California launches its own low-cost insulin program at 1 per pen
California’s low-cost insulin program marks a historic first in American healthcare. Starting January 1, 2026, California will sell state-branded insulin pens for just 1 each through its CalRx program, undercutting pharmaceutical prices that can run four to seven times higher. The state partnered with nonprofit manufacturer Civica Rx to produce the biosimilar medication, bypassing the market forces that have made insulin unaffordable for millions. With over 38 million Americans living with diabetes, this publicly backed manufacturing model could offer a replicable blueprint for addressing runaway prescription drug costs nationwide.









