Some important notes before you apply
If you have Medicare Part D and were not enrolled in My$99Insulin in 2020, you are not eligible to participate in My$99Insulin.
If you had Medicare Part D coverage and were enrolled in the My$99Insulin offer in 2020 and re-enrolled each subsequent calendar year, and wish to re-enroll in 2023, please call 1-833-793-1861. Please note that you must have your current Medicare Part D prescription insurance offer and your 2022 My$99Insulin savings offer on hand to re-enroll.
Everyone else, please complete the form below.