CMS Launches Program to Lower Insulin Costs

The Centers for Medicare and Medicaid Services (“CMS”) recently announced the new Part D Senior Savings Model, which is intended to lower the Medicare beneficiaries’ out-of-pocket costs for insulin to a maximum $35 copay per thirty-day supply. The Savings Model will ensure predictable monthly copays for beneficiaries and applies to a wide-variety of insulin formulations, including rapid-acting, short-acting, intermediate-acting and long-acting insulins. Participation in the Savings Model is voluntary.

The Savings Model is based on a program where CMS enables health plans to offer Medicare Part D beneficiaries lower out-of-pocket costs by waiving a current programmatic disincentive for Part D