How the New $35 Cap on Insulin Costs Will Work

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How the New $35 Cap on Insulin Costs Will Work
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Insulin users in Medicare will pay a maximum of $35 a month for the drug starting in January. Here’s a look at how that will work.

California Gov. Gavin Newsom recently announced the state will begin making its own insulin to help lower the cost of the diabetes medication. WSJ explains how insulin got so expensive in the U.S. and explores whether a policy initiative like California’s could succeed in driving down costs. Photo Illustration: Ryan Trefeson out-of-pocket costs for insulin is here, though it isn’t for everyone, and some people may experience delays in getting the price break.

Starting Jan. 1, Medicare members, who include people 65 years and older and people with disabilities, should pay no more than $35 a month in copays or other out-of-pocket costs for an insulin prescription. Medicare benefit plans and in some cases drug manufacturers will pick up the rest of the drug’s cost.

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