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It's expensive but not as bad as you'd think. I didn't have insurance for half a year, and I just called the manufacturer and got a huge discount ($200/bottle -

It's expensive but not as bad as you'd think. I didn't have insurance for half a year, and I just called the manufacturer and got a huge discount ($200/bottle -> $35/bottle). One bottle lasts a month or so. This was only due to not having insurance and wasn't need-based - I had earned FAANG income earlier that year and the year before.

Kye 6y ago
Both those prices seem excessive.
- ovi256 6y ago
  The best part of economic freedom is that one is free to start a manufacturer delivering a cheaper whatever one is complaining is too expensive!
  - anchpop 6y ago
    It's possible the price is too high, but the reason it has that price $35/bottle is the minimum required to sustainably produce it. It's well accepted in economics that price of manufacture is not necessarily the societally optimal price [0]. If this is the case, what needs to be done is government subsidization, and no individual person can just start a company and do it themselves. Also, the idea that everyone is free to start manufacturing insulin ignores the billions of dollars of capital that is required to create a FDA-compliant insulin production plant, which almost no one on earth has access to. [0]: https://www.investopedia.com/terms/e/externality.asp https://www.investopedia.com/terms/e/externality.asp
  - arexxbifs 6y ago
    "Not only are the big three insulin manufacturers financially opposed to biosimilars entering the market, they’ve actively taken legal steps to prevent it." https://beyondtype1.org/how-much-does-it-cost-to-produce-insulin/ https://beyondtype1.org/how-much-does-it-cost-to-produce-ins...
  - HeadsUpHigh 6y ago
    Not with the way the FDA has a pile of rules and regulations that combined have the unintended effect of blocking the market. Drugs of all kinds are not in a market state of economic freedom. There are pros and cons of the situation, but at least please stop pretending that it's a free market.
- inetsee 6y ago
  These prices are not high. I went through a period when I had no health insurance, and I had to rely on generic insulin, the kind you can buy at Walmart for $25 a vial. I have insurance now and the insulin I take now costs me a co-pay of $100 a vial. Paying $35 a vial without insurance is not bad at all.
  - messe 6y ago
    It's a hell of a lot higher than most developed nations. Here in Ireland, as far as I'm aware, it's free thanks to the long term illness scheme. (We have both public and private healthcare available)
    - wincy 6y ago
      Just because you never see the cost, doesn’t mean it costs “nothing”.
      - messe 6y ago
        Sure, but to someone who's on unemployment benefits. It's free. To someone who's earning a little bit more than that, it's free. To someone who is earning enough to pay tax, they're paying a tiny amount. To someone who's earning more than 30K€, they're paying a few grand in taxes (which covers other public services also). To someone who's earning 60k€ they're paying even more. But the important thing is that the person who's earning fuck-all can still afford it, because it costs nothing to them.
        inetsee 6y ago
        I am aware that insulin costs a lot less in other countries. I have read the stories of Americans going to Canada to buy insulin. I have also read the stories of diabetics in the United States who died because they tried to make their insulin last longer by rationing their dose. If I didn't have insurance my insulin would cost me either $245 (fast-acting) or $700 (basal) a vial. I was just pointing out that getting insulin for $35 a vial in the United States is a very good deal.
- dogma1138 6y ago
  The NHS (how much it pays not the patient) annual costs are about £400 so it doesn’t seem excessive
bytelane 6y ago
Just curious, which manufacturer did you call, Eli Lilly or Novo Nordisk? I think the details of how you were able to get a discount would be beneficial to others. I am a type 1 and I recently heard of another type 1 who recently died at age 40 because he lost his job+insurance and was rationing insulin.
- nick0garvey 6y ago
  I called Lilly, but both manufacturers have programs to help. These two are need-based. I didn't qualify but still got a sharp discount. https://www.lillycares.com/aboutlillycares.aspx https://www.lillycares.com/aboutlillycares.aspx https://www.novocare.com/diabetes-overview/let-us-help/pap.html https://www.novocare.com/diabetes-overview/let-us-help/pap.h...

Kye 6y ago

Both those prices seem excessive.

ovi256 6y ago
The best part of economic freedom is that one is free to start a manufacturer delivering a cheaper whatever one is complaining is too expensive!
- anchpop 6y ago
  It's possible the price is too high, but the reason it has that price $35/bottle is the minimum required to sustainably produce it. It's well accepted in economics that price of manufacture is not necessarily the societally optimal price [0]. If this is the case, what needs to be done is government subsidization, and no individual person can just start a company and do it themselves. Also, the idea that everyone is free to start manufacturing insulin ignores the billions of dollars of capital that is required to create a FDA-compliant insulin production plant, which almost no one on earth has access to. [0]: https://www.investopedia.com/terms/e/externality.asp https://www.investopedia.com/terms/e/externality.asp
- arexxbifs 6y ago
  "Not only are the big three insulin manufacturers financially opposed to biosimilars entering the market, they’ve actively taken legal steps to prevent it." https://beyondtype1.org/how-much-does-it-cost-to-produce-insulin/ https://beyondtype1.org/how-much-does-it-cost-to-produce-ins...
- HeadsUpHigh 6y ago
  Not with the way the FDA has a pile of rules and regulations that combined have the unintended effect of blocking the market. Drugs of all kinds are not in a market state of economic freedom. There are pros and cons of the situation, but at least please stop pretending that it's a free market.
inetsee 6y ago
These prices are not high. I went through a period when I had no health insurance, and I had to rely on generic insulin, the kind you can buy at Walmart for $25 a vial. I have insurance now and the insulin I take now costs me a co-pay of $100 a vial. Paying $35 a vial without insurance is not bad at all.
- messe 6y ago
  It's a hell of a lot higher than most developed nations. Here in Ireland, as far as I'm aware, it's free thanks to the long term illness scheme. (We have both public and private healthcare available)
  - wincy 6y ago
    Just because you never see the cost, doesn’t mean it costs “nothing”.
    - messe 6y ago
      Sure, but to someone who's on unemployment benefits. It's free. To someone who's earning a little bit more than that, it's free. To someone who is earning enough to pay tax, they're paying a tiny amount. To someone who's earning more than 30K€, they're paying a few grand in taxes (which covers other public services also). To someone who's earning 60k€ they're paying even more. But the important thing is that the person who's earning fuck-all can still afford it, because it costs nothing to them.
      - inetsee 6y ago
        I am aware that insulin costs a lot less in other countries. I have read the stories of Americans going to Canada to buy insulin. I have also read the stories of diabetics in the United States who died because they tried to make their insulin last longer by rationing their dose. If I didn't have insurance my insulin would cost me either $245 (fast-acting) or $700 (basal) a vial. I was just pointing out that getting insulin for $35 a vial in the United States is a very good deal.
dogma1138 6y ago
The NHS (how much it pays not the patient) annual costs are about £400 so it doesn’t seem excessive

bytelane 6y ago

Just curious, which manufacturer did you call, Eli Lilly or Novo Nordisk? I think the details of how you were able to get a discount would be beneficial to others. I am a type 1 and I recently heard of another type 1 who recently died at age 40 because he lost his job+insurance and was rationing insulin.

nick0garvey 6y ago
I called Lilly, but both manufacturers have programs to help. These two are need-based. I didn't qualify but still got a sharp discount. https://www.lillycares.com/aboutlillycares.aspx https://www.lillycares.com/aboutlillycares.aspx https://www.novocare.com/diabetes-overview/let-us-help/pap.html https://www.novocare.com/diabetes-overview/let-us-help/pap.h...