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Colorado Law Caps Monthly Insulin Costs at $100 for Insured Patients

Coloriado Governor signs insulin pricing reform

May 23, 2019 at 10:11am

-Craig Idlebrook

Yesterday, Colorado governor Jared Polis signed into law a measure that will cap total monthly insurance co-pays for insulin at $100. All insurers in the state will have to comply with the new regulation by January 1st, 2020.

The measure caps out-of-pocket costs for a 30-day supply of insulin at $100 for Coloradans with insurance. However, it does not provide a similar cap for out-of-pocket insulin costs for those in the state who lack insurance, nor does it cap out-of-pocket costs for other diabetes supplies.

The legislation also requires the Colorado Department of Law to investigate insulin pricing practices by pharmaceutical companies, pharmacy-benefit managers (PBMs), and insurers, and generate a report that will be made available to the public by November 1st, 2020.

The legislation does not block insurers or PBMs from offering monthly insulin copay caps lower than $100. Such a carve-out may prove important in the future, as insurers and PBMs have been under intense political pressure to cap out-of-pocket insulin costs. Recently, Cigna and Express Scripts rolled out a program in which participating customers will pay no more than $25 for a 30-day insulin supply.

The legislation’s passage was cheered by diabetes and disability advocates, including the American Diabetes Association.

The Colorado BioScience Association, CVS Health, United HealthCare, and Pharmaceutical Research and Manufacturers of America (PhRMA) all opposed the legislation, according to a regional policy report. Reasons to impose the measure included that it has the potential to drive up insurance plan costs and that it is being administered by the Colorado Department of Law, rather than state insurance or health care policy regulators.

This appears to be the first state law aimed specifically at capping insulin out-of-pocket costs. Many other states are considering bills aimed at reducing the economic burden of the insulin pricing crisis, according to a Healthline report.

You can read the final text of the new law here.

 

Does Your Teen Have Eczema?

Eczema clinical study image of teenIf your child is between the ages of 12 – 17 and struggles with eczema (atopic dermatitis), you may be interested in a new research study in your local area. The study is for an investigational topical cream, applied twice daily for mild to moderate eczema.

The study lasts about 14 months, and there is no cost to participate. You will also be compensated for your time and travel to attend study visits.

To learn more, please call Metabolic Research Institute Inc. (561) 802-3060 or visit: https://www.metabolic-institute.com/eczema-study/


ABOUT METABOLIC RESEARCH INSTITUTE

Metabolic Research Institute, Inc. (“MRI”), is a private Clinical Research Company located at 1515 North Flagler Drive, Suite 440, West Palm Beach Florida 33401. Unless otherwise noted, all study-related appointments for qualified clinical participants in any MRI research trial will take place at this address.

Metabolic Research Institute’s clinical trials are designed to add to medical knowledge related to the treatment, diagnosis, and prevention of diseases or conditions, whether it’s diabetes, high blood pressure, heart disease, high cholesterol, or a variety of other health issues.

Type 1 Diabetes Clinical Trial

DO YOU HAVE TYPE 1 DIABETES?

CURRENTLY USING AN INSULIN PUMP? CONSIDER THE PRONTO-Pump-2 STUDY

Type 1 Diabetes Clinical Study FLyer imageYou may be eligible for a clinical research study that will test if an investigational ‘ultra-rapid’ insulin can offer better blood glucose control for people with type 1 diabetes who use an insulin pump than currently available rapid-acting insulins.

If you meet the study criteria you will need to attend regular study visits and will receive all study-related visits, lab tests, assessments, as well as study insulins and supplies at no cost. Travel reimbursement will also be available.

We are looking for participants who:
• Are at least 18 years old
• Are diagnosed with type 1 diabetes and have been using insulin continuously for at least 12 months
• Have been using an insulin pump with rapid-acting insulin for at least 6 months
• Have been using the MiniMed 530G (US), Paradigm Revel (US), MiniMed 630G (US and Canada), MiniMed 640G or Paradigm Veo (outside of the US and Canada) insulin pump for at least the past 90 days

For more information, call Metabolic Research Institute (561) 802-3060 or visit: https://www.metabolic-institute.com/csii/

Type 2 Diabetes using insulin?

A research study for Type 2 Diabetes is now underway in West Palm Beach, Florida.

Participants are needed.

To qualify, you must currently be using basal insulin.

Qualified participants will receive study related care and investigational medication at no cost, as well as possible compensation.

Call for details:  Metabolic Research Institute (561) 802-3060 or visit www.metabolic-institute.com/DM2

Type 2 Diabetes Clinical Study Flyer

ABOUT METABOLIC RESEARCH INSTITUTE:

Clinical studies are an integral part of clinical research and are at the heart of all advances in modern medicine. Our mission at the Metabolic Research Institute is to provide our patients and sponsors with the highest quality of diabetes clinical research available in today’s medical professional environment. We are committed to delivering efficient and timely research data, while focusing on strict adherence to protocol guidelines.

Metabolic Research Institute, Inc. (“MRI”), is a private Clinical Research Company located at 1515 North Flagler Drive, Suite 440, West Palm Beach Florida 33401. Unless otherwise noted, all study-related appointments for qualified clinical participants in any MRI research trial will take place at this add

Have atopic dermatitis?

Researchers are testing an investigational topical cream.

Qualified participants may receive:

  • Compensation for travel and study-related expenses
  • Study-related care at no cost from local doctors.

For ages 12-70.

For more information or to see if you qualify to participate in this study, call Metabolic Research Institute Inc. at (561) 802-3060 or visit: www.metabolic-institute.com/dermatitis

Atopic Dermatitis Study Flyer

ABOUT METABOLIC RESEARCH INSTITUTE:

Clinical studies are an integral part of clinical research and are at the heart of all advances in modern medicine. Our mission at the Metabolic Research Institute is to provide our patients and sponsors with the highest quality of diabetes clinical research available in today’s medical professional environment. We are committed to delivering efficient and timely research data, while focusing on strict adherence to protocol guidelines.

 

Metabolic Research Institute, Inc. (“MRI”), is a private Clinical Research Company located at 1515 North Flagler Drive, Suite 440, West Palm Beach Florida 33401. Unless otherwise noted, all study-related appointments for qualified clinical participants in any MRI research trial will take place at this address.

Tired of doing finger sticks to check your blood sugar?

Tired of doing finger sticks to check your blood sugar?

You may qualify to participate in a clinical trial evaluating the FreeStyle Libre 14 day Continuous Glucose Monitoring System (CGM), a small sensor you wear on the back of your upper arm that monitors your glucose day and night.

Qualified candidates will be:

  • Men and women 18 years of age or older
  • Diagnose with Type 1 or Type 2 Diabetes
  • Currently doing finger sticks to manage their diabetes

Additional eligibility criteria also apply.

Qualified Participants may receive all supplies related to the study at no cost.  You may also be reimbursed for your time and travel.

For more information, please call:  (561) 802-3060 or visit:  www.metabolic-institute.com/CGM

FreeStyle Libre 14 day CGM System Flyer for Diabetes

ABOUT METABOLIC RESEARCH INSTITUTE, INC. (“MRI”)

Clinical studies are an integral part of clinical research and are at the heart of all advances in modern medicine. Our mission at the Metabolic Research Institute is to provide our patients and sponsors with the highest quality of diabetes clinical research available in today’s medical professional environment. We are committed to delivering efficient and timely research data, while focusing on strict adherence to protocol guidelines.

 

Metabolic Research Institute, Inc. (“MRI”), is a private Clinical Research Company located at 1515 North Flagler Drive, Suite 440, West Palm Beach Florida 33401. Unless otherwise noted, all study-related appointments for qualified clinical participants in any MRI research trial will take place at this address.