Diabetes Community Paying It Forward
The reality is that members of our D-Community are not afraid and increasingly motivated to help each other, myself included.
As noted in my human cost post last year, in order to be sure I was giving away prescription medications to strangers safely and responsibly, I chose to help by donating my excess insulin vials and pens to my endos office and nearby clinics, to let them distribute to patients as they see fit.
If you Google pay it forward diabetes, you will find a lot of forum discussion about this, where people are connecting individually to help each other.
Youll also quickly run into the Type 1 Diabetics Pay It Forward group on Facebook founded about eight years ago by Bill Patterson in North Carolina. Bill was diagnosed almost 30 years ago with a rare form of T1 known as type 1b idiopathic diabetes, and hes personally been without insurance for years and struggled to obtain healthcare and insulin. Before getting needed coverage through the Affordable Care Act , Bill says he obtained insulin from his doctors office as well as generous pay it forward gestures from others in the D-Community.
There are long-term resources out there, but they take time to obtain possibly weeks to months, he says. But there were no short-term options at the time. So I created my group to bridge that gap.
What Happens When Your Glucose Is High
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How Do I Get A Medical Exemption Certificate
You should always be told by either your GP or your pharmacy if you are eligible for free medication, but it is up to you to find out if you are entitled to a Medical Exemption Certificate.
You need to obtain and fill in an FP92A application form from your doctor, filling in parts one and two and ensuring an authorised member of the surgery confirms your information is correct.
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Could Switching From Analog To Human Insulin Be A Smart Way To Save Money
The ADA working group also cites prescribing patterns that favor newer, more expensive insulins, such as analogs. They arent the only ones to question this trend. The vast majority of patients could probably do just as fine on older, human insulin, especially if theyre on a simplistic regimen, says Jing Luo, MD, MPH, a physician and researcher at Brigham and Womens Hospital’s division of pharmacoepidemiology and pharmacoeconomics, in Boston. Or, if theyre on an overly complex analog regimen, we can simplify them to something else that perhaps involves human insulin. I would encourage them to give it a try, especially if that patient is having problems affording their prescription medicines.
Luo is a corresponding author of a January 2019 retrospective cohort study of more than 13,000 Medicare recipients with type 2 diabetes that was published in JAMA. It found that switching from analogs to older, human insulin only raised the study participants hemoglobin A1C levels by 0.14 percent, which is likely not clinically important, the authors wrote. A1C is a measure of how much glucose attaches to the hemoglobin in your red blood cells, on average, over the past two to three months.
Local Community Health Clinics And Pharmacies
If you or your loved one is unable to see a physician due to the cost of care or unable to afford medications, there may be a local community health clinic or pharmacy in your area. These clinics generally are free to patients or require a very small fee. Visit to find a clinic or pharmacy in your area.
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What Does A Pap Application Look Like
Each PAP program has a similar free application, regardless of the drug that you want help with DPP-4 inhibitors, GLP-1 agonists, SGLT-2 inhibitors, or basal or fast-acting insulin, all of which are particularly expensive diabetes drugs that PAPs can help with. There is one portion to be filled out by the person who has been prescribed the drugs, and another to be completed by a doctor or nurse or one of their team. All programs require a prescription, but the applications vary in whether proof of income or particular insurance documentation is required. Here are some of the biggest learnings from our work on the ground looking at these programs:
Boehringer-Ingelheim , Merck, and Sanofi do not require proof of income for their products among other drugs, BI makes Jardiance, Sanofi makes Lantus and Soliqua, and Merck makes Januvia.
AstraZeneca, Johnson & Johnson, Lilly, Novo Nordisk, and Tadeka do require proof of income in the form of tax returns, pay stubs, or other statements.
Most programs have income cutoffs.
Takeda has the most generous cutoff at $63,800 for a household of one or $131,000 for a household of four .
More recently, Lilly, Merck, Novo Nordisk, and Sanofi have increased income cutoffs to four times the Federal Poverty Level a welcome improvement.
AstraZeneca has the strictest cutoff at $36,420 for an individual or $75,300 for a family of four.
Additional paperwork requirements should not be too burdensome.
Older Formulations Of Insulin
If you are in immediate need of insulin and have no health insurance coverage and limited funds, it is possible to obtain very affordable older types of insulin over the counter from Walmart or Sams Club. This insulin is sold under the ReliOn name and costs $25 for a 10mL vial. It works differently than newer insulins, so you will need to learn how to dose it correctly.
JDRF maintains a forum where insurance issues can be discussed.If you have questions for the community, you can post them here!
Is this resource helpful? Did we miss something?
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Ask Your Healthcare Team About Your Treatment Options
Do ask your doctor to review your course of treatment and see if there are any lower-cost insulins or delivery systems that she or he can prescribe that will allow you to maintain the same level of health and a quality of life that is acceptable to you. Be sure that the conversation is thorough and covers any hidden costs, such as extra testing strips.
These individual cost-saving measures wont stop insulin prices from rising for people like Terry Bell, and as far as hes concerned, the problem should be up to drug companies, not patients, to solve. I know theyve got to make a profit, he says, but they dont have to make a killing on what they sell things for.
For more tips on affording your diabetes management supplies, check out Diabetes Daily’s article “Ways to Save on Diabetes Supplies”!
Sanofis Patient Assistance Connection
Assistance is available for:
Must be a resident of the US or US territories.
Must not have insurance, or existing insurance doesnt cover Lantus.
Must not be eligible for Medicaid, or must provide proof of Medicaid denial to be assessed for the program.
If enrolled in Medicare Part D, out-of-pocket drug expenses must reach at least 2% of your annual household income in the current calendar year.
Household income must be at or less than $51,040 for an individual, $68,960 for a couple, or $104,800 for a family of four. These amounts are equal to four times the Federal Poverty Level .
How to apply:
Click here for the application, which you and your healthcare professional should complete, and then your doctor will mail or fax your application to Sanofi.
No proof of income needed
What to expect if your application is approved:
If you are enrolled or denied, you and your healthcare professional will receive a letter.
Repeated shipments of a 90-day supply will be sent to your healthcare professional’s office for the duration of your enrollment in the program. Your prescriber must put in the re-order request every three months.
You will be enrolled in the program for 12 months. If you have Medicare Part D, you will be enrolled in the program until the end of the calendar year.
diaTribe observations about the application:
- Short length: set aside 5-7 minutes to read and fill out the patient portion of the application
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Where Can I Get Free Insulin
Over the last few years, the cost of insulin has skyrocketed. If you are struggling to pay for your insulin, three drug manufacturers may offer immediate prescription assistance: Eli Lilly, Novo Nordisk, and Sanofi. The American Diabetes Association has more information on how to access cheaper insulin through manufacturers.
How Singlecare Can Help You Save On Diabetic Supplies
SingleCare is most known for helping people access lower prescription drug prices. However, we also provide some of the best prices available on diabetic supply products, including test strips, syringes, and glucometers like the Freestyle Libre Reader.
Search for the diabetic supplies you need at singlecare.com, find the lowest price, and show the SingleCare coupon at your pharmacy to start saving today.
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B Pharmacies In Mississippi
The 340B Drug Pricing Program was created in 1992 to provide discounts on outpatient prescription drugs to select safety net providers, including among others, Federally Qualified Health Centers, which include centers receiving grant funds under Section 330 of the Public Health Service Act and look-a-like health centers. The program promotes: 1) access to affordable medications, 2) efficient business practices, 3) outcomes-driven pharmacy services, and 4) quality assurance. The intent of the program is to permit covered entities to stretch scarce Federal resources as far as possible, reaching more eligible patients and providing more comprehensive services.
Find out if your hospital or clinic has a 340B Pharmacy or contracts with one.
Always ask. Sometimes a pharmacy may actually BE 340B and the techs working there may not know it. It’s happened.
Some of the Health Care facilities with 340B Pharmacies. You will need to be a patient of that clinic to use it.
Jackson Hinds Comprehensive
GA Carmichael Clinics
Patient Assistance Programs By Therapy
Each drug manufacturer has the same assistance program for all of its drugs. If youre not sure what company manufactures your medication, click on a diabetes drug from the list below to jump down to details about the associated assistance program.
Take this easy quiz to quickly determine eligibility.
Must be a resident of the US.
Must not have prescription drug coverage through private insurance or government insurance .
If enrolled in Medicare Part D:
Must have spent at least 3% of household income on prescription medications since the start of the calendar year at time of application
Must not be eligible for or enrolled in Low Income Subsidy
Total household income must be at or below $36,420 for an individual, $49,380 for a couple, and $75,300 for a family of four.
How to apply:
What to expect if your application is approved:
Application approval may last for up to a year, and AstraZenca will send an application for renewal once enrollment ends.
Expect repeated shipments of up to a 90-day supply for the duration of enrollment .
For prescription refills and other questions, call 1-800-292-6363.
diaTribes observations about the application:
The applications length is mainly due to its large, easy-to-read font dont let that deter you!
Fairly lengthy: Set aside 10-15 minutes to read and fill out the patient portion of the application.
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How Many Units Of Insulin Does It Take To Reduce 1 Card Of Blood Sugar
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Lilly Mn Continuing Need Program
- Complete the application and either fax the application and financial documents to 1-833-200-6304 or mail to the address listed on the application.
- You must include copies of your proof of Minnesota residency, proof-of-income documentation, proof of plan benefit showing you pay out-of-pocket more than $75 for a 30-day supply of insulin.
- Within 10 business days of receiving your application, a decision will be made regarding your eligibility.
- If approved, you will receive a document called Statement of Eligibility, good for 12 months. You will take this to your pharmacy in Minnesota, along with your prescription and proof of residency.
- Your pharmacy may collect a fee of up to $50 for a 90-day supply. If you have questions regarding that fee, you must speak with the pharmacist. Lilly is not responsible for that fee, nor does it receive any part of that fee.
Get Assistance From The Lilly Diabetes Solutions Center
Eli Lilly also provides point-of-sale savings, free insulin, and more through the Lilly Diabetes Solution Center. According to their website,Each month, over 10,000 people get help affording their insulin, including immediate supplies of Lilly insulin and customized solutions that lower the amount they pay at the pharmacy.
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Look For Local Programs That Can Help
There are many local charities that provide prescription assistance. Here are the ones weve found so far:
Monday 6th of May 2019
I have Medicare but can’t always afford my co pay. I have diabetes 2 plus other health problems.I take about 10 prescriptions a day as well as two different insulins.I am on social security and low income.Where can I find help with my prescriptions?
Monday 6th of May 2019
Susan,Here is everything we have for free insulin and cheap diabetic supplies. Be sure to click on the links within the article for more information on each resource. I hope this helps.-Riley
Remembering Shane Patrick Boyle
We never met Shane, nor did we connect with him online in any way.
But he was one of us. A member of our Diabetes Community, someone who had lived with type 1 for many years and just like us, relied on insulin to stay alive.
From accounts of those who knew him, inside and beyond our D-Community, Shane was an incredibly kind and gentle man with a huge, giving heart. He was a gifted creative writer and graphic artist who in 1993 founded the first unofficial ZineFest Houston event aimed at the do-it-yourselfers in the comics and artistic community.
As we understand it and from what weve seen , Shane had recently moved back home from Texas to Arkansas to take care of his sick mom, Judith . As a result of the move, Shane apparently lost access to healthcare and prescription coverage. He was also between doctors and in need of insulin apparently, he was waiting for his Affordable Care Act coverage to be approved and was stretching out his insulin until he had enough money to see a doctor to prescribe more insulin, and purchase it.
In early March, Shane set up a GoFundMe crowdfunding page in order to raise $750 for a months worth of insulin to get him by. Tragically, that didnt materialize in time to save him.
Our community lost Shane on March 18, and according to his GoFundMePage , Shane died because he was trying to stretch out his life-saving insulin to make it last longer.
Remember the 30-something in Ohio in who died due to no emergency access to insulin?
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