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State of New Hampshire

New Hampshire $30 Insulin Cap

$30/30-day cap, automatic at the pharmacy on state-regulated plans.

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

$30per 30-day fill
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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 NH.
Income limits?
No income test.

Accepted

  • New Hampshire residents on a state-regulated commercial plan
  • 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 $30 cap is auto-applied if your plan is state-regulated
  2. If billed more than $30, 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 New Hampshire Insurance Department

Using it at the pharmacy

No card needed — the New Hampshire cap applies automatically at $30 per 30-day insulin fill on state-regulated plans.

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. Medicare Part D enrollees have a separate $35/month federal cap (since 2023).

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

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