Coupons - deep dive from one of the ex-TUD members

I have never had much knowledge of coupons, but Scott S posted this today to walk people through the insulin side of things. I don’t have much need for this because I have insurance and state copay caps, but if you need it, here it is. He writes this…

“While some critics may deem this as controversial, the reality is that among prescription drug discount programs, the GoodRx-powered TrumpRx initiative offers the biggest discounts to cash-payers on Lilly’s unbranded Humalog product, at prices which are up to 65% lower than the list prices. This means the cost for one 10 mL vial is $25 each, while the cost for two to four 10 mL vials is just $35 (for pens or pen cartridges, patients would need to use manufacturer discount coupons or LillyDirect). The coupon cards are processed through GoodRx’s network, using the same BIN and PCN numbers — the codes pharmacies use to process drug discounts at the pharmacy counter.

These are cash-prices which don’t contribute towards satisfying any deductibles, but my perspective is that a discount is still a discount, and it really does not matter where it comes from; just use it and pay less. For details, and to download a coupon redeemable at pharmacies nationwide, visit Insulin Lispro on TrumpRx - TrumpRx . I do believe that discounts like this is one of the reasons we have only minimal development in lispro biosimilars, while glargine and aspart have like six or seven copies pending, while Humalog has like three.”

Scott has been doing some deep dive writing about the coupons on his blog, I guess.

”Coupons have emerged as a major force in patients’ ability to bypass PBM markups. I covered the TrumpRx offer on my blog at https://blog.sstrumello.com/2026/03/unbranded-humalog-is-cheap-on.html but if you view it from a non-mobile device, check out all of the different coupon options from manufacturer to PBM-powered coupons in the right-hand margin.”

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