# Express Scripts announces changes in patient insulin costs

**URL:** <https://forum.fudiabetes.org/t/express-scripts-announces-changes-in-patient-insulin-costs/7141>\
**Category:** D-News\
**Tags:** insulin\
**Created:** [April 3, 2019, 10:38pm UTC](https://forum.fudiabetes.org/t/express-scripts-announces-changes-in-patient-insulin-costs/7141 "2019-04-03T22:38:27Z")\
**Posts on this page:** 8\
**Page:** 1

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**Author:** ![CatLady](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/catlady/32/36_2.png) [@CatLady](https://forum.fudiabetes.org/u/CatLady)\
**Post date:** [April 3, 2019, 10:38pm UTC](https://forum.fudiabetes.org/t/express-scripts-announces-changes-in-patient-insulin-costs/7141/1 "2019-04-03T22:38:28Z")

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[https://www.npr.org/sections/health-shots/2019/04/03/709212404/express-scripts-takes-steps-to-cut-insulins-price-to-patients](https://www.npr.org/sections/health-shots/2019/04/03/709212404/express-scripts-takes-steps-to-cut-insulins-price-to-patients)

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**Author:** ![docslotnick](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/docslotnick/32/75_2.png) [@docslotnick](https://forum.fudiabetes.org/u/docslotnick)\
**Post date:** [April 4, 2019, 12:39am UTC](https://forum.fudiabetes.org/t/express-scripts-announces-changes-in-patient-insulin-costs/7141/2 "2019-04-04T00:39:26Z")

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That’s good on Express Scripts. But the supply chain for insulin makes it way too expensive, especially for people who can least afford it.

It occurred to me how skewed this is when I found out today that I was in the Medicare “donut hole”, and that my insulin would cost about $800/mo! This is until I have spent $5100 on drugs and got into the Catastrophic phase of Plan D.

Thankfully that is not a problem for me, but what about the poor 70 year old struggling to pay their living expenses?

This is unbelievably outrageous! Talk about vulnerable.

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**Author:** ![Sam](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/sam/32/10595_2.png) [@Sam](https://forum.fudiabetes.org/u/Sam)\
**Post date:** [April 4, 2019, 1:10am UTC](https://forum.fudiabetes.org/t/express-scripts-announces-changes-in-patient-insulin-costs/7141/3 "2019-04-04T01:10:29Z")

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Express scripts is one of the primary culprits who rigged the rebate game to drive list prices through the roof.

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**Author:** ![Chris](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/chris/32/382_2.png) [@Chris](https://forum.fudiabetes.org/u/Chris)\
**Post date:** [April 4, 2019, 3:08am UTC](https://forum.fudiabetes.org/t/express-scripts-announces-changes-in-patient-insulin-costs/7141/4 "2019-04-04T03:08:27Z")

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> [@docslotnick](#):
>
> my insulin would cost about $800/mo

Seems like Montreal is nice this time of year. You could have a lot of fun for $5100

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**Author:** ![CatLady](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/catlady/32/36_2.png) [@CatLady](https://forum.fudiabetes.org/u/CatLady)\
**Post date:** [April 9, 2019, 5:51pm UTC](https://forum.fudiabetes.org/t/express-scripts-announces-changes-in-patient-insulin-costs/7141/5 "2019-04-09T17:51:41Z")

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Some clarification on this story:

> **[Insurance Company Caps Insulin Copays at $25](https://www.healthline.com/diabetesmine/cigna-expressscripts-25-dollar-insulin#5)**
>
> Cigna and Express Scripts new Patient Assurance Program will cap monthly insulin costs at $25 for its members with diabetes starting in 2020.

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**Author:** ![Katers87](https://avatars.discourse-cdn.com/v4/letter/k/a9adbd/32.png) [@Katers87](https://forum.fudiabetes.org/u/Katers87)\
**Post date:** [April 9, 2019, 7:38pm UTC](https://forum.fudiabetes.org/t/express-scripts-announces-changes-in-patient-insulin-costs/7141/6 "2019-04-09T19:38:38Z")

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“For those higher deductible plans, this moves insulin to a “preventative drug” category in which the deductible wouldn’t apply. Instead, the low copay is available immediately.”

That’s pretty big!!!

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**Author:** ![Chris](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/chris/32/382_2.png) [@Chris](https://forum.fudiabetes.org/u/Chris)\
**Post date:** [April 9, 2019, 8:19pm UTC](https://forum.fudiabetes.org/t/express-scripts-announces-changes-in-patient-insulin-costs/7141/7 "2019-04-09T20:19:40Z")

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Would be nice if this applied across the board. The January insulin and Dexcom $1200 hit is ugly coming off of Christmas expenses.

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**Author:** ![Katers87](https://avatars.discourse-cdn.com/v4/letter/k/a9adbd/32.png) [@Katers87](https://forum.fudiabetes.org/u/Katers87)\
**Post date:** [April 9, 2019, 8:26pm UTC](https://forum.fudiabetes.org/t/express-scripts-announces-changes-in-patient-insulin-costs/7141/8 "2019-04-09T20:26:20Z")

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Agreed. It’s a start though. Cgms are amazing, but insulin is the most important.
