Discussion in 'Parents of Children with Type 1' started by 3kidlets, Feb 26, 2014.
Novolin R is still $24.88 (plus tax) at Walmart for a 10 mL vial. Same price it's been for my entire lifetime. That's without a prescription or insurance.
Our most recent vial of Novolog had a price tag of $210 on it. Last time I looked it was $130. (rollie)
UH WHAT???? We pay $33/10mL vial of humalog....
OOP cost without insurance
I just went to the Express Scripts site and calculated the cost of a 3 month supply of Humalog. It says "total cost $1,345.69" and that is for 9 vials, so $112.14 per bottle. We don't pay that, but I'm assuming that's still the no insurance cost, right? Or is that still a negotiated price?
This got me curious. We pay a flat co-pay amount, so I hadn't paid attention but there have been a a couple of price increases on Humalog just since my daughter was diagnosed.
We get Humalog pen cartridges, so not sure how that compares to vials, but a box which contains a total of 1500 units costs:
March: 273.48 (Walgreens)
April: 254.38 (Mail order)
It seems like it varies even by express scripts plan. Mine says, plan paid: $1095.08, you paid: $50. That is for a 7 vial, 3 month supply so $156.44 a vial that insurance pays and $7.14 a vial that I pay.
It's a retail, mom and pop local pharmacy. Our co-pay is $10 or 15... can't say for sure, it always seems to be changing.
This is the TOTAL cost. And my insurance pays it all.... But yes, when I go to the store, buy a vial, $33....
That must be the insurance negotiated cost, and then you then insurance pays 100%. That is a very low insurance cost I admit, but every insurance's negotiated cost is different and then there is "retail/OOP cost" and that is just staggering.
The thing that bothers me the most is the different negotiated costs from insurance to insurance.
$169.99 for a vial of humalog, we have a $30 co-pay. I filled the pen cartridge script at the beginning of january, wish I had kept the bag to see how the price compares. co pay was the same.
Are you in Canada?
I am in Canada, maybe thats the difference. But its not a negotiated cost or anything. Insulin is over the counter here, you can just go in and buy it, and pay $33 cash!
the cost here is capped. it keeps certain drugs from seeking health canada approval. or from being put on the market. ex lantus was not in canada until 2005 due to disagreements over what Aventis could charge
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