How Much Do Diabetes Supplies/Medications Cost in The U.S.?

batch of dollarsWhile everyone’s diabetes treatment plan, medications, and technology may be different, there is one thing we can all agree on: diabetes is expensive. In two previous posts at The Perfect D, I gave some sense of what the bare minimum of care for a U.S. adult with Type 1 diabetes would be and also financial resources and programs to help with the financial burden of living with diabetes.

However, this post is about how much it could cost an adult with Type 1 diabetes if they used the technology and medications that are currently out on the market (and thought of as “the latest and greatest”) and paid out of pocket with no insurance. Research on this topic has shown me that: 1) prices can fluctuate wildly, so it pays to shop around and 2) there is a very big gap (financially, medically, and technologically) between the bare minimum and “surviving” and actually utilizing the tools and latest technology that is out there.

So, the hypothetical person for this exercise is a Type 1 adult in the United States who weighs 60kg, just like the other calculation post I did.

Ground Rules

  • These prices are accurate on the websites I have referenced for December 1, 2014. They may change, they may add shipping, they may not offer the services, technology, or drugs on their website after this is posted. These prices are not a guarantee. They are to be used as a reference.
  • The listing of prices/websites on this post does not mean that I endorse the company or product or service.
  • I have not listed all the products available on the market for people with Type 1 diabetes. I have listed major ones to give you an idea of major manufacturers’ costs for the products that are available for general public viewing.
  • I did not call any companies and ask for pricing. Why? Because I believe that we, the diabetes community, should be able to really know how much something costs without having to go through hoops and customer service/sales representatives. Device prices should be listed on a company’s website, knowing that insurance pricing will be different. (We should be able to know how much a drug would cost without insurance, too.)
  • Some of the items are only dispensed with a prescription.
  • Yes, I know that some people with Type 1 do not use an insulin pump. In fact, only 30% of Type 1s use a pump for insulin delivery. Some are happy and do well with MDIs/pen needles. The cost of pen needles are comparable to using a syringe, so you can refer to this post if you want to do your own calculations. As I say, my blog, my words…
  • I used averages. That means that some pump therapies may cost more or less than the average.

Insulin

mediumIf you take a total of 30 units per day (hey, adjust for more or less, this is a hypothetical Type 1 adult weighing 60kg), you will take about 900 units per month. You might be able to get by on one vial a month, but this doesn’t factor in correction boluses that might need to be raged to bring down a high blood sugar or a heavy carb meal. So…. two vials per month.  If you’re on a pump, it’s two vials of fast acting. (Don’t forget that you’ll need that back up prescription for long-acting insulin if your pump malfunctions…)

Fast-acting:

Apidra vial 10ml = $177.59

Humalog vial 10ml = $217.45

Novolog vial 10ml = $210.49

Average cost per month (insulin pump): $403.68

Average cost per year (insulin pump): $4,844.16

Average cost per month (MDI): $201.84

Average cost per year (MDI): $2,422.08

Basal/long-acting:

If you aren’t on an insulin pump, T1s must use a long-acting insulin in conjunction with their fast acting. This hypothetical (hopefully not hypoglycemic) T1 would use one vial of fast-acting and one vial of long-acting insulin per month.

Lantus vial 10ml = $284.39

Levemir vial 10ml = $216.69

Average cost per month (MDI): $250.54

Average cost per year (MDI): $3,006.48

(So, for those of you keeping a tally for comparison,  the total cost per year for insulin using a pump is $4,844.16 and for MDI, it’s $5,428.56.)

Insulin Pumps

800px-Early_insulin_pump
This is an early version of an insulin pump. You’d never get a button error with this. Dials!

You know that some of these prices may not be the price you actually pay if you have no insurance. You call the manufacturer and explain that you will be paying out of pocket and ask what the “cash pay price” would be and if they have a financing program. (Some companies offer this; others do not.) But these prices are what’s shown on websites where you can purchase them….so ta-da.)

Most pumps are under warranty for four years. Some have upgrade programs. Others have a “trade your old pump from another company and we’ll give you a discount…) Do your homework before committing to a pump. Please. Some will let you test drive. Others have a return in 30 days policy.

Minimed Paradigm Real-Time Revel 723 Pump = $5655.99

t:Slim Insulin Pump = $5720.00

Omnipod = $800 for the PDM, which is the brains of the pod. The pods are extra. ($337.00 per 10 pod box and 12 boxes needed annually) = $4844.00

Animas Ping = $4977.29

Accu-Chek Spirit Pump = $4,751.07

(I would have added the Asante Snap, but there are no places online to get an actual price. I got estimates from blogs and news outlets that say $700ish, but without a definitive click, I can’t in good faith include it.)

Cartridges

Got pumps? Then you need cartridges. Can’t have one without the other (except if you’re talking the Omnipod, because the pods act as the cartridge and the insertion set.). Cartridges (or reservoirs, if you are Medtronic) are needed to hold that expensive insulin you purchased.

Omnipod = $0.00 because the pod acts as cartridge and insertion set. See below.

T:Slim Insulin Pump Cartridge – 3ml – Box of 10– 10/bx = $46.19

Animas 2ml Cartridge 1200 Pump – 10 Bx = $45.79

Accu-Chek Disetronic Spirit 3.15mL Plastic Cartridge System – Box of 5 = $24.30

Medtronic

Some people change their cartridges once per week, while others change every three days. So, you could use 4 per month or 10 per month.

Average Total Cost per month: $41.39

Average Total cost per year (9 boxes): $372.51

Average Total cost per year (12 boxes): $496.68

Insertion Sets

800px-Infusion_set_3Those pumps and cartridges aren’t enough to get the insulin into your body. You need insertion sets (again, unless you use Omnipod, which are tubeless and incorporate the cannula directly into the pod).

Most people change their insertion set every 3 days. (You should. I don’t judge. Some people change it more frequently, due to inflammatory reactions or the dreaded occlusion.) So, you’ll go through one box per month… if not more.

Most people have a preference of the type of insertion type/tubing length they use. 90º or 30/45º angles, short tubing or long tubing, 9 or 6 mm cannula, metal or plastic… so I’m giving you a few choices. And again, it pays to shop around. Sometimes the manufacturer of the pump is not the cheapest place to get supplies (which confuses me to no end…).

Reference: Omnipod pods (10/box)= $337.00

Inset Infusion Set 23″ 9mm (10/box) = $95.77

Cleo 90 Infusion Set 24″ (60cm)/6mm 10/bx = $112.99

Comfort Infusion Set – Can be used with t:slim, Animas (Box of 10) = $105.99

Accu-Chek Disetronic Rapid D Infusion Sets – 6mm Cannula and 24″ (60cm) Tubing – 15/bx = $94.39

Medtronic

Quick-set 9mm Cannula / 43″ Tubing (10/box)  = $136.70

mio 9mm Cannula / 32″ Tubing CLEAR (10/box) = $151.00

Silhouette 17mm Cannula / 43″ Tubing (10/box) /cannula only = $121.19/$117.30

Sure-T 29g 10mm Needle / 32″ Tubing (10/box) = $94.60

Average Total Cost per month: $101.60

Average Total cost per year : $1219.20

Continuous Glucose Monitor (CGM) & Supplies

Dexcom

Dexcom Platinum G4 Sensors (4/pk) = $349.00

Dexcom Platinum G4 Transmitter = $599.00

Dexcom Platinum G4 Receiver = $599.00

(Remember that you need all three of these items to get your Dexcom to work properly. Start up can be expensive. In addition, the new Dexcom transmitter warranty is only good for 6 months and you will most likely need to purchase two each year.)

Initial/Replacement Cost of Transmitter & Receiver:$1797.00

Cost per month for sensors: $349.00

Total cost per year for sensors: $4188.00

Total Annual Dexcom cost: $5985.00 

Dexcom Share Cradle w/ Free Service = $299.00

(This is an add-on device that caregivers/loved ones can use to view the graph/numbers on the receiver in another room.)

Medtronic

The Medtronic insulin pumps use integrated technology on their Revel and 530G to show the continuous glucose monitor graphs/numbers, so you don’t need a “receiver” if you are using these pumps. You can purchase a receiver to use the Sof-Sensor sensors, but… why? (And I couldn’t find a place to purchase with a price on a stand-alone Medtronic receiver.) The sensors cost are per month, as the Enlites last longer than the Sof-sensors.

Enlite® Sensor (5 pack) – used with the Medtronic 530G pump only = $473.00

Total cost per month: $473.00

Total cost per year: $5676.00

Sof-sensor® Glucose Sensors (10 pack) = $439.00

Total cost per month: $439.00

Total cost per year: $5268.00

mySentry Outpost (this allows you to see data from the Medtronic pump/sensor in another room) = $500.00

Blood Glucose Monitors/Test Strips

1154350_32525829According to the ADA, for Type 1s, self-monitoring of blood glucose (SMBG) is key to diabetes management. They recommend 6 – 8 times per day as a minimum of blood glucose testing. When you read the Standard of Care document, they state:

“…prior to meals and snacks, occasionally postprandially, at bedtime, prior to exercise, when they suspect low blood glucose, after treating low blood glucose until they are normal glycemic, and prior to critical tasks such as driving.”

8x/day minimum = 240 strips per month minimum, so 250 (because that’s easy to purchase in boxes of 50). So, that’s what we are going with, although I know that some people with diabetes use more – and less – than that. We are not going with the bare minimum.

Here’s where it pays to shop around…

Wal-Mart is NOT always the least expensive when it comes to purchasing blood glucose monitors and blood glucose test strips – not by a long shot. Of course, prices always vary given the day, the website, the weather…. you get the drift. SHOP AROUND. (Click the link to be forwarded directly to the website that had the price listed.)

And don’t forget that there are certain meter companies that have “special savings programs“, even for those who have insurance!

Accu-Chek

Accu-Chek Aviva Plus Glucose Meter Kit = $9.97 or FREE.

(Remember, if you use the subscription based Accu-Chek To Program, you get a Aviva Plus Meter for free with your first shipment.)

Accu-Chek Aviva PLUS Test Strips – 50ct = $30.29

Cost per month without Accu-Chek To program: $151.45

Cot per year without Accu-Chek To program: $1817.40

Cost per month with Accu-Chek To Program + regular purchase: $131.77

Cost per year with Accu-Chek To Program + regular purchase: $1581.24

(Remember, if you use the subscription based Accu-Chek To Program, you can purchase 50ct Accu-Check Aviva Plus Test strips for $20.00 and 100ct. for $40.00 per month.)

Accu-Chek Nano Glucose Meter = $5.07 of FREE

(Remember, if you use the subscription based Accu-Chek To Program, you get a Aviva Nano for free with your first shipment.)

Accu-Chek Smartview Test Strips – 50ct = $27.77

(Remember, if you use the subscription based Accu-Chek To Program, you can purchase 50ct Accu-Check Aviva Smartview Test strips for $20.00 and 100ct. for $40.00 per month.)

Cost per month without Accu-Chek To program: $138.85

Cot per year without Accu-Chek To program: $1666.20

Cost per month with Accu-Chek To Program + regular purchase: $123.31

Cost per year with Accu-Chek To Program + regular purchase: $1479.72

Abbott FreeStyle

FreeStyle Lite Glucose MeterFreeStyle Freedom Lite Glucose Meter = $10.09

Abbott FreeStyle Lite Test Strips – 50 ct. = $46.99

Total cost per month: $234.95

Total cost per year: $2819.40

Bayer

Free Bayer Contour Next Meter  – shipped by Bayer to you. $0.00

Free bayer Contour Next USB Meter – shipped by Bayer to you. $0.00

Contour Next Link Blood Glucose Meter = $89.00

Wireless communication to Medtronic devices enables fast and easy bolus dosing and continuous glucose monitoring calibration
• Built-in USB cable has pass-through feature to allows for easy downloading to Medtronic’s convenient online CareLink® Personal software

(Bayer Contour Next Test Strips (box of 50 strips on Medtronic’s website) = $52.00 BUT THIS IS WHY YOU SHOP AROUND…)

Bayer Contour Next Test Strips – 50ct = $19.09

Total cost per month: $99.95

Total cost per year: $1199.40

LifeScan OneTouch

OneTouch Ultra 2 Glucose Meter Kit = $19.88

OneTouch Ultra Mini Glucose Meter Kit = $17.63

One Touch Ultra Blue Glucose Test Strips – 50 ct. = $74.99

Total cost per month: $374.95

Total cost per year: $4499.40

OneTouch Verio IQ Glucose Meter Kit = $29.99

OneTouch Verio Sync System Kit =  $29.99

OneTouch Verio IQ Gold Test Strips – 50ct = $90.89

Total cost per month: $454.45

Total cost per year: $5453.40

But We Aren’t Done Yet

If you’re on an intensive management plan, then you’re strongly encouraged to have a glucagon kit available in case you have a severe hypoglycemic reaction. This item isn’t cheap.

Glucagon Kit = $213.69

220623_1002Some people with diabetes on intensive management plans (those who are on pumps, microbolusing with flex pens, and/or CGMs are considered intensive management therapies) often see an endocrinologist and other specialists. You might need to include these in your team:

  • Endocrinologist/CDE
  • Cardiologist
  • Podiatrist
  • Nephrologist
  • Neurologist
  • Ophthalmologist/Retinal Specialist
  • Orthopedic specialist/surgeons

These specialist costs are higher than just seeing a regular general practitioner. Some by hundreds of dollars. The tests that may be prescribed can cost thousands of dollars out of pocket (say the word “nuclear stress test” and shudder when they tell you what it costs).

For reference, I see a retinal specialist for a dilated eye exam follow up every six months: $335.00 without insurance. My annual cardiologist visit is $430.00 without insurance for the (literally) five minutes I talk with him, including the pleasantries. One orthopedic surgeon office visit was $295 while the second opinion office visit with another surgeon was $180. As with everything else, shopping around if you have no insurance, especially when it’s diabetes related, is necessary. 

Then there are the additional medications that might be needed: statins, blood pressure medications, medications for neuropathy, kidney disease, etc. These are too numerous to mention (and quantify), but you know that these are additional costs. Most people with diabetes wouldn’t be taking these medications if they didn’t have diabetes.

In a previous post, I mentioned the costs for treating mild hypoglycemia, for lancets and alcohol swabs, for the little things that all add up. The purchase of a juice/glucose-heavy item at a convenience store because you are low is a cost, but rarely factored in. Parking at hospitals for appointments. Tolls. Wear and tear on a vehicle as you travel to see various physicians to stay healthy. Batteries for the gear that isn’t rechargeable.

So, if you are truly calculating the costs of the latest supplies, technology, and treatments, there are items that you don’t even think about… the small ticket items that leech money from your pockets. They can add hundreds of dollars to the existing cost.

Let’s do some math.

If I am a T1 adult with no insurance who uses Humalog in a new Animas pump and a new CGM Dexcom, checking my blood glucose with a One Touch Verio IQ meter, it could be:

$23,348.47

If you have already purchased a pump and a Dexcom, the out of pocket costs would be:

$16,574.18

If I am a T1 adult with no insurance who uses Apidra in a new Omnipod and a new CGM Dexcom, checking my blood glucose with an Accu-Check Nano meter, it could be:

$14,439.80

If you have already purchased a pump and a Dexcom, the out of pocket costs would be:

$11,842.80

If I am a T1 adult with no insurance who uses Novolog in a new Medtronic (not 530G) pump and Sof-Sensor CGM, checking my blood glucose with a Bayer Next meter, it could be:

$16,917.27

(The price would be greater with the 530G pump and the Enlite CGM sensors.)

If you have already purchased a Medtronic pump with CGM integration, the out of pocket costs would be:

$11,261.28

That’s not counting the physicians (multiple visits), the labs, the other tests that you might need, the glucagon, the back up long-acting insulin, the small items, etc.

That’s just for the technology, supplies, and insulin analog.

Are You Getting What I’m Saying Here?

994448_53508805Without insurance, it is unlikely that you have thousands of dollars under a mattress for this type of intensive management. Even with insurance, many of these items can be cost-prohibitive, with deductibles to be met each year and percentages paid out each month to durable medical equipment companies and pharmacies.

This is not meant to shame medical device manufacturers and pharmaceutical companies. I’ve said before that they are not charities; they’re businesses and they can choose to set their prices and work with insurance companies for discounting.

Who loses in this scenario are those who want the technology but do not have an insurance company adept at bargaining or adept at meeting customer (that’s the subscriber) needs. Or those who don’t have insurance at all and fall into the gap of making too much to qualify for assistance programs but not enough to pay out of pocket for these items.

When someone asks a person with diabetes if it’s a hard disease to live with, they’re often asking about the physical aspects of the disease. Very few people outside of the community understand the financial burden many families face if they want what is the BEST technology and treatment for the person with diabetes.

Until there is a cure (be it biological or otherwise), this is the financial cost of living well with diabetes. Insurance companies can blunt some of the cost through their collective bargaining agreements, but we are still paying through premiums and deductibles and, in some scenarios, an inability to choose the medications or technology that they want, because of contracts.

There is no grand “THE END” to this post. For many people with diabetes, this is the reckoning that we do in our heads, wondering if we spend less now, will we pay more later? The answer is almost always… yes, but if we cannot even afford what the best treatments for diabetes on the market, how can we live long enough to get to that “later“?

I have no solutions. This is more of an academic exercise to see if what the statistics touted by the government on how much a person with diabetes pays for care was correct. It’s not.

People with diagnosed diabetes incur average medical expenditures of about $13,700 per year, of which about $7,900 is attributed to diabetes. People with diagnosed diabetes, on average, have medical expenditures approximately 2.3 times higher than what expenditures would be in the absence of diabetes. – NIH

 

We pay much more if we want excellent care. What can be done? Beyond a cure? I don’t know. Do you?

 

25 comments
  1. This, right here: “… I believe that we, the diabetes community, should be able to really know how much something costs without having to go through hoops and customer service/sales representatives. Device prices should be listed on a company’s website, knowing that insurance pricing will be different. (We should be able to know how much a drug would cost without insurance, too.)” Totally agreed.

    Same as I believe we should be told when a company has or hasn’t filed something with the FDA. It’s not cool, in my book, for a company to say “We don’t know how long the FDA will take on this” when the company hasn’t even filed something at that time. We should have to go several rounds in order to get a straight answer about simple things like that and cost, with the understanding that obviously insurance pricing and FDA timing is never certain.

  2. Great piece of work, Christel! Reading thru it, I dimly recalled an article by someone, Scott Strumello maybe, who had done some similar number crunching but with bankruptcy data. The final numbers were disturbingly similar if memory serves. It’s great to see independent research on the topic correlate each other

  3. I am lucky to have always had good health insurance. The insurance is not cheap, but I am able to afford my insulin, a pump, a sufficient number of test strips, and a Dexcom CGM.

    I used to have dental insurance, but it’s been a long time. I am charged 3 or 4 times what my insurance paid for each appointment and procedure. I have no negotiating power. I feel as though I am being ripped off every time I go to the dentist and I turn down procedures because they cost too much.

    I wouldn’t need insurance if I was charged what insurance companies are charged for my medical care. It’s a backwards systems where those who are least able to pay are charged many more times more than those such as insurance companies. (And yes, I really do need insurance because we never know what tomorrow may bring.)

    Thanks for all of your research on the cost of diabetes. Scary stuff indeed.

  4. Sigh… Sigh… Sigh…

  5. What happens if one’s insurance does not permit the insurancee to apply to purchase a continuous glucose monitor in order to have more assurety for one to go about the day driving, taking care of small children, or applying for a job. I am a juvenile diabetic with hard to control blood sugars. It has been recommended by my endocrinologist to have a continuous blood glucose monitor. However, now as I am older and part of the Medicare group, I cannot get one. Medicare, which unfortunately is my primary, states NO to a CGM. Although I have a secondary insurance, if the request for purchase is denied, the secondary, Blue Cross Blue Shield, must follow the dictates of Medicare. I did not know this until I applied for the Animas Vibe. Animas with stop at Medicare’s closed door and will not try to apply for the Vibe using the Blues. It will not bring complaints to Medicare. Animas, which is now part of J & J pharmaceuticals, would certainly have power to be heard.

    1. Lillian,
      This is one of the reasons why the community is trying to get Congress to force CMS/Medicare to cover CGMs for Type 1s. Petitions abound and we are trying to get more of Congress to cosponsor these bills. As our Type 1 population ages onto Medicare, we are finding that the technology that keeps us safer and healthier is no longer considered “medically necessary”. There are a few who appeal over and over, but without a concerted effort by our own community, action will not be taken. Check out http://www.stripsafely.com and the ways you can add your voice (and also, check out: .)

  6. I’ve always thought it interesting that the Sure-T / Confort-Detach is the cheapest infusion set option but also the least advertised.

  7. I’ve always thought it interesting that the Sure-T / Confort-Detach is the cheapest infusion set option but also the least advertised.

  8. these prices are obscene.. My son uses 3-4 bottles of insulin per month in his Tslim pump. , tests his BS 8-12x a day when he’s not wearing his dexcom… He has insurance…with a $20. copay per prescription per month. No discount for ordering 3 month supply… It’s still costly – even with Insurance ! which is a fortune in itself !!

  9. It really is amazing when you add it all up, isn’t it? Thanks for your research on this …. I don’t think a lot of people realize what an expensive disease this is to treat!

  10. Love this post! I can only imagine how long it took you to collect all of that info and get it one place to share…well done!

  11. […] The Perfect D continues her very informative series on the cost of diabetes in the U.S. with this insightful look at how much we spend on diabetes supplies. […]

  12. I say thank you for myself and all the other Type 1’s who suffer from this financial burden in order to care for our wellbeing.
    I was diagnosed T1 at age 11 and have managed it the best I can with MDI. I have been uninsured for majority of my life and have had to struggle with low cost clinics that bounce me between medications with patient assistance programs due to income qualifications. I celebrated a small increase in my pay only to discover I no longer qualified for PAP. The struggle is real. I had been underinsured for the last 5 years without any rx coverage until recently when I was presented with company assisted health insurance and the option for a HDP (high deductible plan). With a 4000 deductible and 4000 out of pocket max, I am taking the plunge and investing in a t:slim G4 with CGM. I am enrolling for the HDP on Monday with no option to back out until the 12 mo open enrollment period. It is very difficult to find costs online for this pump and its supplies. I feel like I am going into this blinded, but I am pretty confident that when I meet with my endocrinologist and CDE, they will do everything they can to assist in that the process goes as smoothly as possible. If there is any way you’d be interested in updating what research you’ve done here, with more up to date technology and costs, it would be much appreciated!
    Thank you in advance!!!

    1. Christie, Thanks! Good luck with the HDP. Please remember that once you are covered by insurance (no matter how atrocious), many prescriptions can be covered under a co-pay coupon or discount. (For insulin, Novolog has a co-pay program… You can check out the updated post on meds…)
      CGM and a pump is a huge step and in some cases, a huge financial outlay. I wish you the very best with this! (And yes, I do plan on updating in the near future…)

  13. I am on Medicare, and feel very fortunate. My pump and pump supplies, insulin (one vial per month), and test strips (eight per day) are readily available with a very small copay on the pump supplies, and insulin. There is no copay for the strips. Medicare does not fund a CGM, but online friends who are changing to the Dexcom G5 system have provided me with a Dexcom G4 and a generous supply of sensors. I think Medicare coverage of my diabetes expenses is very good. I have no complaints.

    1. Richard, you are an exception. Most of us do not have “online friends” to supply us with a CGM and related supplies. (And by the way, what are you going to do when those supplies run out?) Medicare is being unrealistic in not funding CGMs because a fully controlled diabetic has a lower maintenance cost to an insurance company.

      1. David Berkowitz, you are absolutely correct. I was very lucky to have a friend send me Dexcom transmitters, receivers, and sensors. Most of those supplies are used, or expired, but they are working very well. If the transmitters or receivers stop working, I do not intend to replace them with my own money. I think it costs $590 to replace each of them. I have more important things to do with my spare cash. Many times I have urged my online friends to request support from their Congressmen/women and Senators, and some have done so. There are still not enough cosponsors to get the bill on the floor, for a vote. If it does eventually reach the floor, I doubt the bill will be approved. Do you have a glimmer of hope that it would be approved?

  14. As someone who works in the medical device field, we should be looking at what the actual cost is to make, assemble, package, sterilize and label some of these products. The mark up is HUGE! I have a Medtronic insulin pump and purchase supplies every 90 days for the pump. (Supplies used to be covered under a prescription. Now, they fall under my deductible due to healthcare coding changes.) That being said, I cannot get Medtronic to tell me their actual cost to produce these supplies, only the cost they are charging the end user – me. And, think of this….if there is a cure found for diabetes…what will these drug and device companies do? In the end, they are making money off mine and your disease. For the first time in 45 years, I cannot afford to live healthy as a diabetic.

  15. […] Shop around. The Perfect D website says “Prices can fluctuate wildly,” for drugs and equipment, so you have to […]

  16. […] Shop around. The Perfect D website says “Prices can fluctuate wildly,” for drugs and equipment, so you have to shop for […]

  17. I think you should repeat bring the prices up to date for 2016. Evidently there’s a significant increase. I just paid $90.00 for 50 One Touch Ultra, LifeScan test strips at Ray’s Pharmacy in Washington state. All I could say was, “HOLY CRAP”.

  18. This is fantastic article! My insurance won’t cover the cost of these devices and besides the initial cost of the device, there is the ongoing supply costs of disposable supplies. Thanks so much…. fred

  19. Having found insulin pumps for sale on Alibaba’s website for as little as 8 percent of the cost of these pumps in your article I would question the world wide insulin pump industry’s mission statements.

  20. […] supplies, and insulin without insurance is $11,261.28-$23,348.47 for a years supply. See the study here to judge its accuracy due to it being privately […]

  21. If those are the real prices in the US, then I’m glad I wasn’t born there.

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