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Insulin mitengo: Insulini inodhura zvakadii?

Insulin mitengo: Insulini inodhura zvakadii?Zvinodhaka Info

Chirwere cheshuga haisi nyaya diki muUnited States. Kune vanhu vangangoita mamirioni makumi matatu nematatu vane chirwere cheshuga muU.S., sekureva kwe Chirwere cheshuga Research Institute . Vashanu muzana vavo-kana vangangoita mamirioni 1.5 vanhu-vane chirwere cheshuga chekutanga uye vanoda insulin kuti vararame. Vamwe vanhu vane rudzi rwechipiri chirwere cheshuga vanogona kudzora shuga yeropa nechikafu uye chiitiko. Zvakadaro, vazhinji vanoda insulin, kunyanya sezvo mamiriro acho achienderera.





Uye, zvinosuruvarisa, insulin mitengo yakakwira zvakanyanya pamusoro pemakore gumi apfuura. Pakati pa2012 na2016, mutengo wacho wakada kupetwa kaviri, zvinoenderana ne Hutano Hwekutarisira Mutengo Institute . Muna 2012, avhareji mutengo we insulin nemurwere weshuga yaive $ 2,864 pagore. Pakazosvika 2016, yakanga yakwira kusvika pa $ 5 705. Nhasi, hari imwe ye insulin inogona kuita madhora mazana maviri nemakumi mashanu, uye vamwe vanhu vanoda ndiro nhanhatu pamwedzi.



Pamusoro peizvozvo, kune zvimwe zvinopa chirwere cheshuga, zvakaita seyglucose yekutarisa, mabhureki ekuyedza, malancets, uye nzvimbo yakachengeteka yekuchengetedza majekiseni kana zvinyoreso zvakashandiswa. Zvinogona kudhura munhu nyore pasina inishuwarenzi $ 1,300 pamwedzi kutarisira mamiriro acho. Kunyange ne inishuwarenzi, macopayments uye zvekushandisa zvinogona kudya pane yako yemwedzi bhajeti. Neraki, pane sarudzo dzekuchengetedza.

Yakawanda sei bhodhoro re insulini?

Mutengo weimwe insulin vial unosiyana zvichienderana nerudzi rwe insulin yaunoshandisa uye nemuripo wauri kuripa. Asi, zvisinei nemubhadharo, pane dzimwe nzira dzekubhadhara mutengo wemari.

Kana iwe usina inishuwarenzi, makambani emishonga anogadzira insulin zvigadzirwa anopa zvirongwa zvekubatsira varwere, anotsanangura Michael Carnathan MD , chiremba-akasimbiswa wemhuri wemhuri muBethlehem, Pennsylvania. Kazhinji yenguva, murwere anogona kuwana iyo insulin yemahara kana nemutengo wakaderera kwazvo.



Kune avo vasina inishuwarenzi yehutano, iyo yakura insulins yevanhu inodhura chero kupi kubva pamadhora makumi maviri nemashanu kusvika pamadhora zana pavhiri; semuenzaniso, Walmart ine insulin yemunhu inowanikwa pa $ 25 pavhiri. Iyo nyowani nyowani yemunhu insulins inodhura pakati pe $ 174 kusvika $ 300 pavhiri, maererano ne chirevo chakaburitswa mu2018 .

Yakawanda sei bhodhoro re insulini rinodhura neinishuwarenzi?

Izvo zvinorema kutaura kuti ingani vhiri ye insulin inodhura kana uchibhadhara kuburikidza nehurongwa hwako hwehutano. Imwe neimwe inishuwarenzi inoronga insulin zvigadzirwa zvakasiyana

Ndipo apo iwe paunenge uine inishuwarenzi yehutano kufukidza kuti kuwana iyo insulini pamutengo wakanaka inova dambudziko, anodaro Dr. Carnathan. Muzviitiko izvi, varwere dzimwe nguva vanomanikidzwa kuchinjira kune yakasarudzika uye yakachipa mhando yeinsulini inonzi NPH kana 70/30 pakati pevamwe vashoma. Aya ma insulins anga aripo kwenguva yakareba uye anodhura. Murwere anoda chiremba wekutanga wekuchengetedza kana endocrinologist uyo akasununguka kushandisa aya ekare insulins uye nekugadzirisa iwo zvakachengeteka.



Chirongwa chehutano chega chega chine macopay akasiyana uye anoderedzwa, zvakare. Semuenzaniso, kune vanhu vane chirongwa chakakwira-chinobviswa, mutengo wemari we insulin unobhadharwa kudzamara iwe wasangana neinobviswa. Mamwe macopay anogona kuve akakwirira se50% yemutengo wemishonga.

Izvo zvinogona zvakare dzimwe nguva kuve kwakaomarara kune vanhu vari paMedare kuti vatenge insulin. Varwere vazhinji vakatarisana nemutengo wakakwira we insulin vanozviwana vabatwa mugomba reMedicare donut, anodaro Gail Trauco, RN , mukuru mukuru we Iyo PharmaKon LLC .

Kufanana nevatengi vasina kuvimbiswa, zvirongwa zvekubatsira varwere zvinogona kunge zvichibatsira vatengi veMedare. Nekudaro, izvi zvirongwa zvinoda kunyorera, izvo zvinogona kutora makumi matatu kusvika kumazuva makumi matanhatu kuti zviongororwe uye kupihwa mvumo, uye zvinyorwa nemarisiti ekusimbisa yako yemwedzi-yemutengo-ye-kurarama mari



Nekuda kwemheremhere yeruzhinji maererano nemitengo yakakwira ye insulin, mamwe makambani einishuwarenzi nemakambani emishonga vari kutora matanho ekuderedza mutengo wemwedzi. Semuyenzaniso:

  • Cigna uye Express Zvinyorwa varikutora pamwedzi mari yekubuda muhomwe pamadhora makumi maviri nemashanu pamwedzi. ExpressScript inofungidzira kutenderedza mazana manomwe ezviuru zvevanhu vane chirwere cheshuga vanozokodzera mari idzi. Nekudaro, vashandirwi vanofanirwa kupinda muchirongwa ichi.
  • Sanofi, mumwe wevanonyanya kupa insulin, ari kugadzira chirongwa chevanobhadhara mari. Chirongwa ichi chinodhura $ 99 pamwedzi uye chinopa kana gumi ndiro, mabhokisi gumi emapeni, kana mubatanidzwa wezviviri izvi. Vanhu vane Medicare, Medicaid, kana mamwe mapurogiramu ehurumende nehurumende havana kukodzera chirongwa ichi. Chero ani zvake, zvisinei nekuti vane inishuwarenzi yehutano, vanogona kutora chikamu kana vakabhadhara mari ye insulin yavo. Iyo $ 99 inogona kusabhadhara zvese zvinodhura, uye zvekushandisa zvinogona kudhura zvakawedzera.
  • Eli Lilly nguva pfupi yadarika akabuda aine generic vhezheni yeHumalog iyo inotengesa hafu yemutengo, pa $ 137.35 pavhiri.

Unoda mutengo wakanakisa pane insulin?

Saina kune insulin mutengo machenjedzo uye tsvaga kana iwo mutengo uchinja!



Wana machenjedzo emitengo

Ko insulin ndiro dzinodhura kupfuura mapeni here?

Pane musiyano wakakura mumitengo ye insulin pakati pe insulin insulin (nema syringes) uye insulin peni. Kushandisa magaba hazvina kudhura pane zvinyoreso. Zvisinei, vamwe vanhu vanofunga kuti kushandisa peni sehurongwa hwekuendesa kunopa hupenyu hwepamusoro. Peni dzinouya dzakatakurwa, uye kana uchishandisa mishonga yeanalogog, huwandu hwemadhiza hunogona kudzikira. Peni dzinoita kuti zvive nyore kutora insulini newe, ichipa rusununguko rwakawanda.



Kushandisa peni kwakachengeteka, kuri nyore, uye kunopa zvirinani kudzora glycemic, zvinoenderana ne kudzidza kwakaburitswa mu2018 . Nekudaro, chidzidzo ichi chakaratidzawo kuti vanhu vanoshandisa zvinyoreso vaishandisa zvakanyanya pamwedzi kudzora chirwere cheshuga. Mune zvimwe zviitiko, zvaidhura zvakapetwa katatu kushandisa peni.

Mari yakawanda sei insulini?

Wese munhu ane zvakasiyana insulin zvinodiwa. Iko hakuna imwe saizi inokwana nzira dzese dzekutarisa kuti yakawanda sei insulin yaunoda. Vaya vanotora analoginulin insulin vanotora kumashure kana basal dose kamwe kana kaviri pazuva. Mukupesana, avo vanotora insulin yenguva dzose yevanhu vanozvitora katatu kana kana pazuva.



Iyi cadence ndiyo yega insulin vamwe vanhu vane chirwere cheshuga cheshuga vanoda. Asi yerudzi rwe1 chirwere cheshuga, uye vamwe vane rwechipiri, imwe insulin inodiwa panguva yekudya. Zvichienderana nekuti insulini ipi yauri kushandisa, inofanira kutorwa maminetsi gumi kusvika makumi matatu usati wadya. Kuwanda kwe insulin kunoenderana nezvauronga kudya. Semuenzaniso, ungangoda mauniti 1-3 pagaidhi yemahydrohydrate (15 gramu).

Vanhu vane chirwere cheshuga cheshuga vanowanzoshandisa maviri akasiyana insulin mazuva. Ivo vanotanga nemajekiseni maviri pazuva uye vanofambira mberi kusvika kumatatu kusvika mana madosi pazuva, zvinoenderana neiyo American Chirwere cheshuga Association (ADA). Vanhu vane rudzi rwechipiri chirwere cheshuga vanogona kutanga ne 0.5-0.8 mayuniti kirogiramu yehuremu hwemuviri pazuva uye vozopedzisira vatora 1-2 mayuniti pakirogiramu yehuremu. Kune munhu anorema makirogiramu zana nemakumi mashanu, izvi zvingave zvikamu makumi matanhatu nesere kusvika gumi nematanhatu pazuva. Kune munhu anorema 175 mapaundi, izvi zvingave zvikamu 80-160 pazuva.

Rimwe ndiro ye insulin ine zvikamu zve1000, uye mapeni ane mazana matatu.

Iyi tafura inotevera inofanidza mitengo yemishonga yemhando dzakasiyana dzeinsulini yemazuva makumi matatu ekugovera zvichienderana nemidziyo mitatu kana mapeni gumi pamwedzi. Tafura yacho inosanganisira avhareji insulin mitengo; kunyange zvakadaro, unogona kubhadhara imwe mari zvichienderana nenzvimbo yako uye khemisi yako. Chinja mitengo kumusoro kana pasi, zvinoenderana nezvaunoda.

Insulin Mitengo
Mari yakawanda sei insulini?
Zita reDrug Avhareji Mutengo Pasuru Avhareji Mutengo Pamwedzi *
Novolog (insulin aspart)
Novolog Flex Pen
$ 333.99 / chinu
$ 123.99 / peni
$ 1,001.97
$ 1,239.90
Humalog (lispro) $ 316.22 / chinu $ 948.66
Lantus (insulin glargine)
Lantus Solostar (peni)
$ 314.99 / chinu
$ 101.73 / peni
$ 944.97
$ 1,017.30
Humulin N (insulin isophane) $ 122.67 / chinyoreso $ 1,226.70
Novolin N (insulin isophane) $ 166.99 / chinu $ 500.97
Levemir (detemir)
Levemir Flextouch (peni)
$ 446.99 / chinu
$ 112.98 / peni
$ 1340.97
$ 1129.80
Novolin R (insulin yakajairwa) $ 161.00 / chinu $ 483.00
Toujeo Solostar (insulin glargine) $ 115.18 / peni $ 1151.80
Tresiba (insulin inodzinga)
Tresiba Flextouch (peni)
$ 351.38 / chinu
$ 123.18 / peni
$ 1054.14
$ 1231.80

* Kubva pane matatu ndiro kana gumi mapeni

Pamusoro pemitengo iri pamusoro, iwe ungangodawo zvimwe zvekushandisa, senge:

  • Sirinji: $ 15- $ 20 yebhokisi rezana
  • Zvipenga zvekuyedza: $ 25- $ 60 yemakumi mashanu ebvunzo bhendi (inogona kuda chero kubva 1 kusvika 10 pazuva)
  • Pombi: Inogona kuita $ 6,000 kutenga pombi pamwe ne $ 3,00 yezvinhu zvakaita semabhatiri

Chii chiri kukurudzira kuwedzera kwekukurumidza kwemitengo ye insulin?

Hapana mubvunzo kuti mitengo ye insulin yasvika padanho rekusvikira vamwe vanhu vasingakwanise kutenga mishonga yavo. Mune mharidzo yeADA , Irl B. Hirsch, MD, anotsanangura kuti kubva 2013 kusvika 2016, gaba re glargine insulin raive nekuwedzera kwemutengo we 593%, uye bhokisi remashanu insulin lispro pens yakakwira 522%. Munguva iyoyo, inflation yakakwira ne8.3% chete. Muna 2014, vagadziri vezvinodhaka vakawedzera mutengo we insulini kaviri, nguva yega yega kweinenge 16%. Izvi zvinoreva kuti insulin mitengo yakakwira neanopfuura makumi matatu muzana mugore rimwe chete.

Iko hakuna chikonzero chimwe chete chemutengo wakakwira we insulin. Makambani ezvemishonga anonyunyuta kuti mamaneja emafesi emishonga (PBM) anopa mabhenefiti ekurapa emakambani einishuwarenzi anotengesa zvinodhura nekukumbira kuti vadzosere mari yavo ive neinishuwarenzi. Ivo vanoti yavo yemutengo mutengo yakaderera pane iyo rondedzero mutengo. Asi maPBM anoti ndiwo makambani anogadzira mishonga anoisa mutengo wemazita.

Zvinhu zvakati wandei zvinochengeta insulin mitengo yakakwira:

  • Kune vatatu chete vakuru vanoita insulin pasi rese. Nemakwikwi mashoma, vanogona kuseta chero mitengo yavanoda.
  • Izvo zvakaoma uye mutengo-unorambidza kugadzira generic vhezheni. Muindasitiri yezvinodhaka, vagadziri vezvinodhaka vanogona kuendesa kutsvagurudzo kuDAA yemimwe mishonga kana vachigona kuratidza kuti mishonga iyi miviri yakafanana. Asi iyo FDA haibvumire iwe kushandisa imwecheteyo kutsvagisa kune biologic insulin zvigadzirwa. Izvi zvinoreva kuti kuunza generic insulin kumusika kunova chinhu chinodhura, uchisiya chete marita-mazita zvinodhaka zviripo.
  • Sezvo nemakambani emishonga, pane kushomeka kwemakwikwi muPBMs, ichipa makambani, akadai seCVS Caremark ne Express Express, kugona kuzviitira mitemo. Hirsch inoratidza kuti muna 2013, CVS Caremark yaive nemari inosvika $ 123 bhiriyoni, uye Express Script yaive pamadhora 94 bhiriyoni.

Matunhu epamusoro emakwikwi aigona kudzikisa mitengo, ichiwedzera kugona kwe insulin.

Iko kukwira kwemutengo we insulin kune chaiko-mhedzisiro yenyika. Boka muMinneapolis zvinonzi tora bhazi kuenda kuCanada kunotenga insulin pachikamu chidiki chemutengo sezvainotengesa muUnited States.

Vamwe vanhu vari kuganhurira insulin yavo nekukamura kana kusvetuka madosi. Ose ane mhedzisiro yakakomba yehutano. Mushure mekukwegura kunze kweinishuwarenzi yehutano hwaamai vake, mumwe murume ane makore 26 akaudzwa nachiremba wake wemishonga kuti insulin yake uye zvekushandisa zvaizove $ 1,300 pamwedzi. Yaive yakawanda kupfuura yaaigona kubhadhara pamubhadharo wemaneja weresitorendi. Asingasviki mwedzi mushure mekurasikirwa neinishuwarenzi, akafa. Mhuri yake inotenda kuti akatanga kuenzanisa insulin yake, uye ndizvo zvakamuuraya.

Hurumende dzakati wandei dziri kuyedza kudzikisa mitengo ye insulin. Colorado yakavhara insulin copay pamadhora zana pamwedzi kune vanhu vane inishuwarenzi. Nevada yakapa mutemo wekuwedzera kujekesa mumitengo yezvinodhaka, ichitarisa kurwisa kwete chete mutengo unokwira we insulini asi mutengo unowedzera wemishonga yese yemishonga. Dzimwe nyika makumi maviri nematatu dzakurudzira mutemo wakanangana nekugadzirisa mitengo yakakwira yemishonga yekunyorera.

Zvinodhura zvakadii kuburitsa insulin?

TO 2018 kudzidza inofungidzirwa kuti vharasi imwe yeinsulini yemunhu inodhura $ 2.28- $ 3.42 kugadzira, uye vharasi imwe yeanalog insulin inodhura $ 3.69- $ 6.16 kugadzira. Chidzidzo ichi chakaburitsa pachena kuti kupihwa kwegore kwe insulin yemunhu kunogona kuita $ 48- $ 71 pamurwere, uye analoginulin insulin inogona kuita $ 78- $ 133 pamurwere pagore.

Chidzidzo chakayera mutengo wekugadzira chete. Izvo hazvina kusanganisira manejimendi mubhadharo, kutengesa, uye kutsvagisa uye kusimudzira kwekuvandudza mishonga. Nekudaro, insulin vagadziri havana kupa tsananguro yakakwana yeiyi mutsauko mukuru pakati pemutengo wekugadzira uye mutengo wekutengesa.

Maitiro ekuchengetedza pamitengo ye insulin

Bata kambani yako yeinishuwarenzi (kune avo vane inishuwarenzi) uye uone kuti mutemo wako unobhadhara sei insulin. Vanobhadhara zvakanyanya kune mamwe marudzi e insulin here? Ivo vanobvisa mamwe marudzi here? Kana kubhadhara kwavo kana kubviswa kusingashande nezvamuri kutora, taura nemupi wako wezvehutano nezve sarudzo. Mamwe makambani einishuwarenzi anogamuchira icho chinonzi mvumo yekutanga, zvinoreva kuti chiremba wako anonyora tsamba achitsanangura kuti nei uchida imwe mhando yeinsulini. Tsvaga kuti chii chaunobvisa uye kuti uchazoda kubhadhara sei muhomwe. Bvunza kana vaine chero akasarudzika mapurogiramu e insulin, senge iyo inopihwa naCigna.

Kana uchibhadhara mari, tora mukana wezvirongwa zvinopihwa nemakambani emishonga , senge iya yakapihwa naSanofi. Wedzera mune zvekuwedzera mari yezvinhu kuti uone zvauchazoda kubhadhara mwedzi wega wega.

Tarisa muzvirongwa zvekubatsira varwere zvinopihwa nemakambani makuru ekugadzira mishonga, saEli Lilly naNovo Nordisk, uye mamwe mapurogiramu asiri erubatsiro, akadai saRx Hope, ayo anopa mirau yemahara kana yakaderera kune yakaderera mari uye isina kuvimbiswa.

Tora mukana we kadhi rekuchengetedza mari kubva kuSinglecare . Vanopfuura makumi matatu nemashanu emishonga ma pharmacies anogamuchira iwocheteCare coupons. Iwe unogona kuisa yako zip kodhi online kana pane yedu mbozha app kuti uwane iyo pharmacy nemutengo wakaderera pane yako insulin. Wobva waunza mushonga wako uye kadhi rako reSingleCare kuti ugamuchire mutengo. Kubatana neSingleCare mahara.