State of California

California $35 Insulin Cap (SB 40)

$35/30-day cap on state-regulated commercial plans (large group 2026, small/individual 2027).

Application requiredCommercial insurance only

What you need to enroll

Application required

Fill out an application — income or residency documents may be needed. Approval typically takes 1–2 weeks. You'll need an active prescription to use the program once you're approved.

Your estimated copay

$35per 30-day fill

Start application

Covered medications

Any insulin covered by your plan 30-day supply

Am I eligible?

Need a prescription?: Yes — written by a licensed prescriber for the medications below.
Insurance required?: Commercial insurance only. Medicare, Medicaid, TRICARE, and VA are not eligible.
State restrictions?: Only available in CA.
Income limits?: No income test.

Accepted

California residents on a CA state-regulated commercial insurance plan
Prescribed any insulin (any brand)
Auto-applied — no application required

Not accepted

Out-of-state residents
Self-funded ERISA employer plans (not state-regulated)
Medicare Part D, Medicaid, or any federal plan

How to apply

Cap applies automatically at the pharmacy on state-regulated plans

Using it at the pharmacy

No card needed — the cap applies automatically. If your pharmacy bills more than $35 per 30-day insulin fill, ask them to apply the California SB 40 cap for state-regulated plans.

Terms & limits

Fills per year: 12 fills per year, per covered drug

Start application

Be first when we launch — we'll save these matches and remind you to renew.

Join the waitlist

Start application