Insulin

Colorado becomes first state to cap cost of insulin

Insulin
Photo: Daniel Sorabji/AFP/Getty Images

Colorado Gov. Jared Polis signed a bill on Wednesday capping the out-of-pocket cost of insulin at $100 per month, making it the first state in the country to take such action, reports the Denver Post.

Why it matters: Axios' Caitlin Owens says people with diabetes are dependent on insulin, and as the price of the decades-old drug has increased, it has created problems for those who must take it, but can't afford it. Insulin is the classic outrage-inducing case of an old drug being marked up for no reason, with a hugely significant impact on patients who need it.

Express Scripts won't cover Eli Lilly's new generic insulin

Insulin pens on an assembly line.
Insulin pens at an Eli Lilly plant in France. Photo: Frederick Florin/AFP via Getty Images

Eli Lilly's new "authorized generic" of its pricey Humalog insulin, called Lispro, is excluded from the 2019 national list of covered drugs from pharmacy benefit manager Express Scripts.

The big picture: So much for all the fanfare when Eli Lilly unveiled the insulin last month. Lispro's price doesn't change net spending on the insulin, even though it is cheaper for people paying cash out of pocket, and PBMs have little incentive to cover the drug if a rebate doesn't exist or is tiny.