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Farashin insulin: Nawa ne kudin insulin?

Farashin insulin: Nawa ne kudin insulin?Bayanin Magunguna

Ciwon sukari ba ƙaramin abu bane a Amurka. Akwai kusan mutane miliyan 30.3 da ke fama da ciwon sukari a cikin Amurka, a cewar Cibiyar Nazarin Ciwon suga . Kashi biyar daga cikinsu - ko kusan mutane miliyan 1.5 - suna da ciwon sukari na 1 kuma suna buƙatar insulin don rayuwa. Wasu mutanen da ke da ciwon sukari na 2 na iya sarrafa suga cikin jini tare da abinci da aiki. Duk da haka, da yawa suna buƙatar insulin, musamman yayin da yanayin ke ci gaba.





Kuma, rashin alheri, farashin insulin ya tashi da ƙarfi sosai a cikin shekaru 10 da suka gabata. Tsakanin 2012 da 2016, farashin ya kusan ninki biyu, a cewar Cibiyar Kula da Kiwon Lafiya . A cikin 2012, matsakaicin farashin insulin ga kowane mai cutar suga ya kai dala 2,864 a kowace shekara. Zuwa 2016, ya tashi zuwa $ 5,705. A yau, kwalban insulin guda ɗaya na iya cin $ 250, kuma wasu mutane suna buƙatar vial shida a kowane wata.



Baya ga wannan, akwai wasu kayan masarufin, kamar na’urar suga, da gwajin gwaji, da lancets, da kuma wani amintaccen wuri don adana sirinji ko alkalami. Zai iya sauƙaƙa kashe wani ba tare da inshora $ 1,300 kowace wata don kula da yanayin ba. Ko da tare da inshora, biyan kuɗi da kayayyaki na iya cin kuɗaɗen kasafin ku na kowane wata. Abin takaici, akwai zaɓuɓɓukan tanadi.

Nawa ne kwalban insulin?

Kudin gilashin insulin daya ya bambanta dangane da nau'in insulin da kuke amfani da shi da kuma yadda kuke biyan shi. Amma, ko ta halin kaka, akwai hanyoyin biyan kuɗin tsabar kuɗi.

Idan baku da inshora, kamfanonin harhada magunguna waɗanda ke yin kayayyakin insulin suna ba da shirye-shiryen taimakon haƙuri, ya bayyana Michael Carnathan MD , likita mai kula da lafiyar iyali a Baitalami, Pennsylvania. Mafi yawan lokuta, mai haƙuri na iya samun insulin kyauta ko a ragi mai yawa.



Ga waɗanda ba su da inshorar lafiya, tsofaffin insulins ɗin suna kashe ko'ina daga $ 25 zuwa $ 100 a kowace gilashi; misali, Walmart yana da insulin na mutum a $ 25 a kowane vial. Sabbin kayan maye analog din ana kashe su tsakanin $ 174 zuwa $ 300 a kowane vial, a cewar a rahoton da aka buga a cikin 2018 .

Nawa ne kudin kwalban insulin tare da inshora?

Yana da wuya a faɗi yawan kuɗin insulin yayin biyan kuɗin shirin lafiyar ku. Kowane tsarin inshora yana ɗaukar kayayyakin insulin daban.

Lokacin da ainihin inshorar inshorar lafiya kuke samun sa insulin cikin farashi mai kyau ya zama matsala, in ji Dokta Carnathan. A waɗancan lokuta, wasu lokuta ana tilasta marasa lafiya canzawa zuwa wani nau'in insulin na daban mai rahusa wanda ake kira NPH ko 70/30 tsakanin wasu ƙalilan. Wadannan insulin din sun dade kuma suna da araha. Mai haƙuri yana buƙatar likita na farko ko likitan ilimin likita wanda yake da kwanciyar hankali ta amfani da waɗannan tsofaffin insulins ɗin kuma ya daidaita su cikin aminci.



Kowane tsarin kiwon lafiya yana da rarar kuɗi da ragi iri daban daban. Misali, ga mutanen da ke da babban shirin cire kudi, ana biyan kudin tsabar insulin har sai kun hadu da abinda ake cirewa. Wasu aysan sanda zasu iya zama kamar 50% na kuɗin magani.

Hakanan yana iya zama da wuya wani lokaci ga mutane akan Medicare su sami damar insulin. Yawancin marasa lafiya da ke fuskantar tsadar insulin sun sami kansu cikin rami na Medicare donut, in ji Gail Trauco, RN , shugaban kamfanin Kamfanin PharmaKon LLC .

Kamar abokan ciniki marasa inshora, shirye-shiryen taimakon haƙuri na iya zama taimako ga abokan cinikin Medicare. Koyaya, waɗannan shirye-shiryen suna buƙatar aikace-aikace, wanda zai iya ɗaukar kwanaki 30 zuwa 60 don nazari da amincewa, da takardu tare da rasit don tabbatar da kuɗin kuɗin rayuwar ku na wata.



Saboda tashin hankalin jama'a game da tsadar insulin, wasu kamfanonin inshora da kamfanonin magunguna suna daukar matakai don rage farashin na wata-wata. Misali:

  • Cigna da Express Scripts suna biyan kuɗin biyan kuɗin kowane wata na $ 25 kowace wata. Bayanan ExpressScripts sun kiyasta kusan mutane 700,000 da ke fama da ciwon sukari zasu cancanci waɗannan tanadi. Koyaya, ma'aikata dole ne su shiga wannan shirin.
  • Sanofi, ɗayan manyan masu samar da insulin, yana ƙirƙirar shiri don masu biyan kuɗi. Wannan shirin yana biyan $ 99 kowace wata kuma yana bada kofuna 10, akwatunan 10 na alƙalumma, ko haɗuwa biyu. Mutanen da ke da Medicare, Medicaid, ko wasu shirye-shiryen tarayya da na jihohi ba su cancanci wannan shirin ba. Duk wani, ba tare da la'akari da ko suna da inshorar lafiya ba, na iya shiga idan sun biya kuɗi don insulin. $ 99 na iya ƙila ba za a iya biyan kuɗin duka ba, kuma kayayyaki na iya biyan ƙarin.
  • Eli Lilly kwanan nan ya fito tare da nau'in Humalog wanda ke siyar da rabin farashin, a $ 137.35 a kowace vial.

Kuna son mafi kyawun farashi akan insulin?

Yi rajista don faɗakarwar farashin insulin kuma gano lokacin da farashin ya canza!



Sami faɗakarwar farashi

Shin filayen insulin sun fi rahusa rahusa?

Akwai gagarumin bambanci a farashin insulin tsakanin gilashin insulin (ta hanyar sirinji) da kuma insulin alkalami. Amfani da kwalba bai fi na alkalami tsada ba. Koyaya, wasu mutane suna jin cewa amfani da alkalami a matsayin tsarin isarwa yana samar da ingantacciyar rayuwa. Alƙaluman suna zuwa, kuma yayin amfani da magungunan analog, adadin allurai na iya ƙasa da haka. Alƙalumma sun sauƙaƙa don ɗaukar insulin tare da kai, don samar da ƙarin 'yanci.



Amfani da alkalami ya fi aminci, ya fi dacewa, kuma ya ba da kyakkyawar kulawa ta glycemic, a cewar a binciken da aka buga a cikin 2018 . Koyaya, wannan binciken ya kuma lura cewa mutanen da suke amfani da alkalami suna kashe kuɗi sosai kowane wata don kula da ciwon sukari. A wasu lokuta, amfani da alkalami ya ninka sau uku.

Nawa ne kudin watan insulin?

Kowa yana da bukatun insulin daban. Babu wani girman daya dace da duk hanyar don tantance yawan insulin da kuke buƙata. Wadanda ke shan insulin analog din suna daukar bayan fage ko kuma sau daya a rana. Ya bambanta, waɗanda ke shan insulin na yau da kullun suna shan sau uku zuwa sau hudu a rana.



Wannan yanayin shine kadai insulin da wasu mutane masu cutar sikari ta 2 suke bukata. Amma don ciwon sukari na 1, wasu kuma da nau'in 2, ana buƙatar ƙarin insulin a lokacin cin abinci. Ya danganta da wane insulin kuke amfani dashi, yakamata a ɗauki minti 10 zuwa 30 kafin cin abincinku. Adadin insulin ya dogara da abin da kuka shirya ci. Misali, zaka iya buƙatar raka'a 1-3 kowane yanki na carbohydrate (gram 15).

Mutanen da ke da ciwon sukari na 1 gaba ɗaya suna amfani da insulin iri biyu a rana. Suna farawa da allura biyu a kowace rana kuma suna ci gaba zuwa allurai uku zuwa huɗu a kowace rana, a cewar Diungiyar Ciwon Suga ta Amurka (ADA). Mutanen da ke da ciwon sukari na 2 na iya farawa da raka'a 0.5-0.8 a kowace kilogram na nauyin jiki kowace rana kuma daga ƙarshe su ɗauki raka'a 1-2 a kowace kilogram na nauyi. Ga mutumin da nauyinsa yakai fam 150, wannan zai zama raka'a 68 zuwa 136 a kowace rana. Ga mutumin da yake nauyin fam 175, wannan zai zama raka'a 80-160 kowace rana.

Infinin insulin daya yana dauke da raka'a 1000, kuma alkalami na dauke da raka'a 300.

Tebur mai zuwa yana kwatanta farashin magunguna na nau'ikan insulin don samarwa na kwana 30 bisa ga vial uku ko alƙalami 10 a kowane wata. Teburin ya hada da matsakaicin farashin insulin; kodayake, zaku iya biyan adadin daban dangane da yankinku da kuma kantinku. Daidaita farashi sama ko ƙasa, ya dogara da abin da kuke buƙata.

Farashin insulin
Nawa ne kudin watan insulin?
Sunan Magunguna Matsakaicin Farashin Farashi Matsakaicin Farashi a Duk Wata *
Novolog (insulin aspart)
Novolog lankwasa Alƙalami
$ 333.99 / vial
$ 123.99 / alkalami
$ 1,001.97
$ 1,239.90
Humalog (lispro) $ 316.22 / vial $ 948.66
Lantus (insulin glargine)
Lantus Solostar (alkalami)
$ 314.99 / vial
$ 101.73 / alkalami
$ 944.97
$ 1,017.30
Humulin N (insulin isophane) $ 122.67 / alkalami $ 1,226.70
Novolin N (isophane na insulin) $ 166.99 / vial $ 500.97
Levemir (mai izini)
Levemir Flextouch (alkalami)
$ 446.99 / vial
$ 112.98 / alkalami
$ 1340.97
$ 1129.80
Novolin R (insulin na yau da kullun) $ 161.00 / vial $ 483.00
Toujeo Solostar (insulin glargine) $ 115.18 / alkalami $ 1151.80
Tresiba (insulin degludec)
Tresiba Flextouch (alkalami)
$ 351.38 / vial
$ 123.18 / alkalami
$ 1054.14
$ 1231.80

* Dangane da butoci uku ko alkalami 10

Baya ga farashin da ke sama, ƙila ku buƙaci ƙarin kayayyaki, kamar:

  • Sirinji: $ 15- $ 20 don kwalin 100
  • Gwajin gwaji: $ 25- $ 60 don gwajin gwaji 50 (na iya buƙatar ko'ina daga 1 zuwa 10 kowace rana)
  • Bombo: Zai iya kashe $ 6,000 don siyen famfo tare da $ 3,00 don kayayyaki kamar batura

Menene ke haɓaka saurin ƙaruwa a farashin insulin?

Shakka babu farashin insulin ya kai makura inda wasu mutane basa iya biyan magungunan su. A cikin wani gabatarwa ga ADA , Irl B. Hirsch, MD, ya bayyana cewa daga 2013 zuwa 2016, kwalban insulin glargine ya sami karuwar farashin 593%, kuma akwatin kwalin alkalan insulin biyar ya tashi 522%. A wannan lokacin, hauhawar farashi ya tashi da kashi 8.3% kawai. A cikin 2014, masu yin magungunan ƙwayoyi sun ƙara farashin insulin sau biyu, kowane lokaci na kusan 16%. Wannan yana nufin farashin insulin ya tashi da sama da 30% a cikin shekara guda.

Babu dalili guda ɗaya don tsadar insulin. Kamfanonin harhada magunguna suna korafin cewa manajojin fa'idojin amfani da kantin (PBM) suna ba da fa'idodi na takardar magani ga kamfanonin inshorar kasuwanci suna fitar da farashin ta hanyar neman ragi don samun alamar insulin a cikin tsarin inshorar. Suna da'awar cewa farashin su yana ƙasa da farashin jerin. Amma PBMs sun ce kamfanonin hada magunguna ne suka kayyade farashin jerin.

Abubuwa da yawa suna kiyaye farashin insulin da yawa:

  • Akwai manyan masu kera insulin guda uku a duniya. Tare da ƙaramar gasa, suna iya saita duk farashin da suke so.
  • Yana da wahala da tsayayyar farashi don haɓaka sifa iri ɗaya. A cikin masana'antar magunguna, masu shan kwayoyi na iya gabatar da bincike ga FDA don wasu magunguna idan za su iya tabbatar da cewa magungunan biyu sunadarai ɗaya ne. Amma FDA ba ta ba ku damar amfani da bincike ɗaya don samfuran insulin na biologic ba. Wannan yana nufin kawo insulin na yau da kullun zuwa kasuwa ya zama tsada mai tsada, yana barin ƙwayoyi masu suna kawai.
  • Kamar yadda yake ga kamfanonin harhada magunguna, akwai karancin gasa a cikin PBMs, yana ba kamfanoni, kamar CVS Caremark da Express Script, ikon yin nasu dokokin. Hirsch ya nuna cewa a cikin 2013, CVS Caremark yana da kudaden shiga dala biliyan 123, Express Express ya kasance dala biliyan 94.

Matsayi mafi girma na gasa zai rage farashin, yana ƙaruwa da damar insulin.

Hawan farashin insulin yana da tasirin gaske na duniya. Groupungiya a Minneapolis a gwargwadon rahoto ɗauki motar bas zuwa Kanada don siyan insulin a ɗan ƙananan farashin kamar yadda ake sayarwa a Amurka.

Wasu mutane suma suna raba insulin ta hanyar raba ko tsallake allurai. Dukansu suna da mummunan sakamako na lafiya. Bayan tsufa daga inshorar lafiyar mahaifiyarsa, wani mutum dan shekara 26 ya sanar dashi daga likitan sa cewa insulin da kayan sa zasu kasance $ 1,300 a kowane wata. Ya fi ƙarfin da zai iya biyan albashin manajan gidan abincin nasa. Kasa da wata guda bayan rasa inshorar sa, ya mutu. Iyalinsa sun yi imanin cewa ya fara rabon insulin ne, kuma wannan shi ne abin da ya kashe shi.

Wasu governmentsan gwamnatocin jihohi suma suna ƙoƙarin rage farashin insulin. Colorado ta sanya cajin insulin a $ 100 a kowane wata don masu inshora. Nevada ta zartar da doka don haɓaka nuna gaskiya game da farashin magunguna, yana neman yaƙar ba wai kawai hauhawar farashin insulin ba amma ƙarin farashin dukkan magungunan sayan magani. Wasu jihohi ashirin da uku sun gabatar da doka da nufin magance tsadar magungunan magunguna.

Nawa ne kudin samar da insulin?

ZUWA Nazarin 2018 yayi kiyasin cewa kwalban insulin daya na kashe $ 2.28- $ 3.42 don samarwa, kuma kwalban daya na insulin analog din yana kashe $ 3.69- $ 6.16 don samarwa. Binciken ya bayyana cewa samar da insulin na mutum a shekara na iya cin $ 48- $ 71 ga kowane mara lafiya, kuma insulin na analog na iya kashe $ 78- $ 133 ga kowane mara lafiya a shekara.

Nazarin ya auna kudin masana'anta ne kawai. Bai haɗa da kuɗin gudanarwa, tallace-tallace, da bincike da haɓaka don inganta magunguna ba. Koyaya, masana'antun insulin ba su ba da cikakken bayani game da wannan babban banbancin tsakanin farashin samarwa da farashin kantuna ba.

Yadda ake adana akan farashin insulin

Tuntuɓi kamfanin inshorarku (ga waɗanda ke inshora) kuma gano yadda manufofin ku ke biyan insulin. Shin suna biya ƙarin don wasu nau'in insulin? Shin suna ware wasu nau'ikan? Idan biyan su ko keɓewa ba suyi aiki tare da abin da kake ɗauka ba, yi magana da mai ba ka kiwon lafiya game da zaɓuɓɓuka. Wasu kamfanonin inshora zasu yarda da abin da ake kira izini na farko, wanda ke nufin likitanku ya rubuta wasiƙa yana bayanin dalilin da yasa kuke buƙatar takamaiman nau'in insulin. Gano menene abin cire kuɗin ku kuma yadda zaku buƙaci biya daga aljihu. Tambayi ko suna da wasu shirye-shirye na musamman don insulin, irin wanda Cigna ke bayarwa.

Idan biyan kuɗi, yi amfani da shirye-shiryen da kamfanonin magani ke bayarwa , kamar irin wanda Sanofi ya bayar. Ara ƙarin farashin kayayyaki don ganin abin da za ku buƙaci biya kowane wata.

Duba cikin shirye-shiryen taimako na haƙuri waɗanda yawancin manyan kamfanonin harhada magunguna ke bayarwa, kamar Eli Lilly da Novo Nordisk, da wasu shirye-shiryen taimako ba riba, kamar su Rx Hope, waɗanda ke ba da takardun magani kyauta ko ƙarami mai sauƙi ga masu ƙarancin kuɗi da marasa inshora.

Yi amfani da wani katin ajiyar kuɗi daga Singlecare . Fiye da kantunan 35,000 suka karɓi takardun shaida na SingleCare. Kuna iya shigar da lambar zip dinka ta kan layi ko a wayar mu ta hannu don nemo kantin magani tare da mafi ƙarancin farashin insulin. Bayan haka, shigo da takardar sayen magani da katinka na SingleCare don karbar ragin. Shiga SingleCare kyauta ne.