Monday, August 31, 2020

Chart Review: Estimated Annual Insulin Cost For Medicare Part D Patient


August 28, 2020 Josee Farmer, Former Health Care Policy Intern
The Health Care Cost Institute estimates that the average insulin user requires 62 units per day. This estimate includes 22 basal units, which are long or ultra-long acting; 36 mealtime units, which are rapid or short acting; as well as 4 units of combination insulin. The chart below depicts the total annual cost of insulin for a patient facing a typical dosage requirement. From 2014 to 2015, the average amount spent on basal units increased substantially – largely attributed to the introduction of ultra-long-acting insulin to the market in 2015. By 2018, the average annual cost for a typical insulin user surpassed $5,600 in the Medicare Part D market. The same trend can be seen in the Medicaid and employer-sponsored insurance markets, as well.
Data obtained from CMS Medicare Part D Drug Spending Dashboard


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