# A bit of manipulation to reduce my insurance co-pay

**URL:** https://forum.fudiabetes.org/t/a-bit-of-manipulation-to-reduce-my-insurance-co-pay/4101
**Category:** Insurance
**Created:** [May 26, 2018, 8:23pm UTC](https://forum.fudiabetes.org/t/a-bit-of-manipulation-to-reduce-my-insurance-co-pay/4101 "2018-05-26T20:23:01Z")
**Posts on this page:** 2
**Page:** 1

<div class="post-metadata">

### Author: ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)
#### Post date: [May 26, 2018, 8:23pm UTC](https://forum.fudiabetes.org/t/a-bit-of-manipulation-to-reduce-my-insurance-co-pay/4101/1 "2018-05-26T20:23:01Z")

</div>

I wanted to get a Lilly Kwikpen **Jr** because the Kwikpen Jr is small like the regular Kwikpen, but it has the advantage of the half-unit dosing like the bigger non-disposable Lilly Luxura pen.

So best of both worlds - smaller and also has 1/2 units. No disadvantages.

![image](https://canada1.discourse-cdn.com/flex030/uploads/fudiabetes/original/2X/8/8004b455e29ec383d2834acf4f87fa8399cae379.jpg)

My current insurance formulary wants me to use NovoLog, so any Lilly insulin is crazy expensive.

But I wanted the Lilly version of the pen not because of the insulin in it, but because it is refillable. I don’t believe the NovoLog disposable pens are refillable (not sure, could be wrong there).

I got it called in, and 5 pens was going to be $470.

Say what?!?!?

So I asked what it would be if I just got one pen.

And it was $25. Yep, do the math! 5 x $25 = $125. Much less than $470! Crazy right?

Since it is refillable, I only needed 1 pen. And I can get another single pen every few days because of the amount prescribed.

I have no idea how they come up with these stupid formulas for co-pay, but I feel like it was a huge victory. $25 for 1 pen instead of $470 for 5 pens.

The reason I am posting this to share is because it might save somebody some money at some point. Just ask about splitting up things and see if it makes a difference.

---

<div class="post-metadata">

### Author: ![daisymae](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/daisymae/32/1199_2.png) [@daisymae](https://forum.fudiabetes.org/u/daisymae)
#### Post date: [June 2, 2018, 8:49pm UTC](https://forum.fudiabetes.org/t/a-bit-of-manipulation-to-reduce-my-insurance-co-pay/4101/2 "2018-06-02T20:49:59Z")

</div>

> [@Eric](#):
>
> So I asked what it would be if I just got one pen.
> 
> And it was $25. Yep, do the math! 5 x $25 = $125. Much less than $470! Crazy right?

this is as insane as our system is. good for you!!! what a victory (for all of us) ☀ and i will keep this in mind, b/c i desperately need a 1/2 unit pen. i see my endo july 13th and will certainly request a perscription.
