Why lowering the cost of insulin is so hard in the US?

Asked by: Miss Stacy Bashirian  |  Last update: December 16, 2025
Score: 4.6/5 (40 votes)

Structural factors that contribute to higher insulin costs include limited flexibility for the federal government to negotiate drug prices and lack of transparency in negotiations with pharmacy benefit managers.

Why is there an insulin shortage in the US?

These shortages primarily affect generic sterile injectable medicines like various types of insulin due to factors like economic pressures, manufacturing complexities, and supply chain vulnerabilities​.

Why is insulin so expensive in the US compared to Canada?

Similarly, the increase in cost per unit of all insulins was 10.3% in the United States and 0.01% in Canada over the study period. These differences are likely driven largely by a lack of price regulation on insulin in the United States, 13.

What do people do if they can't afford insulin?

You can find help through private or government health insurance, local programs, patient support groups, and medicine-assistance programs. You can also find ways to save money on diabetes medicines and supplies.

Where does the US get most of its insulin from?

There are 3 primary insulin manufacturers in the U.S. market—Eli Lilly, Novo Nordisk, and Sanofi—that represent over 90 percent of the global insulin market and produce almost 100 percent of the insulin supply in the United States.

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15 related questions found

Why insulin is overpriced in the US?

The increasing use of more expensive insulin analogs to replace less expensive human and animal insulins has led to an increase in insulin prices and spending and negatively affected the affordability of insulin for health systems and individuals around the world.

What did people with diabetes do before insulin?

At that time, the only way to treat the fatal disease was through a diet low in carbohydrates and sugar, and high in fat and protein.

Is insulin free in Canada?

Pharmacare agreements with provinces and territories will ensure that if you have diabetes, you'll have free access to medications like: Metformin, which can cost about $100 per year. Insulin, which can cost between $900 and $1,700 per year.

What is the $25 insulin at Walmart?

You may be familiar with Novolin ReliOn, Walmart's $25 human insulin. While the human insulin option is less expensive, newer analog insulins (such as NovoLog) are more effective at managing blood sugar swings and minimizing hypoglycemia (low blood sugar) and weight gain.

What country has the cheapest insulin?

The majority of countries had insulin prices hovering between $8 to $10 per vial, one-tenth the cost of the life-saving medication in the United States. The lowest, Türkiye at $3 per vial of insulin, was 33 times more affordable.

How long does one vial of insulin last?

The ADA guidelines reference throwing out insulin vials after 1 month. The manufacturers list 28 days.

Who controls insulin in the US?

Aside from Eli Lilly, other top insulin makers include French drugmaker Sanofi and Danish pharmaceutical company Novo Nordisk. The three companies control about 90% of the U.S. insulin market.

Is Eli Lilly a monopoly?

Insulin, "the most important drug" in the company's history, did "more than any other" to make Lilly "one of the major pharmaceutical manufacturers in the world." Eli Lilly and Company enjoyed an effective monopoly on the sale of insulin in the U.S. for almost two years, until the first of the new American licensees, ...

Why is Ozempic so hard to get?

When videos about achieving rapid weight loss with Ozempic went viral on TikTok, the trend was also reported online and across other media. This triggered a huge demand for the product that the manufacturer was not prepared for, and it quickly developed into a worldwide shortage.

Does GoodRx work on insulin?

Fortunately, you don't have to rely solely on insurance to save money on insulin. If your insurance copay is too much or you don't have insurance, GoodRx coupons can help. With a GoodRx coupon, you may be able to save up to 91% off the average price of generic Humalog at some pharmacies, for example.

Is 20 units of insulin a lot?

Basal insulin is usually started at a low dose (10 to 20 units) and then increased gradually to determine the right dose for an individual. Using a combination of treatments (ie, an oral or injectable non-insulin medication plus insulin) generally lowers the dose of insulin compared with taking insulin only.

How to get insulin naturally?

Some amino acids, including those that come from protein, trigger pancreatic cells to produce and release more insulin. While it's good to eat proteins from a variety of sources, some research indicates that plant-based proteins are especially beneficial for increasing natural insulin levels.

Why is insulin so expensive?

How did insulin get so expensive? For decades, insulin manufacturers have claimed that their high prices are necessary to spur innovation and investment in research and development.

What do diabetics get free?

Most Medicaid enrollees receive insulin for free or at a significantly reduced cost. However, each state makes its own determination about which diabetes medications and supplies are covered through its Medicaid program.

Can Americans go to Canada to buy insulin?

Many Americans have turned to buying insulin from Canada as a viable solution to circumvent the high cost of medication in the US. Canada's stringent drug pricing regulations help keep medication costs more affordable and accessible.

What was the life expectancy of a diabetic before insulin?

Prior to the discovery of insulin, patients with type 1 diabetes had an expected lifespan of less than 3 years[1].

Why is pork insulin no longer used?

Insulin from cattle and pigs was used for many years to treat diabetes and saved millions of lives, but it wasn't perfect, as it caused allergic reactions in many patients. The first genetically engineered, synthetic “human” insulin was produced in 1978 using E. coli bacteria to produce the insulin.

What are the three warning signs of diabetes?

If you have any of the following diabetes symptoms, see your doctor about getting your blood sugar tested:
  • Urinate (pee) a lot, often at night.
  • Are very thirsty.
  • Lose weight without trying.
  • Are very hungry.
  • Have blurry vision.
  • Have numb or tingling hands or feet.
  • Feel very tired.
  • Have very dry skin.