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BumRushDaShow

(169,326 posts)
Wed Mar 1, 2023, 09:09 AM Mar 2023

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 Lilly’s 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 Lilly’s 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 -

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 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 Lilly’s 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 Lilly’s 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.
33 replies = new reply since forum marked as read
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Eli Lilly caps the cost of insulin at $35 a month (Original Post) BumRushDaShow Mar 2023 OP
K&R 2naSalit Mar 2023 #1
Somebody go and give a thank you to Bernie Sanders.... diverdownjt Mar 2023 #2
Thanks Bernie! EmmaLee E Mar 2023 #3
Thank-you Joe Biden JohnSJ Mar 2023 #5
+1 MrsCoffee Mar 2023 #6
This! JustAnotherGen Mar 2023 #7
+1000. Thank you, Mr. President. (nt) Paladin Mar 2023 #16
Thank you, @POTUS . We are grateful for your leadership and for your compassion for all people LetMyPeopleVote Mar 2023 #18
Thank you President Biden! betsuni Mar 2023 #29
Gee, I would if there was any danger he wouldn't be credited Hortensis Mar 2023 #31
Great news! highplainsdem Mar 2023 #4
I wonder if tis will apply to insulin used for dogs. I used to buy Lilly's Humalog for my Samoyed. sinkingfeeling Mar 2023 #8
I believe vetsulin isn't quite the same as human insulin so it might not. However, I would think JohnSJ Mar 2023 #11
My dog and lots of others didn't use vetsulin, but used Eli Lilly's human insulin. sinkingfeeling Mar 2023 #12
Then the price should be governed by the CAP I would think JohnSJ Mar 2023 #13
Big Drugs complying with general welfare, aka socialist, wing of Democratic Party led law? Correct! Alexander Of Assyria Mar 2023 #9
K & R...nt Wounded Bear Mar 2023 #10
it's a start. Now do the rest. progressoid Mar 2023 #14
Possibly a little more reason.... Happy Hoosier Mar 2023 #15
Or to give themselves... hippywife Mar 2023 #23
Thank you President Biden! LetMyPeopleVote Mar 2023 #17
From President Biden LetMyPeopleVote Mar 2023 #19
+++ JohnSJ Mar 2023 #20
Thank you President Biden. sheshe2 Mar 2023 #27
Doesn't just help seniors Bayard Mar 2023 #21
The Biden admin had pushed for what became a Medicare change for a $35 cap BumRushDaShow Mar 2023 #22
Until we get universal healthcare, Congress needs to pass a law friend of a friend Mar 2023 #24
It probably should be that way BumRushDaShow Mar 2023 #25
Hey, not "at least." As you say, "the rest of the people." A BIG DEAL. Hortensis Mar 2023 #32
It is a BFD! BumRushDaShow Mar 2023 #33
Goddamn greedy pigs are not doing it out of kindness dalton99a Mar 2023 #26
President Biden is bringing it! sheshe2 Mar 2023 #28
+1 betsuni Mar 2023 #30
 

JohnSJ

(98,883 posts)
5. Thank-you Joe Biden
Wed Mar 1, 2023, 10:24 AM
Mar 2023

“ 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/

Hortensis

(58,785 posts)
31. Gee, I would if there was any danger he wouldn't be credited
Thu Mar 2, 2023, 05:06 PM
Mar 2023

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?

sinkingfeeling

(57,786 posts)
8. I wonder if tis will apply to insulin used for dogs. I used to buy Lilly's Humalog for my Samoyed.
Wed Mar 1, 2023, 10:49 AM
Mar 2023

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)
11. I believe vetsulin isn't quite the same as human insulin so it might not. However, I would think
Wed Mar 1, 2023, 11:05 AM
Mar 2023

dogs should be able to use human insulin at a lower dose


 

Alexander Of Assyria

(7,839 posts)
9. Big Drugs complying with general welfare, aka socialist, wing of Democratic Party led law? Correct!
Wed Mar 1, 2023, 10:50 AM
Mar 2023

NBCNEWS…copaying with every other MegaCorporation ad buyer.

progressoid

(53,136 posts)
14. it's a start. Now do the rest.
Wed Mar 1, 2023, 11:26 AM
Mar 2023
https://endpts.com/house-committee-uncovers-how-humiras-price-spiked-by-470-as-abbvie-execs-cashed-bonuses-tied-to-the-hikes/

“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 Crohn’s 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 month’s 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 city’s employee health plan expenditures were for Humira.

Happy Hoosier

(9,529 posts)
15. Possibly a little more reason....
Wed Mar 1, 2023, 11:48 AM
Mar 2023

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)
23. Or to give themselves...
Wed Mar 1, 2023, 02:20 PM
Mar 2023

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.

BumRushDaShow

(169,326 posts)
22. The Biden admin had pushed for what became a Medicare change for a $35 cap
Wed Mar 1, 2023, 01:55 PM
Mar 2023

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)
24. Until we get universal healthcare, Congress needs to pass a law
Wed Mar 1, 2023, 02:25 PM
Mar 2023

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)
25. It probably should be that way
Wed Mar 1, 2023, 02:46 PM
Mar 2023

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)
32. Hey, not "at least." As you say, "the rest of the people." A BIG DEAL.
Thu Mar 2, 2023, 05:25 PM
Mar 2023

On to the rest! All that's needed is more people who want it to vote as if they do.

dalton99a

(94,072 posts)
26. Goddamn greedy pigs are not doing it out of kindness
Wed Mar 1, 2023, 04:30 PM
Mar 2023
In addition to political pressure, Eli Lilly also faces the threat of competition from outside the industry, said Larry Levitt, the executive vice president for health policy at KFF, formerly known as the Kaiser Family Foundation.

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.
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