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How Much Is A Bottle Of Lantus Without Insurance?

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Medicare And Insulin

Why does a drug cost $25 without insurance and $110 with Medicare Part D? Novolin N and R can be bought at Walmart for $24.88 without insurance. With a Part D plan, the cost is $110. Why? I have a client who has diabetes. She uses Novolin N and Novolin R. If she uses her Medicare Part D plan to purchase this insulin, she would go into the donut hole/coverage gap because the “negotiated price” is $110 per vial and she uses four vials per month. So she goes to Walmart and buys Novolin N and Novolin R without using her Part D card. Her cost is $24.88 per vial. How is it possible that the insurance company that runs her Part D plan has “negotiated” a price of $110 for Novolin when it sells at Walmart for $25? Although the insurance companies that provide Part D plans “negotiate” drug prices, it is Medicare that actually pays the bill. So why is Medicare paying $110 instead of $25 for Novolin? Medicare will spend 70 billion dollars on Part D in 2015. How much lower would that incredible figure be if Medicare was not overpaying for drugs like Novolin? I looked up up Novolin N or Novolin R on the Medicare.gov Plan Finder. Here is just one of 30 stand-alone Part D plans availab Continue reading >>

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  1. nibby

    I posted all this yesterday but it was suggested tht i changed the title I used, so here goes. Also does anyone know if the 25 dollar vials at Wal mart are only 100ml??? If so, it would take me 2 days to go through 50 bucks worth.... Ok, here is my original post, I hope. Thank you for suggesting that I do it this way. I have a very important questions for type 2`s. I am on both Humalog and Lantus. I am pretty sure both are 100% and not mixes. Anyways because of out present financial situation and me not being able to work at all because of being bed ridden and the pain killers I must take. I can`t even go to the bathroom, bathe, etc, everyday functions, I just can`t do them anymore. Haven`t been able to drive now for several years, that was the part that really put me over the edge. I lost all independence, I am now at the mercy of my wife and must rely on her for everything.
    ​Anyways, to get to my question. There is no way in heck, we can afford the copays on my insulin this coming Jan. I had everything covered 100% this year, thanks to 3 more days in the hospital. What do you do???? I only eat once a day, because we can`t afford to do anything else. My wife, I make sure she always has enough for all 3 meals, because she is the one working. I don`t care about myself. I have gone up to 4 days without eating and my dogs will also eat before I do. They are my family, my comfort, my protecters. They know when dad feels real bad and the will surround me on the bed and not let anyone near me. Even though there are 3 of us in the household, our son does not count because he is 22. I have tried to qualify for any king of programs and they all say we make too much because they only base it on 2 people. How do you get help with your insulin???? I go through a pen of Humalog in 5 days, thanks to having 20% of a pancreas left and it is still destroying itself. My lantus lasts about 8 days. Nobody will preform surgery on me to remove what is left of the pancreas because the veins to my spleen were destroyed in the process, so I have this empty space you can see on the CT scans of where my pancreas was and the surgon pointed out some of the spaghetti veins that are everywhere going in and out of my spleen. He told me, I would bleed to death on the table, beacuse the spleen has to come out as well. Plus I have growths on my kidneys, liver, stomach, have to take pills just to have bowel movement, spot and stuff on my intestines, stomach, colon, etc. I think you get the idea.
    Please if anyone has any ideas of what I can do about the insulin, please, please, let me know. Sorry about the book I just wrote. I figured it would all have to come out at sometime. Oh and I have been fighting SSDI for 29 months now. Thank you for reading, Bill

  2. abill

    I think the 100 may refer to concentration, 100U per ml, I think the vials are 10ml, I'm guessing 1,000 U are probable if my info is right.
    you should see a dr to advise on usage. 2 to 3 injections a day seems the norm. for the intermediate action N / NPH for basal
    then you would use the short action R / regular for bolus.
    if you decide to go low carb, you will use less insulin.
    http://www.dietdoctor.com/low-carb

  3. maryd98

    maryd98

    Re: Help with or the cost of Humalog and Lantus??

    nickelplateroad:
    I posted all this yesterday but it was suggested tht i changed the title I used, so here goes. Also does anyone know if the 25 dollar vials at Wal mart are only 100ml??? If so, it would take me 2 days to go through 50 bucks worth.... Ok, here is my original post, I hope. Thank you for suggesting that I do it this way. I have a very important questions for type 2`s. I am on both Humalog and Lantus. I am pretty sure both are 100% and not mixes. Anyways because of out present financial situation and me not being able to work at all because of being bed ridden and the pain killers I must take. I can`t even go to the bathroom, bathe, etc, everyday functions, I just can`t do them anymore. Haven`t been able to drive now for several years, that was the part that really put me over the edge. I lost all independence, I am now at the mercy of my wife and must rely on her for everything.
    ​Anyways, to get to my question. There is no way in heck, we can afford the copays on my insulin this coming Jan. I had everything covered 100% this year, thanks to 3 more days in the hospital. What do you do???? I only eat once a day, because we can`t afford to do anything else. My wife, I make sure she always has enough for all 3 meals, because she is the one working. I don`t care about myself. I have gone up to 4 days without eating and my dogs will also eat before I do. They are my family, my comfort, my protecters. They know when dad feels real bad and the will surround me on the bed and not let anyone near me. Even though there are 3 of us in the household, our son does not count because he is 22. I have tried to qualify for any king of programs and they all say we make too much because they only base it on 2 people. How do you get help with your insulin???? I go through a pen of Humalog in 5 days, thanks to having 20% of a pancreas left and it is still destroying itself. My lantus lasts about 8 days. Nobody will preform surgery on me to remove what is left of the pancreas because the veins to my spleen were destroyed in the process, so I have this empty space you can see on the CT scans of where my pancreas was and the surgon pointed out some of the spaghetti veins that are everywhere going in and out of my spleen. He told me, I would bleed to death on the table, beacuse the spleen has to come out as well. Plus I have growths on my kidneys, liver, stomach, have to take pills just to have bowel movement, spot and stuff on my intestines, stomach, colon, etc. I think you get the idea.
    Please if anyone has any ideas of what I can do about the insulin, please, please, let me know. Sorry about the book I just wrote. I figured it would all have to come out at sometime. Oh and I have been fighting SSDI for 29 months now. Thank you for reading, Bill
    I wish I could offer you some good suggestions, Bill, but I have no personal experience with buying/using insulin....
    However, I've lived for years without insurance, so I've learned to look, look, and look again for things like free clinics and sliding-scale programs at doctor's offices and hospitals, as well as state, county, and city programs that help people who are in financial straits and need assistance with medical (and food) needs.
    You could also call 211 and get a list of referrals for different agencies, organizations, and programs that help people with various needs (mostly stemming from limited finances). Or check it out online:
    http://www.211.org/
    ****************************************************
    Till next time,
    Mary
    aka maryd98
    --------------------------------------------------------------------------------
    Joined ADA forum August 2012
    Diagnosed T2 July 1998
    First A1C (July 1998): 13.6
    First BG (July 1998): 537
    Latest A1C (October 2017): 5.7
    A1c has been under 6 since I got my BG under control (early in 1999), except for once when it was 6.2
    On oral meds for about 9 months after diagnosis
    "Just" diet and exercise since quitting oral meds.
    --------------------------------------------------------------------------------
    "Just" really means "plus" keeping stress in check, getting enough sleep, changing my work schedule as needed, timing my meals and snacks, making time to take care of non-work and non-diabetes needs (as well as diabetes and work needs), and making time for just me, myself, and I. :-)

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