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KelseyCare Advantage Members* Save Money on Injectable Insulin Drugs

KelseyCare Advantage once again has participated in The Part D Senior Savings Model, a Medicare program designed to stabilize and lower out-of-pocket costs on insulin for those on Medicare. KelseyCare Advantage members who take any of the participating insulin drugs below will pay no more than $35 per 30-day supply at an in-network pharmacy.

What You Need to Know

  • *This benefit only applies to members of the Gold, Gold Community, Gold Freedom, and Platinum plans.
  • Your copay in 2022 for a one-month supply of select insulins at a preferred in-network pharmacy will be $30 and $35 at a standard in-network pharmacy.
  • The cost of a one-month supply of select insulins will not be affected by the Deductible or Coverage Gap stage.
  • If you have any questions about the Part D Senior Savings model, or would like for a pharmacist to discuss other options with you if you are currently using an insulin product that is not participating in the model, you can contact us at: 713-442-CARE(2273)/Toll-Free: 1-866-535-8343 (TTY: 711).
Insulin Brand Name Type Dosage Form
Basaglar® KwikPen®: Long-Acting Pen
Fiasp® Rapid-Acting Vial
Fiasp® FlexTouch® Rapid-Acting Pen
Fiasp® PenFill® cartridge Rapid-Acting Pen
Fiasp® PenFill® INJ U-100 Rapid-Acting Pen
Levemir® Long-Acting Vial
Levemir® FlexTouch® Long-Acting Pen
Novolin® N Intermediate-Acting Vial
Novolin® N FlexPen® Intermediate-Acting Pen
Novolin® R Short-Acting Vial
Novolin® R FlexPen® Short-Acting Pen
Novolin® 70/30 Mix Vial
Novolin® 70/30 Mix Pen
NovoLog® Rapid-Acting Vial
Novolog® FlexPen® Rapid-Acting Pen
NovoLog® Mix 70/30 Mix Vial
NovoLog® Mix 70/30 FlexPen® Mix Pen
NovoLog® PenFill® Rapid-Acting Pen
Soliqua 100/33 Combination Pen
Tresiba® Long-Acting Vial
Tresiba® FlexTouch® U-100 Long-Acting Pen
Tresiba® FlexTouch® U-200 Concentrate Pen
Xultophy® Combination Pen
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