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Clover Health | 2022 Insulin Savings Program

October 14, 2021

The Part D Senior Savings Model (Insulin Savings Program) was developed to offer additional financial support to more than 3.3 million people with Medicare who use insulin. In CY 2022 Clover Health’s Medicare Advantage Prescription Drug (MAPD) plans will be participating in the program!

Clover Health Brokers –

This program will offer low copayments on select insulin drugs! In CY 2022, members will pay a maximum copay of $25 at a preferred pharmacy and $35 at a non-preferred pharmacy for a one-month supply of their insulin prescription. Covered insulin prescriptions will not be subject to a deductible or any coverage gap cost increases throughout the plan year. (This program includes all tier 3 insulins covered in the formulary).

Not all Clover Health plans will be participating in the Part D Senior Savings Model AKA Insulin Savings Program. Some Clover plans designed to service Medicare beneficiaries receiving a low-income subsidy will not be participating (Summary of Benefits and Evidence of Coverage will provide plan-specific details).

Below is a list of the eligible insulin drugs in Clover’s Part D Senior Savings Model Program (Insulin Savings Program):

· BASAGLAR KWIKPEN
· FIASP FLEXTOUCH
· FIASP
· FIASP PENFILL U-100 (cartridge)
· LEVEMIR SOLUTION
· LEVEMIR FLEXTOUCH
· NOVOLIN 70/30
· NOVOLIN 70/30 FLEXPEN
· NOVOLIN N SUSP 100unit/ml
· NOVOLIN N FLEXPEN SUPN 100unit/ml
· NOVOLIN R SOLUTION 100unit/ml
· NOVOLIN R FLEXPEN SOPN 100unit/ml
· NOVOLOG FLEXPEN 100unit/ml
· NOVOLOG SOLUTION 100unit/ml
· NOVOLOG MIX 70/30
· NOVOLOG MIX FLEXPEN
· NOVOLOG PENFILL 100unit/ml (CARTRIDGE)
· SOLIQUA 100/33
· TRESIBA SOLN 100unit/ml
· TRESIBA FLEXTOUCH SOPN 100unit/ml, 200unit/ml
· XULTOPHY INJ 100/3.6

Don’t Forget!

Brokers (and beneficiaries!) can reference covered insulins on the 2022 Formulary Lookup Tool (and print formulary version) on the Clover Health website marked with an “SI” = Select Insulins

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881
support@pfsinsurance.com

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