By Rocco DeLuca, Licensed Insurance Agent • Published 2026-04-04 • Last updated 2026-04-04
Cost of Insulin with Medicare in Vernal, Utah — 2026
If you use insulin, 2026 brings significant cost relief. The Inflation Reduction Act caps insulin costs at $35 per month for Medicare beneficiaries, regardless of insulin type or how much you use.
The $35 Insulin Cap
All Medicare Part D plans and Medicare Advantage plans with drug coverage must cap insulin copays at $35 per 30-day supply. This applies to all covered insulin products — pens, vials, and biosimilars. There is no deductible for insulin — the $35 cap applies from your first fill of the year. The cap applies at both retail pharmacies and mail-order.
How It Works at Vernal Pharmacies
When you fill an insulin prescription at Smith's Pharmacy, Walgreens, or any other participating pharmacy in Vernal, you pay no more than $35 per month per insulin prescription. If you use multiple insulin types, the $35 cap applies to each one separately. Your plan pays the remainder of the cost. These insulin costs count toward your $2,000 annual out-of-pocket cap.
Insulin and the $2,000 Annual Cap
Insulin copays count toward the new $2,000 annual out-of-pocket limit for Part D drugs. Once your total drug out-of-pocket spending reaches $2,000, you pay nothing for any covered prescriptions — including insulin — for the rest of the year.
Which Insulin Products Are Covered?
The $35 cap applies to all Part D formulary insulin products. Common covered insulins include rapid-acting (Humalog, NovoLog, Fiasp), long-acting (Lantus, Basaglar, Levemir, Tresiba), mixed (Humulin 70/30, NovoLog Mix), and biosimilar insulins. Specific formulary placement varies by plan — we verify that your insulin type is covered before enrollment.
Related: Best Part D plans | Cheapest drug plans | Mounjaro coverage
Source: Medicare.gov.
Call Rocco: 435-219-5120 (TTY: 711) • [email protected]