$50/30-day insulin (drops to $35 eff. 7/1/2026); $35 for diabetes equipment & supplies — automatic 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.
Diabetes equipment and supplies covered by your plan30-day supply ($35 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 VA.
Income limits?
No income test.
Accepted
Virginia residents on a state-regulated commercial plan
Insulin and diabetes equipment / 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
Present your insurance card at the pharmacy — the cap is auto-applied if your plan is state-regulated (employer or ACA marketplace plans typically qualify)
If billed more than $50 (or $35 for supplies), call the number on the back of your insurance card to confirm your plan is following Virginia law
If denied on a state-regulated plan, file a complaint with the Virginia State Corporation Commission Bureau of Insurance
Medicare patients: use the federal $35/month insulin cap (Part D and Part B)
Using it at the pharmacy
No card needed — the VA state cap applies automatically at the pharmacy ($50 insulin / $35 supplies; insulin drops to $35 effective 7/1/2026).
No application required. Self-insured ERISA plans are exempt — those are federally regulated. Cap drops from $50 to $35 effective 7/1/2026 (sources disagree — one source says 1/1/2027; verify HB 1214 final effective date once signed). Uninsured Virginians can also look at free clinics (e.g. The Health Wagon) for pharmacy assistance.
Be first when we launch — we'll save these matches and remind you to renew.