How much is insulin with Medicare in Arizona in 2026?

These are national Medicare figures from CMS, not Arizona-only prices. insulin is used to control blood sugar in people with diabetes. What you pay at a pharmacy in Chandler or anywhere in Arizona depends on your plan's deductible, the tier insulin sits on, and whether you have reached the yearly cap.

NovoLog (insulin aspart) under Medicare Part D: price and cost figures

Measure	Figure
Most you pay for a month of covered insulin, 2026	$35
Medicare negotiated price, 30-day supply (2026)	$119
List price CMS reported before negotiation, 30-day supply	$495
Average gross Part D cost per claim, 2025 (national)	$260.58
Average gross Part D cost per claim, Q1 2026 (national, preliminary)	$239.55
People with Part D who used it in 2025 (national)	90,194
Part D out-of-pocket cap, 2026 / 2027	$2,100 / $2,400

How Part D pricing works for this drug

Your plan pays the pharmacy a negotiated price, and your share comes in three steps, in this order:

Step 1, the deductible: it does not apply to covered insulin, so the $35 monthly limit starts with your first fill.

Step 2, your tier: after the deductible you pay the copay (a flat dollar amount) or coinsurance (a percentage of the price) set by the tier insulin sits on in your plan.

Step 3, the yearly cap: once your out-of-pocket drug spending reaches $2,100 in 2026 ($2,400 in 2027), you pay $0 for covered Part D drugs for the rest of the year.

In 2025, 90,194 people with Part D filled insulin, at an average gross cost of $260.58 per claim. A claim can be a 30-day or 90-day fill, so treat that as a guide to scale, not a monthly bill.

What changes the answer

The $35 cap applies to each covered insulin product on your plan's formulary. NovoLog and Fiasp also have a Medicare negotiated price of $119 for a 30-day supply in 2026 (list $495); CMS lists them as removed from the program effective January 1, 2027. The average gross Part D cost per NovoLog claim was $260.58 in 2025 and $239.55 in the first quarter of 2026, which shows how much the cap protects you. Insulin used through a traditional pump is covered under Part B, where the $35 cap also applies.

Formularies are set plan by plan. The 2027 drug lists are published by each plan for Annual Enrollment, and CMS has not yet released its 2027 formulary files, so check your own plan's 2027 list and tier. People with limited income can apply for Extra Help through Social Security, which lowers drug copays.

What to do next

Bring your prescription list to a plan review. During Annual Enrollment, October 15 to December 7, 2026, we compare how insulin is covered on the 2027 plans we offer in Maricopa and Pinal counties, including tier, deductible and pharmacy, and show you the yearly total rather than one copay.

Related questions

Sources

1. CMS Medicare Quarterly Part D Spending by Drug Centers for Medicare & Medicaid Services
2. CMS fact sheet: negotiated prices for initial price applicability year 2026 Centers for Medicare & Medicaid Services
3. CMS: Selected drugs and negotiated prices Centers for Medicare & Medicaid Services
4. CMS Medicare Advantage and Part D Landscape, Contract Year 2027 Centers for Medicare & Medicaid Services

Please note: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.Rise Up Benefits Group is not connected with or endorsed by the United States government or the federal Medicare program. Medicare has neither endorsed nor reviewed this information.