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Insulin Cost Data Submitters

- new May 21, 2025

Notification by Manufacturers of Wholesale Acquisition Cost for Insulin- State Reporting Requirement, Ch. 800, Uniform Reporting of the Cost of Insulin, effective May 15, 2025.

Public Law 2023, Chapter 610 (LD 2282, An Act to Provide Greater Transparency About the Cost of Insulin and to Promote the Availability of Low-cost Insulin in the State) requires a manufacturer of insulin to report to the Maine Health Data Organization no later than February 15th of each year the wholesale acquisition cost per pricing unit for the insulin produced by the manufacturer in each category of insulin. The reporting requirements are defined in 90 590 C.M.R. Ch. 800, Uniform Reporting of the Cost of Insulin. Chapter 800 is a major substantive rule recently enacted (LD 729) as an emergency measure by the Maine Legislature and signed by Governor Mills on March 25, 2025. The MHDO board of directors met in April 2025 and voted unanimously on the final adoption of Ch. 800. The chapter became effective May 15, 2025.

Reporting Timeline

The first round of reporting the cost of insulin as defined in Ch. 800, is due to MHDO by February 15, 2026.

A step by step demonstration of how to submit insulin wholesale acquisition costs data via the MHDO Prescription Drug Price Data Portal is available on YouTube here: https://youtu.be/5744Nl_Ajy4.

Please note the following definitions below for the different categories of insulin:

Definitions

  • RAPID-ACTING INSULIN
    • Helps lower blood sugar for 2 to 4 hours
    • Often used with a longer acting insulin
    • Typically taken before you eat
    •    
  • SHORT-ACTING INSULIN
    • Helps lower blood sugar for 3 to 6 hours
    • Often used with a longer-acting insulin
    • Typically taken before you eat
    •    
  • INTERMEDIATE-ACTING INSULIN
    • Helps lower blood sugar for about 12 to 18 hours
    • Typically taken 2 times a day
    •    
  • LONG-ACTING INSULIN, INCLUDING LANTUS®
    • Helps lower blood sugar over a 24-hour period
    • Helps manage your blood sugar between meals and overnight
    • Taken once per day
    •    
  • PREMIXED INSULIN
    • Helps lower blood sugar for 10 to 16 hours
    • Usually taken 10 to 30 minutes before breakfast or dinner