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Living with Diabetes

Access & Affordability Resources

Tools for Healthcare Savings from ADCES and our Partners

Resources for People Living with Diabetes

Advocate for and Obtain Affordable Insulin

Affordable Insulin Project

The Affordable Insulin Project offers tools, resources and data so that people impacted by rising healthcare costs can advocate for affordable access to this life essential drug. Includes a guide to help employers understand the benefits of offering affordable insulin in their plan benefits and resources to help those with no insurance or high deductible plans lessen their costs.






AACE Prescription Savings Directory

Prescription Savings Directory

Developed and updated by the American Association of Clinical Endocrinologists (AACE), in partnership with the American College of Endocrinology (ACE), this online resource assists you with navigating endocrine/diabetes related patient drug assistance programs and resources.

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AACE  and ACE






College Diabetes Network's Insurance 101

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Affordability and access to critical therapies and technologies continue to be significant barriers for people with diabetes, especially for young adults.

The College Diabetes Network (CDN) has created a downloadable Health Insurance 101 Guide to help young adults with diabetes choose a health insurance plan. Additional resources include: 

Type 1 Diabetes Health Insurance Guide

JDRF Insurance Guide

Developed and updated by JDRF, this online resource will help people living with type 1 diabetes navigate their insurance choices, understand their options and learn how to obtain prior authorizations and file exceptions and appeals.

Provided by:


JDRF



Young Adults and Caregivers: Know Your Rights

CDN Resources

The College Diabetes Network has created a series of booklets that help young adults and those going off to college manage their diabetes and understand their rights when it comes to access at school and at work. Also available is a companion guide for caregivers.

Request and Read These Resources:

 

Provided by:

College Diabetes Network




diaTribe Series on Access

DiaTribe Series on Access

diaTribe, an online publication designed for people with diabetes but also very useful to diabetes care and education specialists, developed a series of articles that explain the whys and hows of insurance coverage, workplace benefits and Medicare, and offers practical tips on saving money on medications. 

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diaTribe



Prior Authorizations, Step Therapy and Appeals 

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Step therapy or “fail first” policies can adversely impact people with diabetes by limiting access to prescribed medication, delaying appropriate treatment and directly contributing to negative outcomes. Step therapy also undermines the unique treatment needs of individuals in order to reduce pharmacy costs and creates unnecessary barriers to individuals accessing prescribed medications in a timely manner. DiabetesSisters has created a resource to help understand and navigate this process.

Read More

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Guide to Appealing Insurance Denials

This resource covers the appeals process for private and Medicare Part D insurance, what you need to submit an appeal and how your provider can help you through the process. It also provides an overview of insurance and your legal rights as it pertains to health care.  

 

 

Helpline for People Seeking Solutions to Insulin Affordability

Insulin Affordability Solutions

Anyone using Lilly insulin is eligible to purchase their monthly prescription for $35 - regardless of the number of vials or pens - if they are uninsured, or use commercial insurance, Medicaid or a participating Medicare Part D plan. Learn more

If you are having difficulty affording your insulin, you can talk with a Lilly representative about your personal circumstances and learn about options available to you. Call 833.808.1234, Monday through Friday, or visit insulinaffordability.com.

Provided by:


Lilly



Janssen CarePath

Janssen CarePath

Patient Assistance Program and Resources from Janssen:

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Patient Assistance Program & Resources for Gvoke

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myGvoke™: Patient assistance and resources for Gvoke™ PFS (glucagon injection)

  • Gvoke Copay Card- Eligible commercially insured people may pay as little as $25 for the Gvoke Pre-Filled Syringe (PFS) through 12/31/20 with the Gvoke Copay Card. Offer not valid for prescriptions reimbursed under Medicaid, a Medicare drug benefit plan, TRICARE, or other federal or state health programs (such as medical assistance programs).
  • myGvoke also offers a Patient Assistance Program to help those who qualify get Gvoke PFS.
  • To learn more, go to GvokeGlucagon.com or call 1-877-myGvoke (1-877-694-8653).

Gvoke™, myGvoke™ and Xeris Pharmaceuticals™, and their associated logos, are trademarks of Xeris Pharmaceuticals, Inc. 
©2020 Xeris Pharmaceuticals, Inc. All Rights Reserved.  US-GVKPFS-20-00049  02/2020

Provided by:

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10 Tips to Help Patients Afford Their Medications

10 Tips to Help Patients Afford Medications

A practical resource from the May 2017 issue of ADCES in Practice​, it provides suggestions for initiating a conversation and offers tips for ways people with diabetes can save on their medications.  




Reduce Insulin Out-of-Pocket Costs

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Personal circumstances and insurance plans vary so there’s no one-size-fits-all shortcut – but for those who are uninsured, under-insured or in a high deductible plan this document may help reduce out-of-pocket cost for insulin and other diabetes medicine and supplies.

Provided by:

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Novocare

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NovoCare® provides online resources to help you look up your insurance coverage and find financial assistance for Novo Nordisk medicines.




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Living with Diabetes