On March 1, Eli Lilly announced cuts to insulin list prices and providing an automatic cap on “out-of-pocket costs at $35 at participating retail pharmacies for people with commercial insurance using Lilly insulin.” These changes take effect at various points in 2023 for the few insulin products they manufacture (April 1, May 1, and Q4 2023).
These three insulin manufacturers make about 90% of the U.S. supply of insulin. These announcements follow the Inflation Reduction Act putting a Medicare cap on insulin of $35 per month and President Biden urging insulin manufacturers to apply similar pricing in the commercial insurance market.
This is primarily being paid for by drastically reducing insulin rebates these manufacturers must pay to Medicaid.
IMA will continue to monitor regulator guidance and offer meaningful, practical, timely information.
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