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.
Coverage Eligibility How to use Terms & limits
Any insulin covered by your plan 30-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 VT.
Income limits? No income test. Accepted
Vermont 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 $100 cap is auto-applied if your plan is state-regulated If billed more than $100, 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 Vermont Department of Financial Regulation Medicare patients: use the federal $35/month insulin cap No card needed — the cap applies automatically on VT state-regulated plans at $100 per 30-day insulin fill.
Fills per year 12 fills per year, per covered drug No application required. Self-insured ERISA plans are exempt — those are federally regulated. Cap is collective across all insulins.
Be first when we launch — we'll save these matches and remind you to renew.
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