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Recently, I had patients come in with generic latanoprost that cost them anywhere from $4 to $80 (all made by a subsidiary of Pfizer Inc.). Generic latanoprost is also available online at drugstore.com for $20 per bottle (even less for a 90-day supply).
Contrasting with this, a patient purchasing a box of 3 Lantus Solostar pens, each of which contains 3 mL of insulin glargine, can use 1 pen every 28 days. Although the cost of the box of Lantus Solostar pens is approximately $400, no medication is wasted, and the cost to insurers is similar to the cost of the vial. 7-10 Despite the fact that insulin pens incur no greater cost than vials for patients using fewer than 18 units of insulin daily, many state Medicaid programs will not cover the cost of insulin pens under any circumstances.