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State of Connecticut

Connecticut $25 Insulin / $100 Supplies Cap

$25 insulin / $100 supplies (test strips, BGM, CGM, pumps, syringes) per 30-day on state-regulated plans, automatic at the pharmacy.

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

$25per 30-day fill
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Covered medications

  • Any insulin covered by your plan 30-day supply
  • Test strips, blood glucose monitors, CGMs, pumps, syringes (any brand) $100/30-day cap

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 CT.
Income limits?
No income test.

Accepted

  • Connecticut residents on a state-regulated commercial plan
  • Insulin and diabetes supplies covered
  • Auto-applied — no application required

Not accepted

  • Out-of-state residents
  • Self-funded ERISA employer plans
  • Medicare Part D, Medicaid, federal plans

How to apply

  1. Present your insurance card at the pharmacy — the cap is auto-applied if your plan is state-regulated
  2. If billed more than $25 for insulin (or $100 for supplies), ask your insurer whether your plan is state-regulated or a self-insured ERISA plan
  3. If denied on a state-regulated plan, file a complaint with the Connecticut Insurance Department

Using it at the pharmacy

No card needed — Connecticut caps insulin at $25 and supplies (test strips, BGM, CGM) at $100 per 30-day on state-regulated plans automatically.

Terms & limits

Fills per year
12 fills per year, per covered drug
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No application required. Self-insured ERISA plans are exempt — those are federally regulated. The $100 supplies cap covers test strips, blood glucose monitors, and CGMs.

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