Eli Lilly caps the cost of insulin at $35 a month
Last edited Wed Mar 1, 2023, 03:22 PM - Edit history (1)
Source: NBC News
Eli Lilly will cap the out-of-pocket cost of its insulin at $35 a month, the drugmaker said Wednesday. The move, experts say, could prompt other insulin makers in the U.S. to follow suit. The change, which Eli Lilly said takes effect immediately, puts the drugmaker in line with a provision in the Inflation Reduction Act, which in January imposed a $35 monthly cap on the out-of-pocket cost of insulin for seniors enrolled in Medicare.
President Joe Biden praised the move in a tweet, calling on other drugmakers to also lower insulin prices. Biden made insulin costs a focus of his State of the Union speech last month. The American Diabetes Association also applauded the decision, and encouraged other insulin manufacturers to lower costs.
Insulin makers have faced pressure from members of Congress and advocacy groups to lower the cost of the lifesaving medication. Insulin costs in the U.S. are notoriously high compared to the costs in other countries; the Rand Corporation, a public policy think tank, estimated that in 2018, the average list price for one vial of insulin in the U.S. was $98.70.
"Patients should have a consistent and lower cost experience at the pharmacy counter," David Ricks, Eli Lillys CEO, said on a press call Wednesday. The cap automatically applies to people with private insurance. People without insurance will be eligible as long as they sign up for Eli Lillys copay assistance program.
Read more: https://www.nbcnews.com/health/health-news/eli-lilly-caps-cost-insulin-35-month-rcna72713
The U.S. has been "subsidizing" these companies on behalf of the rest of the world, through these exorbitant costs that have gone on long enough to have covered the R&D costs of the drugs... yet they remain and even go up in some instances until smacked down by shaming them.
Article updated.
Original article -
The change, which Eli Lilly said takes effect immediately, puts the drugmaker in line with a provision in the Inflation Reduction Act, which last month imposed a $35 monthly cap on the out-of-pocket cost of insulin for seniors enrolled in Medicare.
Insulin makers continue to face pressure from members of Congress and advocacy groups to lower the cost of the lifesaving medication. Insulin costs in the U.S. are notoriously high compared to the costs in other countries; the RAND Corporation, a public policy think tank, estimated that in 2018, the average list price for one vial of insulin in the U.S. was $98.70.
The cap automatically applies to people with private insurance. People without insurance will be eligible as long as they sign up for Eli Lillys copay assistance program. That program began providing insulin to patients regardless of their insurance statuses for no more than $35 a month in 2020 because of the Covid pandemic. The cap applies to all of Eli Lillys insulin products, said Kelly Smith, a spokesperson for the company. In addition to the cost caps, the company will lower the list price for several of its products, including Humalog, this year.
2naSalit
(102,571 posts)diverdownjt
(737 posts)THX.... BERNIE!!!!!!!!!
EmmaLee E
(274 posts)JohnSJ
(98,883 posts) President Biden on Tuesday night called on Congress to extend a monthly cost limit on insulin to all Americans.
Insulin costs are now capped at $35 a month for people on Medicare, but that out-of-pocket cap does not extend to younger Americans who directly purchase their own health insurance or get coverage through an employer.
All people with Type 1 and some with Type 2 diabetes need the drug, but a study last year found more than 1.3 million American adults skipped, delayed buying or rationed doses of insulin due to cost of the life-saving medication.
During his State of the Union speech, Biden was also expected to call on Congress to expand Medicaid for low-income residents in 11 states that have refused to do so under the Affordable Care Act.
https://www.usatoday.com/story/news/health/2023/02/07/insulin-price-cap-diabetes-biden/11202234002/
JustAnotherGen
(38,037 posts)He's a wonderful President!
Paladin
(32,354 posts)LetMyPeopleVote
(179,451 posts)betsuni
(29,046 posts)Hortensis
(58,785 posts)for being part of what congressional Democrats, with whom he votes!, and President Biden accomplished.
You know, tack on to all thank-yous to Democrats a reminder to not forget that I-Sanders ALSO supported and spoke out for this?
highplainsdem
(61,923 posts)sinkingfeeling
(57,786 posts)It ran about $19 a vial back in the early 2000s. She got 3 shots a day, so we used a good deal.
JohnSJ
(98,883 posts)dogs should be able to use human insulin at a lower dose
sinkingfeeling
(57,786 posts)JohnSJ
(98,883 posts)Alexander Of Assyria
(7,839 posts)NBCNEWS copaying with every other MegaCorporation ad buyer.
Wounded Bear
(64,281 posts)progressoid
(53,136 posts)Humira is now priced at $2,984 per syringe, or $77,586 annually a 470% increase from when the drug entered market,

If Medicare had received the same discounts as the Department of Defense, it would have saved more than $7.4 billion on Humira from 2010 to 2018. Similarly, if Medicare had received the same discounts as the Department of Veterans Affairs, it would have saved $7 billion on Humira from 2010 to 2018, the report notes.
Republicans in Congress have focused their attention less on lowering drug prices and more on lowering out-of-pocket costs, the report reveals how out-of-pocket costs for Humira have spiked too.
A 2019 Kaiser Family Foundation study found that the median annual out-of-pocket cost for Medicare patients on Humira was $5,471 in 2019, which is $606 more than in 2016.
A retired teacher and Medicare beneficiary with Crohns disease told the committee that despite having a supplemental health insurance plan, her out-of-pocket costs for Humira were more than $2,600 for a months supply, preventing her from receiving treatment.
Rockford, Illinois Mayor Tom McNamara also reported that between August 2013 and July 2020, his city spent more than $2.5 million on Humira alone, which means more than 5% of the citys employee health plan expenditures were for Humira.
Happy Hoosier
(9,529 posts)So Eli Lilly is headquatered here in Indiana, and it's one of the main sources of emplyment for well-educated people in Indy. But INdiana is a deep red state. Population-wise it's about 60-40 favoring the fascists (Oops, I mean Republicans), but they have engineering complete dominance of the state government and gerrymanderd the FUCK out of the state.
Lilly has been at least somewhat vocal in opposing far-right policies, particularly when it comes to civil rights, but they are beginning to have difficulty recruiting and retaining top talent.
Not long ago, they put out a memo to some of their employees that they intend to advocate for "quality of life" in the state. And not long ago, told the state they would be building and expansion out-of-state instead in Indiana, because right-wing social policies are making recruitment difficult.
This may be part of Lilly staking out positions to make themselves more appealing to recruits.
hippywife
(22,777 posts)a quick leg up on the market since there are other insulin manufacturers. They're no doubt hoping to recruit the other manufacturers' patients, as well.
LetMyPeopleVote
(179,451 posts)LetMyPeopleVote
(179,451 posts)JohnSJ
(98,883 posts)sheshe2
(97,452 posts)Bayard
(29,574 posts)There's a ton of Type 1 diabetics out there. Life changing.
BumRushDaShow
(169,326 posts)but they were unable to get Congressional sign off for everyone else. So this at least helps do "the rest of the people" (as they should have a long time ago).
friend of a friend
(367 posts)that what Medicare pays for everything is the maximum anyone has to pay. The VA pays for all of my medical and I always get a letter from Optum that shows what was billed and what they paid, I pay nothing. I have some where Optum pays 10-15% of what was billed.
BumRushDaShow
(169,326 posts)It seems that just taking Medicare and gradually reducing the edibility age, would eventually get you there. I know that has always been my suggestion for a strategy. Doing that might need either more government hires or contracting to existing insurer profiles to handle the administrative stuff with government oversight.
The biggest issue of course, was that lack of price negotiations that was at least happening with Veterans' Tricare meds. Doing this initial "wall break" for Medicare is finally moving things forward in that same direction for a change.
Hortensis
(58,785 posts)On to the rest! All that's needed is more people who want it to vote as if they do.
BumRushDaShow
(169,326 posts)Have to keep pounding on it!
dalton99a
(94,072 posts)Civica Rx, a nonprofit company in Lehi, Utah, said last year that it plans to make and sell generic versions of insulin to consumers at no more than $30 a vial and no more than $55 for a box of five pen cartridges. The state of California also plans to make low-cost insulin, as does Mark Cuban Cost Plus Drug Co., which sells drugs at low costs online.
Eli Lilly definitely sees the writing on the wall, Levitt said.
Stacie Dusetzina, a health policy professor at Vanderbilt University Medical Center in Nashville, Tennessee, agreed that the move was most likely driven by increased competition.
The company is reacting to a tremendous amount of existing and upcoming competition for these drugs, she said.
sheshe2
(97,452 posts)Link to tweet
🇺🇸
@business: "Heeding Biden, Lilly Caps Out-of-Pocket Insulin Costs at $35" https://news.bloomberglaw.com/health-law-and-business/heeding-biden-lilly-caps-out-of-pocket-insulin-costs-at-35