Tools & Resources

State Insulin Copay Caps

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US map with states in grey and red

Indicated in red above, 25 states and the District of Columbia have capped insulin copayments for state-regulated commercial health insurance plans. Some states have also included this provision for state employee health plans or also capped copays for other diabetes medications or supplies. 

*Capped copays, but only for state employee plans. 

State Copay Caps

  • Alabama: $100 cap for 30-day supply
  • Colorado: $100 collective cap for 30-day supply
  • Connecticut: $25 cap for 30-day supply of insulin or other diabetes medications, $100 cap for 30-days’ worth of devices and supplies
  • Delaware: $100 collective cap for 30-day supply, $0 for insulin pumps, and collective $35 cap per month for other specified diabetes equipment and supplies
  • District of Columbia: $30 cap for a 30-day supply of insulin and $100 cap for a 30-day supply of covered diabetes devices
  • Illinois: $100 collective cap for a 30-day supply; effective 7/1/25, the collective cap will be $35 for a 30-day supply
  • Kentucky: $30 cap for 30-day supply
  • Louisiana: $75 cap for 30-day supply
  • Maine: $35 cap for 30-day supply
  • Maryland: $30 cap for 30-day supply
  • Minnesota: As of 1/1/2025 $25 monthly cap for diabetes medications and $50 monthly cap for supplies; State-required manufacturer assistance program has a $35 cap for one per year emergency 30-day supply, $50 cap for 90-day supply
  • Montana: $35 for 30-day supply
  • Nebraska: $35 cap for 30-day supply
  • New Hampshire: $30 cap for 30-day supply
  • New Jersey: $35 cap for 30-day supply, (effective 1/1/2025)
  • New Mexico: $25 cap for 30-day supply
  • New York: $100 cap for 30-day supply; effective 1/1/25 the cost will be $0 
  • North Dakota: $25 cap for a 30-day supply* 
  • Oklahoma: $30 cap for 30-day supply, $90 cap for 90-day supply
  • Oregon: $85 for a 30 day supply, effective 1/1/2025 it will be $35 cap for a 30-day supply, $105 cap for a 90-day supply
  • Rhode Island: $40 cap for a 30-day supply
  • Texas: $25 cap for a 30-day supply
  • Utah: $30 cap for 30-day supply
  • Vermont: $100 collective cap for 30-day supply
  • Virginia: $50 cap for 30-day supply
  • Washington: $35 cap for 30-day supply
  • West Virginia: $35 collective cap for 30-day supply; $100 collective cap on a 30-day supply of specified diabetes equipment and supplies
     

Don't see your state listed?

Visit our state advocacy page to learn how to advocate in your state for affordable insulin.