Congress Should Lower Insulin Costs by Addressing Pricing Abuses in Addition to Capping Co-Pays
By Eliot Fishman, Bailey Reavis,
Insulin is a critical life-saving and life-sustaining medication for millions of families, and yet the cost remains unaffordable for far too many because of unnecessary price gouging by drug manufacturers. We applaud the work Democrats in Congress have taken to improve the cost of insulin, specifically capping the cost in Medicare. However, two goals remain:
- Reducing the price that Medicare pays for insulin. The current insulin cap means Medicare is paying higher burden without manufacturer price reductions.
- Capping the out-of-pocket cost of insulin at $35 per month for people who do not have coverage through Medicare.
Families USA factsheets outline why it is critical to address the underlying cost of insulin, in tandem with any copay caps at the pharmacy counter, in order to ensure affordable insulin prices for all families.
For any questions about the factsheets or Families USA’s priorities to reduce the cost of insulin, please contact Bailey Reavis (BReavis@familiesusa.org.)
Click the download buttons below to view the full and abbreviated Fact Sheets.
Tiffany Stanley, “Life, Death and Insulin,” The Washington Post, January 7, 2019, https://www.washingtonpost.com/news/magazine/wp/2019/01/07/feature/insulin-is-a-lifesaving-drug-but-it-has-become-intolerably-expensive-and-the-consequences-can-be-tragic/?utm_term=.7d6e15666caa&itid=lk_inline_manual_18.
Aris Folley, “Minnesota Mom Says 26-Year-Old Son Died Because He Couldn’t Afford the Cost of Insulin,” The Hill, January 4, 2019, https://thehill.com/blogs/blog-briefing-room/news/423874-minnesota-mom-says-26-year-old-son-died-because-he-couldnt/; Doug Irving, “The Astronomical Price of Insulin Hurts American Families,” RAND Review, January 6, 2021, https://www.rand.org/blog/rand-review/2021/01/the-astronomical-price-of-insulin-hurts-american-families.html.
Zain Rizvi, “Prices for Leading Insulins Will Likely Not Be Negotiated Under New Drug Pricing Package,” Public Citizen, July 26, 2022, https://www.citizen.org/article/prices-for-leading-insulins-will-likely-not-be-negotiated-under-new-drug-pricing-package/.
Sherry A. Glied and Benjamin Zhu, “Not So Sweet: Insulin Affordability Over Time,” The Commonwealth Fund, September 25, 2020, https://www.commonwealthfund.org/publications/issue-briefs/2020/sep/not-so-sweet-insulin-affordability-over-time.