulin if you can’t afford the full price.

The Rising Cost of Insulin Over the Years

The cost of insulin has been a growing concern for patients, healthcare providers, and policymakers alike. In the past few decades, the price of this vital medicine has surged a lot. It has far outpaced inflation and the growth of other medical costs. This section explores why insulin prices are rising. It also looks at their impact on people with diabetes.

Insulin was discovered in the early 1920s. It was meant to be cheap and easy to get for all who needed it. The original patent holders sold the patent for a nominal amount, hoping to ensure widespread availability. However, the landscape of insulin pricing has changed drastically since then.

In the 1990s, a vial of insulin cost about $25. By 2001, the price had increased to $45-$50 per vial. Fast forward to the 2010s, and the price had skyrocketed to several hundred dollars per vial. For instance, a vial of Humalog, a popular insulin brand, cost around $275 in 2019. This price reflected a nearly 1,200% increase over two decades.

Factors Contributing to High Prices

Lack of Generic Competition

One of the primary reasons for the high cost of insulin is the lack of generic alternatives. Insulin is a biologic drug. It is derived from living organisms and is harder to make than synthetic drugs. Making biologics is complex. Strict regulations have limited generic competitors.

Patent Evergreening

Pharmaceutical companies often engage in “patent evergreening.” They make small changes to the drug to extend their patent. This strategy prevents generic manufacturers from entering the market and keeps prices high.

Middlemen and Rebates

The insulin supply chain includes several intermediaries, such as pharmacy benefit managers (PBMs), who negotiate rebates and discounts with manufacturers. However, these rebates do not always translate into lower prices for consumers. Instead, they can contribute to higher list prices as manufacturers increase prices to provide larger rebates.

Research and Development Costs

Pharmaceutical companies often justify high prices. They cite the big costs of research and development (R&D). Creating new insulin forms and delivery systems needs much investment. Companies claim to make back this money with higher prices.

Market Exclusivity

Few companies dominate the insulin market, which reduces competition. This oligopolistic market structure lets these companies set and keep high prices. There is little pressure to lower them.

Exploring Patient Assistance Programs (PAPs)

PAPs are crucial resources. They help people who struggle to afford their medications, including insulin. Pharmaceutical companies, non-profits, and government agencies sponsor these programs. They provide free or discounted medications to eligible patients. PAPs can be a lifeline. They help those who face money barriers to getting their prescribed treatments. This section delves into the various aspects of PAPs, including how they work, eligibility criteria, and how to apply.

How PAPs Work

Eligibility Criteria

Each PAP has its own requirements. Patients must meet them to get help. These criteria often include factors such as income level, insurance status, and residency. Generally, PAPs are for people without insurance. Or, for those whose insurance does not cover their medication’s cost well.

Application Process

To apply for a PAP, patients need to fill out a form. They also need to show proof of income and submit proof of their medical need for the medication. This documentation usually includes a prescription from a doctor. Sometimes, it also has a letter of medical necessity.

Medication Delivery

Once approved, patients can get their medications from the drug company. Or, they can get them through a designated pharmacy. Healthcare providers may deliver medications to the patient’s home or office.

Duration of Assistance

Assistance through PAPs is often provided for a specified period, such as 6 months to a year. Patients may need to reapply periodically to continue receiving benefits.

How to Apply for PAPs

The application process for PAPs can vary depending on the program. Here are general steps to follow when applying for assistance:

Identify the Right Program. Patients should start by researching which PAPs cover their medication. You can find info on available programs on drug company websites. You can also find it on healthcare providers and non-profit organizations’ sites.
Gather the necessary documents before applying. These include proof of income, such as tax returns or pay stubs, and proof of residency. You also need insurance information, if applicable, and a prescription from a healthcare provider.
Complete the Application Form. Patients need to fill it out well. Some programs allow online submissions. Others may require mailing or faxing the application.
Submit the application. Once it is complete, patients should submit it with the needed documents. They should send it to the specified address or online portal. It’s important to keep copies of all submitted materials for future reference.
After applying, patients should follow up with the program. They should do this to ensure they have all the materials and to check their application’s status.

Examples of Popular PAPs

Several pharmaceutical companies offer PAPs specifically for insulin. Here are some well-known programs:

The Lilly Cares Foundation is sponsored by Eli Lilly and Company. The program provides insulin to eligible patients at no cost. To qualify, patients must have a household income at or below 400% of the federal poverty level and lack adequate insurance coverage.
Novo Nordisk Patient Assistance Program offers free insulin products to eligible patients. They get them through its PAP. The program is for people with a household income at or below 400% of the federal poverty level. They must not have insurance or have insurance that does not cover their insulin.
Sanofi Patient Connection provides Sanofi insulin products to eligible patients. Patients must meet specific income criteria and lack sufficient insurance. Patients can apply online or by mail with the necessary documentation.

Challenges and Considerations

While PAPs offer significant benefits, there are some challenges and considerations to keep in mind:

The application process for PAPs can be complex and time-consuming. Patients may need help from healthcare providers or social workers. They need it to complete the required paperwork.
PAPs provide help for a limited duration, requiring patients to reapply periodically. This can be burdensome for patients who need ongoing medication support.
Not all patients will qualify for PAPs. This is especially true for those with higher incomes or comprehensive insurance. Patients who do not meet the eligibility criteria may need to explore alternative options.
Many patients are unaware of the existence of PAPs or how to access them. Raising awareness and providing support can help more patients. It will help them navigate the application process for these programs.

Look for Reduced-Cost Insulin Options

Many people struggle to afford insulin. Finding cheaper options can help them a lot. Many strategies and resources can help patients get insulin at a lower cost. This ensures they can manage diabetes without financial hardship. This section explores ways to find cheaper insulin. It covers discount prescription programs, generic insulin, and international pharmacies.

Prescription Discount Programs and Cards

Prescription discount programs and cards can offer substantial savings on insulin and other medications. These programs are often free to join and can be used by individuals with or without insurance. One popular option is 365 Script Care. It is an online pharmacy partner that provides cheap insulin and other drugs. Patients can compare prices. They can also get their prescriptions delivered to their doorstep. This will ensure they can manage their diabetes without facing financial hardship.

Generic and Biosimilar Insulin

Generic and biosimilar insulin products can offer more affordable alternatives to brand-name insulin. These options are usually cheaper. They have the same efficacy and safety. Here are some examples:

Basaglar (biosimilar to Lantus)
Admelog (biosimilar to Humalog)
Insulin Lispro (generic for Humalog)

Reputable Online Pharmacy Partner For Lower-cost Insulin

When looking for a good online pharmacy for lower-cost insulin, Canadians often see them as a reliable option. Canada has a well-regulated pharmaceutical industry. It has strict standards like those in the United States and Europe. This means that Canadian pharmacies sell many medications, including insulin. These medications are often of high quality and safety.

Additionally, accredited online platforms can be trustworthy sources for purchasing insulin. They often work with licensed pharmacies. They follow strict rules to ensure the drugs they sell are real and high quality. Look for platforms with verification processes. They use them to confirm their suppliers and products are legit.

Legal Considerations And Safety Concerns

Before purchasing insulin from an online pharmacy, it’s crucial to consider the legal aspects and safety concerns. Here are some key points to keep in mind:

Insulin is a prescription medication in most countries, including Canada. Make sure the online pharmacy requires a valid prescription. It must be from a licensed healthcare provider before dispensing insulin. Avoid pharmacies that offer to sell prescription medications without a prescription, as this is often illegal and unsafe.
Verify regulatory bodies have licensed and accredited the online pharmacy. In Canada, look for pharmacies accredited by CIPA or the PharmacyChecker program. Accredited pharmacies are more likely to adhere to safety standards and legal requirements.
Be cautious of online pharmacies or pharmacy partners. They offer much lower prices or generic insulin which seems too good to be true. Counterfeit medications are a significant concern when purchasing drugs online. Stick to reputable pharmacies or pharmacy partners that source their medications from trusted manufacturers.
Make sure the online pharmacy and pharmacy partners have strong privacy and security. They protect your personal and financial information. Look for secure payment options and encryption protocols to safeguard sensitive data.

Steps To Safely Order Insulin Online

To safely order insulin online, follow these steps:

Before ordering insulin online, consult your healthcare provider to discuss your treatment plan and obtain a prescription if necessary.
Research reputable online pharmacies and platforms that sell insulin. Look for accreditation, customer reviews, and verification processes to ensure the pharmacy’s legitimacy. Research and consider 365 Script Care as an online pharmacy partner. Check their reputation. Look at customer reviews and accreditation. This will ensure they meet your standards for reliability and quality.
Ensure that the online pharmacy requires a valid prescription from a licensed healthcare provider for insulin purchases.
Verify that the insulin being sold is sourced from reputable manufacturers and is not counterfeit. Look for indications of product authenticity such as packaging seals and expiration dates.
Before making a purchase, review the online pharmacy’s privacy and security policies to ensure your personal and financial information will be protected.
Once you’ve chosen a reputable online pharmacy and verified the necessary details, place your order following the pharmacy’s instructions.
Keep track of your order and ensure it is delivered within the expected timeframe. If there are any delays or issues, contact the pharmacy’s customer support for assistance.

Long-Term Strategies for Managing Insulin Costs

Managing insulin costs is crucial for people with diabetes. This is because they need this life-saving medication continuously. Here are some strategies for effectively managing these costs:

Advocacy and Policy Change

Get involved in advocacy. Join groups or campaigns focused on insulin prices. It can amplify your voice and help larger efforts to address the issue. These groups often do things like petitioning lawmakers and organizing protests. They also raise awareness through social media and community events.
We support policy reforms. We push for changes in laws at local, state, and national levels. These changes can make insulin more affordable. This might include advocating for price transparency laws. It could also include capping insulin prices or promoting generic options. Engaging with policymakers through letters, meetings, and public hearings can help shape these reforms.

Financial Planning and Budgeting for Insulin

Create a medication budget. Understand your current finances and how much you can spend on insulin each month. Also, consider other costs of diabetes care. These include glucose test supplies and doctor visits. Setting a budget for medications can help you allocate funds well. It can also prevent financial strain.
Seeking financial advice? A financial advisor can give valuable insights. They can help with managing healthcare expenses. This includes tips for getting the best insurance. It also covers using patient assistance programs and finding cost-saving options. They can also help you compare healthcare plans during open enrollment. This will ensure you get the best coverage for your needs at a good price.

By both advocating and planning well, people can ensure access to cheap insulin. This will be true in the short and long term. These strategies empower people to advocate for systemic change. They also help them to take proactive steps to cut their healthcare costs.

What To Do If Insulin Is Too Expensive?

If insulin costs become too high, first, talk to your healthcare provider. Explore other options or get sample supplies. Investigate patient assistance programs, prescription discount cards, and generic versions for potential savings. Review insurance coverage and consider switching plans or seeking government healthcare options. Seek financial aid from local or national diabetes support organizations. Advocate for policy reforms to address insulin affordability. Always prioritize health and consult healthcare professionals before making any changes to treatment.

How Much Is Insulin in Us Without Insurance?

The cost of insulin in the United States without insurance can vary widely depending on factors such as the type of insulin, the brand, the pharmacy, and the dosage prescribed. On average, a vial of insulin without insurance can range from $25 to $500 or more, with some newer formulations and brand-name insulins being significantly more expensive.

For example, the price for a vial of rapid-acting insulin analogs like Humalog or Novolog can be around $300 to $500 per vial without insurance. Long-acting insulin analogs such as Lantus or Levemir may cost between $250 to $400 per vial.

Pen injectors or cartridges, which provide a convenient method of insulin delivery, may also come at a higher price compared to traditional vials.

These prices can pose a significant financial burden for individuals without insurance coverage, leading some to seek assistance through patient assistance programs, prescription discount cards, or other means to make insulin more affordable.

Can I Buy Lantus Insulin Over the Counter?

In the United States, Lantus insulin is not available over the counter (OTC). It is a prescription medication used to manage diabetes, and you would need a prescription from a healthcare provider, such as a doctor or a nurse practitioner, to purchase it from a pharmacy.

Lantus is a long-acting insulin analog used to control blood sugar levels in individuals with diabetes. It requires careful dosing and monitoring, so it’s important to work closely with a healthcare provider to determine the appropriate dosage and administration schedule based on your individual needs.

You cannot buy Lantus insulin without a prescription. However, some other insulin and diabetes drugs are available over the counter. These include certain short-acting insulins and oral medications for diabetes. However, it’s crucial to talk to a healthcare professional before starting any new medication or changing your diabetes treatment.

How Many Times A Day Can You Take 70 30 Insulin?

70/30 insulin is premixed. It contains 70% NPH insulin and 30% regular insulin. It is used to control blood sugar levels in individuals with diabetes, particularly those who require both short-acting and long-acting insulin coverage.

You might take 70/30 insulin many times a day. The number can vary based on your needs and your provider’s advice. However, it is mostly taken twice a day, before breakfast and before dinner.

You must follow your healthcare provider’s instructions. They tell you when and how much insulin to inject. Also, make any needed changes based on factors. These include your blood sugar levels, diet, exercise, and health. Always ask your healthcare provider before changing your insulin.

Where To Buy Insulin Syringes

You can buy insulin syringes at pharmacies, medical supply stores, and online retailers. You can find them over the counter at local pharmacies. Or, you can order them online from platforms like Amazon or Walgreens.com for home delivery. Also, trusted online pharmacies, like 365 Script Care, may offer insulin syringes. They include them as part of their inventory. However, when buying insulin or any medication online, ensure the pharmacy is licensed. It should require a valid prescription. Exercise caution to avoid counterfeit products. Always ask a healthcare provider. They will help you find the right syringe type and size for your insulin regimen.

Final Thought

When facing challenges affording insulin, remember you’re not alone, and there are avenues to explore. Start by telling healthcare providers about your situation. They may offer other options or connect you with help programs. Investigate patient help programs, prescription discount cards, and local resources for financial aid. Consider advocating for policy reforms to address broader systemic issues. Focus on your health, and never compromise on essential medications. Remember, there are communities and organizations ready to support you. With determination, resourcefulness, and support, managing insulin costs can become more manageable.