Back to calculatorJoin the waitlist

State of Oklahoma

Oklahoma $30/30-day or $90/90-day Insulin Cap

$30 per 30-day supply or $90 per 90-day supply insulin cap; applies to state employees and ACA exchange (individual marketplace) plans only.

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
Start application

Covered medications

  • Any insulin covered by your plan 30-day supply·90-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 OK.
Income limits?
No income test.

Accepted

  • Oklahoma 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 cap is auto-applied if your plan is state-regulated
  2. If billed more than $90 for a 90-day supply, 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 Oklahoma Insurance Department
  4. Medicare patients: use the federal $35/month insulin cap

Using it at the pharmacy

No card needed — the cap applies automatically on qualifying OK plans (state employee + ACA exchange) at $30/30-day or $90/90-day.

Terms & limits

Fills per year
4 fills per year, per covered drug
Start application

No application required. Statute reads "$30.00 per thirty-day supply or $90.00 per ninety-day supply" and applies to state employees and ACA exchange (individual marketplace) plans only — does NOT cover the broader state-regulated commercial market.

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

Join the waitlist
Start application