Sanofi to Slash Price of Lantus by 78%, Cap Out-of-Pocket Costs to $35


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On Thursday, March 16, 2023, Sanofi announced that they will slash the list price of Lantus by 78% and Apidra by 70%, effective January 1, 2024. They will also cap the monthly out-of-pocket costs on Lantus to $35 for all people using commercial insurance.

New prices

These list price cuts support Sanofi’s existing patient assistance program (PAP) initiatives introduced in June 2022. Under Sanofi’s patient assistance program, a Lantus biosimilar costs 60% of the Lantus list price. The program also includes a $35 out-of-pocket cost cap for people without insurance.

In addition to the company’s PAP, these newly announced price caps will help ensure that no one using Sanofi insulin will pay more than $35 per month for their medication. 

Beyond Type 1 has reached out to Sanofi to clarify what limits exist (if any) on the $35 out-of-pocket cap, monthly or annually.

Insulin affordability progress

Oliver Bogillot, head of U.S. general medicines for Sanofi, said, “Sanofi believes that no one should struggle to pay for their insulin” and that they are “pleased to see others join their efforts in transforming the U.S. insulin market.” 

Over the past few weeks, all three major insulin manufacturers have voluntarily lowered their insulin list prices. These three manufacturers comprise over 90% of the insulin supplied to American patients. These changes come on the heels of years of patient advocacy nationwide and have been long overdue.

The cost of fast-acting insulin alone has skyrocketed nearly 1200% since its introduction to the market in 1996. These changes will bring much-needed relief to millions of Americans who require insulin to survive. 

The bottom line

While these changes are welcome, American insulin prices are still higher than in other countries across the globe. In America’s mostly private healthcare system, having health insurance is still a prerequisite for affordable healthcare and prescription drugs. 

Some people with diabetes are rightfully skeptical, acknowledging that manufacturers could reverse these changes at any point. Without a federal insulin price cap, there is no guarantee these list price cuts will be permanent.

The recent Eli Lilly and Novo Nordisk announcements show that these price cuts are feasible. Beyond Type 1 is pleased to see progress in the insulin affordability movement and looks forward to more positive changes for the diabetes community in the future. 

WRITTEN BY Christine Fallabel, POSTED 03/16/23, UPDATED 03/20/23

Christine Fallabel has been living with type 1 diabetes since 2000. She's a health and science writer and has been featured in Diabetes Daily Grind, Insulin Nation, Diabetics Doing Things, and is a regular contributor to Diabetes Strong, T1D Exchange and Healthline. She earned her Master of Public Health from Temple University and received her Bachelor of Arts from The University of Delaware. In her spare time, she enjoys hiking with her husband in the mountains of Colorado, tinkering with her DIY Loop insulin pump, drinking strong coffee and reading in front of a cozy fire.