When You Can’t Afford Insulin: Options and Advice

零售价为最常见的，较新的胰岛素药物胰岛素很高，让一些人无法负担得起。根据好消息- 调查当前药物价格的药房 - 流行品牌的零售价格为1000美元至550美元，或一瓶10ml小瓶或一盒三种预填充钢笔，具有5ml胰岛素。有些患有糖尿病的人需要每月几个小瓶或盒子。

Estimates are based on the price of one 10ml vial or three 5ml pens.

快速行动或“推注”胰岛素：优泌林(340);Novolin(300 - 550美元);Apidra ($200 - $425)

短代胰岛素：常规（R），Novalin（R）和Relion（R）：25美元

中代胰岛素：NPH（N），Novalin（N）和Relion（N）：25美元

Long-acting or “basal” insulin:Lantus ($190 - $280); Levemir ($300 - $450); Toujeo ($300)

Pre-mixed intermediate/short acting combination:Humulin (70/30), Novolog (70/30), and Humalog (75/25): $100 - $335; ReliOn (70/30): $25

(Source: GoodRx.com and Walmart, July 2018)

每月成本迅速加起来，特别是当您包括复制的成本和其他糖尿病供应，如测试条，注射器，泵和和连续葡萄糖监测器套件。当你不能负担你的药物时可能会出现这种情况。您可能已经丢失了医疗保险，或者您在保险计划之间，负担不起您规定的胰岛素的零售价。或者您无法为您的处方提供保险。如果胰岛素的成本是一个问题，有几种选择。

If you have a short-term problem paying for your insulin, talk to your healthcare provider. They may be able to provide you with enough drug samples to help you through a short-term situation or provide help in getting assistance from various prescription assistance programs.

如果您面临着高成本的胰岛素药物的长期困难，您的医生也可以与您合作，将您的较低成本较低，胰岛素药物作为糖尿病更实惠的治疗选择。

他们可以提供某种类型的折扣。如果使用胰岛素笔，您可能还想找出使用​​小瓶和注射器而不是钢笔的成本，因为它可能不那么昂贵。

大多数药物公司都有患者援助计划，以帮助抵消其药物的成本。对于胰岛素来说，您可以获得低价或0美元的COPAY，偏见优惠券，每次获得补充的平价费用，或者在某些情况下，如果您符合其资格，您的药物甚至可能是免费的。

这些计划可以为您节省大量资金。例如，我使用的长效胰岛素兰花由桑托制成。根据Goodrx的说法，兰花昂贵，距离兰花的零售价仅为300美元。

我的保险共同支付每月30美元的兰花增加了。Sanofi拥有兰花的患者援助计划。因为我有健康保险，我可以获得一个折扣卡，让我用0美元的Copay获得药物。在我的案件中，这是每年360美元的储蓄。如果您支付不保险的口袋，您可以使用Lantus卡仅为小组支付99美元，或者为一箱5美元的预填充胰岛素钢笔支付149美元，而每小时250美元或以上。您可以注册Sanofi的Lantus计划at their site。I also use the rapid-acting insulin Humalog, from Eli Lilly, which runs from around $250 to $300 a month.LillyCaresprogram helps offset costs of Humalog for lower-income patients who qualify. You can review the资格并在他们的网站上注册LillyCares。

If you are interested in researching programs for drugs you are taking, the美国糖尿病协会有详细的药品公司列表和其他处方援助计划。这实惠的胰岛素项目还保持有用的患者援助计划列表。

In addition to the drug companies, there are other patient assistance programs, discount cards, coupons, and other ways you can save on the cost of your insulin. Again, start at the美国糖尿病协会’s搜索援助计划列表，以查找可能满足您需求的程序。

If you have been prescribed the newer brand name insulin drugs but can’t afford them, you may want to discuss switching to the older types of insulins still on the market. Long-acting basal insulin is not available, but you can get short-acting bolus insulin, and intermediate-acting insulin. These drugs are available at very low cost.

例如，Goodrx网站显示药店销售诺瓦林（R）短作用胰岛素, andNovolin（n）中间作用 - 胰岛素平均价格约为每小时25美元。

Walmart pharmacies have their own brand of older types of insulin. Sold under the name of ReliOn, both ReliOn (R) short-acting, and Relion (N) intermediate-acting insulin retail for around $25 a vial as well. The Diabetes Council has put together a detailed overview of关于Relion Insulin所需的一切。

(Another money-saving tip: Walmart's ReliOn line also includeslow-priced blood glucose testing meters, test strips, and insulin syringes。)

Be aware that using these older insulins requires more blood sugar monitoring and careful dosing. These older insulins are also associated with increased risks of low blood sugar and weight gain, so they are not ideal. But with careful use, they are a viable alternative when you can’t afford the newer insulin drugs.

关于较老胰岛素药物的最终说明：除阿拉斯加外，您可以在药房购买它们without a doctor’s prescription.