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California announces state‑backed low‑cost insulin and advances rural health transformation plans

Health Care Affordability Board (Office of Health Care Affordability) · November 27, 2025
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Summary

At a Health Care Affordability Board meeting, staff announced California’s Calyrex biosimilar insulin program — state‑backed glargine pens at a target retail price of $55 per five‑pack starting Jan. 1, 2026 — and described a federal rural health transformation application focused on hub‑and‑spoke care models, technology, and workforce development.

Director Landsberg told the Health Care Affordability Board that California will offer a state‑backed low‑cost insulin under the Calyrex initiative beginning Jan. 1, 2026, with insulin glargine pens priced at a maximum of $55 for a five‑pack and pharmacies able to purchase them for $45. "California has become the first state to offer its own low cost insulin starting on 01/01/2026," Landsberg said, framing the program as a way to reduce reliance on coupons and rebates and improve medication affordability for underinsured and uninsured residents.

The director credited state leaders and the Calyrex team for advancing a…

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