Table 9.3

Median cost of insulin products in the U.S. calculated as AWP (44) and NADAC (45) per 1,000 units of specified dosage form/product

InsulinsCompoundsDosage form/productMedian AWP (min, max)*Median NADAC (min, max)*
Rapid-acting analogs • Lispro biosimilar U-100 vial $280 $226 
U-100 prefilled pen $361 $289 
• Glulisine U-100 vial $324 $260 
U-100 prefilled pen $417 $334 
• Lispro U-100 vial $330 $264 
U-100 3 mL cartridges $408 $326 
U-100 prefilled pen; U-200 prefilled pen $424 $340 
• Aspart U-100 vial $347 $278 
U-100 3 mL cartridges $430 $343 
U-100 prefilled pen $447 $358 
• Inhaled insulin Inhalation cartridges $993 $606 
Short-acting • Human Regular U-100 vial $165 ($165, $178) $135 ($135, $146) 
Intermediate-acting • Human NPH U-100 vial $165 ($165, $178) $135 ($135, $144) 
U-100 prefilled pen $377 $304 
Concentrated Human Regular insulin • U-500 Human Regular insulin U-500 vial $178 $142 
U-500 prefilled pen $230 $184 
Basal analogs • Glargine biosimilar U-100 prefilled pen $261 $209 
• Glargine U-100 vial; U-100 prefilled pen $323 $259 
U-300 prefilled pen $331 $266 
• Detemir U-100 vial; U-100 prefilled pen $353 $281 
• Degludec U-100 prefilled pen; U-200 prefilled pen $388 $310 
Premixed insulin products • NPH/Regular 70/30 U-100 vial $165 ($165, $178) $135 ($135, $144) 
U-100 prefilled pen $377 $306 
• Lispro 50/50 U-100 vial $342 $274 
U-100 prefilled pen $424 $340 
• Lispro 75/25 U-100 vial $342 $273 
U-100 prefilled pen $424 $340 
• Aspart 70/30 U-100 vial $360 $288 
U-100 prefilled pen $447 $358 
Premixed insulin/GLP-1 receptor agonist products • Degludec/Liraglutide 100/3.6 prefilled pen $793 $638 
• Glargine/Lixisenatide 100/33 prefilled pen $537 $431 
InsulinsCompoundsDosage form/productMedian AWP (min, max)*Median NADAC (min, max)*
Rapid-acting analogs • Lispro biosimilar U-100 vial $280 $226 
U-100 prefilled pen $361 $289 
• Glulisine U-100 vial $324 $260 
U-100 prefilled pen $417 $334 
• Lispro U-100 vial $330 $264 
U-100 3 mL cartridges $408 $326 
U-100 prefilled pen; U-200 prefilled pen $424 $340 
• Aspart U-100 vial $347 $278 
U-100 3 mL cartridges $430 $343 
U-100 prefilled pen $447 $358 
• Inhaled insulin Inhalation cartridges $993 $606 
Short-acting • Human Regular U-100 vial $165 ($165, $178) $135 ($135, $146) 
Intermediate-acting • Human NPH U-100 vial $165 ($165, $178) $135 ($135, $144) 
U-100 prefilled pen $377 $304 
Concentrated Human Regular insulin • U-500 Human Regular insulin U-500 vial $178 $142 
U-500 prefilled pen $230 $184 
Basal analogs • Glargine biosimilar U-100 prefilled pen $261 $209 
• Glargine U-100 vial; U-100 prefilled pen $323 $259 
U-300 prefilled pen $331 $266 
• Detemir U-100 vial; U-100 prefilled pen $353 $281 
• Degludec U-100 prefilled pen; U-200 prefilled pen $388 $310 
Premixed insulin products • NPH/Regular 70/30 U-100 vial $165 ($165, $178) $135 ($135, $144) 
U-100 prefilled pen $377 $306 
• Lispro 50/50 U-100 vial $342 $274 
U-100 prefilled pen $424 $340 
• Lispro 75/25 U-100 vial $342 $273 
U-100 prefilled pen $424 $340 
• Aspart 70/30 U-100 vial $360 $288 
U-100 prefilled pen $447 $358 
Premixed insulin/GLP-1 receptor agonist products • Degludec/Liraglutide 100/3.6 prefilled pen $793 $638 
• Glargine/Lixisenatide 100/33 prefilled pen $537 $431 

AWP, average wholesale price; GLP-1, glucagon-like peptide 1; NADAC, National Average Drug Acquisition Cost.

*

AWP or NADAC calculated as in Table 9.2; median listed alone when only one product and/or price.

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