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.
Any insulin covered by your plan 30-day supply · 90-day supply
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 OR.
Income limits? No income test. Accepted
Oregon 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 Present your insurance card at the pharmacy — the cap is auto-applied if your plan is state-regulated If billed more than $35 (or $105 for 90 days), ask your insurer whether your plan is state-regulated or a self-insured ERISA plan If denied on a state-regulated plan, file a complaint with the Oregon Division of Financial Regulation Medicare patients: use the federal $35/month insulin cap No card needed — Oregon caps insulin at $35 per 30-day or $105 per 90-day on state-regulated plans automatically.
Fills per year 12 fills per year, per covered drug No application required. Self-insured ERISA plans are exempt — those are federally regulated. Cap applies whether you fill a 30-day or 90-day supply.
Be first when we launch — we'll save these matches and remind you to renew.
Join the waitlist