Image
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.
