Below is a list of available programs available to help pay for diabetic medications. The programs are offered based on individual drug, household income, current insurance status, and possibly medical diagnosis.
AZ&ME Prescription Savings Program
You can get AstraZeneca’s diabetes medications for free through its AZ&ME Prescription Assistance Program if you meet the following criteria: Your household income doesn’t exceed 300 percent of the federal poverty level; and you have no prescription drug coverage. One exception: If you are enrolled in a Medicare Part D Prescription drug program and you spend at least 3 percent of your annual income on prescription medications, you may qualify for this program. However, you must be able to show that you are not eligible for Medicare’s Low-income Subsidy (Extra Help).
For those who take: Firiga, Xigduo XR, Qtern, Byetta, Bydureon, Symlin, Onglyza.
This program provides free medication to those who meet its eligibility requirements. Your household income cannot exceed 250 percent of the federal poverty level, and you can’t have prescription drug coverage. One exception: if you have drug coverage through Medicare Part D and you’ve already spent $600 on prescriptions for the year.
For those who take: Avandia
Johnson & Johnson Patient Assistance Foundation
This program provides diabetes medications at no cost to people whose income doesn’t exceed 300 percent of the federal poverty level and have no drug coverage. However, if you are in a Medicare Part D prescription drug plan and spend 4 percent or more of your income on prescription drugs you can qualify.
For those who take: Ivokana, Invokamet, Invokamet EX.
Lilly Diabetes Solution Center
Eli Lilly’s call center works with people to reduce and cap out of pocket costs for people who might not otherwise be able to afford insulin. They work with people on an individual basis to determine their needs and what options would best apply to them. The center focuses on those who have no insurance or need help meeting their insurance plans deductible, as well as people who have Medicare Part D with a lower income (no more than 400% above the federal poverty level). They assist with price reductions when you purchase your meds and information about receiving free insulin through the Lilly Cares program.
For those who take: Humulin, Basaglar, Hamalog
LILLY’S GENERIC HUMALOG NOW AVAILABLE
Insulin Lispro Injection is now available for order in pharmacies for people who use Lilly’s rapid-acting insulin Humalog and need a lower cost option. Lilly’s Insulin Lispro Injection has a 50 percent lower list price than its identical medicine, Humalog, and is available in both a vial and KwikPen. Because they are the same insulin, pharmacists will be able to substitute Insulin Lispro for Humalog.
Insulin Lispro Injection has a list price of $137.35 per vial and $265.20 for a package of five KwikPens. Lilly is working with payers to gain broad insurance coverage for Insulin Lispro Injection. As of July 2019, this generic is not on the formulary for any Medicare Prescription Drug Plan.
Merck offers free diabetes medications if you meet these qualifications: You don’t have insurance or other prescription coverage, and you your household income doesn’t exceed 400 percent of the federal poverty level. Meet some, but not all of these requirements? Don’t give up. Merck makes exceptions on a case by case basis, depending on circumstances such as financial or medical hardship.
For those who take: Januvia, Janumet (metformin and sitagliptin) and Janumet XR (metformin extended release and sitagliptin)
Novo Nordisk Patient Assistance Program
If you are eligible, you can receive Novo Nordisk diabetes medications and other products, such as disposable needles, at no cost. To be eligible you must have a household income no more than 300 percent of the federal poverty level. Exceptions Include: Medicare Part D patients who have spent $1000 on prescription medicine in the current calendar year and patients who are Medicare eligible and do not have Medicare Part D coverage that have applied for and been denied Extra Help/Low Income Subsidy. If you have Medicaid but have been denied approval for one of Novo Nordisk’s drugs, you may qualify.
For the who take: Novolin, Fiasp, Novolog, Tresiba, Levemir, and Victoza. This program also covers disposable insulin pen needles and Novo Nordisk’s GlucaGer Hypokit.
Pfizer Patient Assistance Program
To qualify, your household income must not exceed 400 percent of the federal poverty level. Having prescription drug coverage does not automatically disqualify you if your coverage does not provide sufficient coverage to pay for your meds.
For those who take: Glyset
Sanofi Patient Connection
You can qualify if you have no health insurance and that covers prescription drugs; and have a household income that doesn’t exceed 250 percent of the federal poverty level. However, if you are enrolled in Medicare Part D, you may qualify if your out of pocket costs exceed 5 percent of your household income. Also, if you have Medicaid but have been denied approval for a Sanofi drug, you may qualify.
For those who take: Lantus, Toujeo, Soliqua 100/33, Apidra, Admelog and Adlyxin.
NOTE: Each program requires differing information from the applicant. They will each request an application to be completed. The applications can be found on each Manufactures website. After completion, the application can be either faxed or mailed in. A few do offer the ability to complete the application on line. The VAS office has the applications on hand if you are unable to print one yourself.
|PERSONS IN FAMILY/HOUSEHOLD||POVERTY GUIDELINE 2019|
|For families/households with more than 8 persons, add $4,420 for each additional person.|