Medicare Part D enrollees without low-income subsidies paid an average of $520 in out-of-pocket insulin costs in 2019, according to a May 17 report from the Kaiser Family Foundation.
North Dakota Medicare Part D enrollees paid the most in 2019, averaging $822 in out-of-pocket spending, while Hawaii paid the least, averaging $309.
Below are all 50 states ranked by average annual out-of-pocket insulin spending by Medicare Part D enrollees in 2019:
1. North Dakota: $822
t-2.Iowa: $748
t-2. Minnesota: $748
4. South Dakota: $741
5. Wisconsin: $712
6. Nebraska: $701
7. Utah: $697
8. Kansas: $689
t-9.Idaho: $662
t-9.Wyoming: $662
11. Montana: $636
12. Rhode Island: $634
13. Oregon: $624
14. Maine: $616
15. Indiana: $610
16. Washington: $607
17. Missouri: $589
18. Arkansas: $580
19. New Hampshire: $577
20. Ohio: $575
21. Vermont: $571
22. Mississippi: $566
23. Oklahoma: $564
24. Connecticut: $553
25. Tennessee: $552
26. Illinois: $551
27. Virginia: $547
28. South Carolina: $546
29. Arizona: $538
t-30. Massachusetts: $536
t-30. Colorado: $536
32. Georgia: $533
33. Pennsylvania: $529
34. North Carolina: $526
35. Alabama: $525
t-36. Kentucky: $509
t-36. Louisiana: $509
38. Texas: $507
39. New Mexico: $482
40. West Virginia: $481
41. Delaware: $478
42. Michigan: $469
43. Nevada: $462
44. New York: $456
45. Maryland: $454
46. New Jersey: $452
47. Florida: $449
48. Alaska: $326
49. California: $323
50. Hawaii: $309