Every price names its source
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EpiPen, insulin & Ozempic prices refreshed October 2026
Cost comparison only — not medical advice
Every price names its source
No sponsorships, referrals or clinic partnerships
EpiPen, insulin & Ozempic prices refreshed October 2026
Cost comparison only — not medical advice
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Drug Prices

NovoLog Price by Country: $69 a Vial in the US, €13 in France

The same mealtime insulin, insulin aspart (NovoRapid outside the US) — vials and pens priced from official databases in six places.

Researched with AI assistance; every figure is checked against the primary source cited on this page before publishing. How we work →

Key Takeaways

  • A US vial costs pharmacies about $69. CMS NADAC lists NovoLog at $6.93278 per mL (October 28, 2026) — $69.33 for a 10 mL vial (our calculation). Novo's unbranded insulin aspart and the biosimilar Merilog cost pharmacies about the same ($69.55 and $68.16).
  • Medicare's negotiated price is no lower — and it ends this year. CMS's price file sets $6.96 per mL for the vial ($69.57) and $8.96 per mL for FlexPen; it ends both on December 31, 2026 and marks NovoLog and Fiasp as deselected. The fact sheet's figure is $119 for a 30-day supply, 76% below the 2023 list price of $495.
  • Medicare patients pay at most $35 a month for each covered insulin product, without a deductible (Medicare.gov).
  • Europe: about $14 to $46 a vial. Official prices at ECB rates: France $14, the Netherlands $18, the UK $19, Switzerland $46.

NovoLog / NovoRapid Price by Country (November 2026)

One 10 mL vial (1,000 units) of insulin aspart 100 units/mL, and a box of five 3 mL pens (1,500 units) where official lists give one. Each country's own official price; US prices are per mL and multiplied by 10 or 15 (our calculation). US dollars at European Central Bank reference rates of October 30, 2026. How much insulin a person needs varies, so we compare packs, not months.

One 10 mL vial (100 units/mL). US: CMS NADAC (October 28, 2026) and CMS maximum fair price per mL (price file of November 2, 2026), × 10 mL (our calculation). UK: NHS dm+d. France: BDPM official price excluding dispensing fee (November 3, 2026). Switzerland: BAG public price. Netherlands: Zorginstituut average price (to November 1, 2026). Converted at ECB rates of October 30, 2026.
CountryOfficial price30 days in US dollarsWhat a patient typically pays
🇺🇸 United States (pharmacy cost)NovoLog vial $6.93278 per mL; FlexPen $8.93367 per mL; unbranded insulin aspart vial $6.95482; biosimilar Merilog vial $6.8159 (CMS NADAC, Oct 28, 2026)vial $69 · 5 pens $134Medicare: at most $35 a month per insulin product
🇺🇸 United States (Medicare)Vial $6.956927 per mL, FlexPen $8.956984 per mL in 2026, ending Dec 31, 2026 (CMS price file); $119 per 30-day supply, 2023 list price $495 (CMS fact sheet)vial $70 · 5 pens $134At most $35 a month, no deductible
🇬🇧 United KingdomNovoRapid vial £14.08 (since Apr 15, 2013); 5 FlexPens £30.60 (since 2011); Trurapi 5 pens £21.42 (NHS prices)vial $19 · 5 pens $41England: £9.90 per item; free for people with diabetes on insulin who hold an exemption certificate
🇫🇷 FranceVial €12.83; 5 FlexPens €22.20 (official prices excluding dispensing fee)vial $14 · 5 pens $2535% of the price unless a complementary insurer covers it (65% reimbursed)
🇨🇭 SwitzerlandVial CHF 37.90; 5 FlexPens CHF 56.60 (public prices)vial $46 · 5 pens $6910% share after the annual deductible
🇦🇹 AustriaVial €28.10; 5 Penfill cartridges €41.75 (social-insurance prices excl. VAT; FlexPen not listed)vial $31 · 5 cartridges $47€7.55 prescription fee per pack
🇳🇱 NetherlandsVial €16.47 (average pharmacy price)vial $18Reimbursed under conditions; counts toward the annual deductible
🇩🇪 GermanyNo statutory price ceiling (Festbetrag) for insulin aspart—Co-payment of at most €10 per pack (€15 from 2027)

We compare prices; we do not recommend where to buy medicine. Insulin type and dose are decisions for your doctor or diabetes team — never ration insulin to save money.

What the Numbers Mean

In the US, the negotiated price and the pharmacy price are almost the same

NovoLog's pharmacy acquisition cost is $6.93 per mL for the vial (NADAC, October 28, 2026), and Medicare's negotiated price for 2026 is $6.96 per mL (CMS price file). Medicare patients pay at most $35 a month per covered insulin product. CMS's price file ends the negotiated price for NovoLog and Fiasp on December 31, 2026 and marks them as deselected; Novo's unbranded insulin aspart and the biosimilar Merilog are already listed in the pharmacy-price survey at about the same price.

Europe: official prices well below the US

A 10 mL vial costs €12.83 in France, €16.47 in the Netherlands, £14.08 in the UK (a price unchanged since 2013) and CHF 37.90 in Switzerland — about $14 to $46. Five pre-filled pens cost €22.20 in France, £30.60 in the UK and CHF 56.60 in Switzerland, against about $134 at US pharmacy cost.

Germany: no price ceiling for insulin aspart

The German statutory price-ceiling (Festbetrag) list of October 15, 2026 has no group for insulin aspart, and we found no freely published official pharmacy price, so we show none. Insured patients pay a co-payment of 10%, at least €5 and at most €10 per pack (€7.50 to €15 from 2027). Our insulin overview compares other insulins: see insulin prices by country.

Frequently Asked Questions

How much does NovoLog cost in the US compared with other countries?

US pharmacies pay about $69 for a 10 mL vial of NovoLog and about $134 for five FlexPens (CMS NADAC, October 28, 2026). Official prices for NovoRapid elsewhere: €12.83 for a vial in France, €16.47 in the Netherlands, £14.08 in the UK and CHF 37.90 in Switzerland — roughly $14 to $46 at ECB rates.

What does a Medicare patient pay for NovoLog?

At most $35 for a one-month supply of each covered insulin product, and no deductible applies (Medicare.gov). Medicare's negotiated price for NovoLog applies in 2026 only, according to CMS's price file.

Is NovoRapid the same as NovoLog?

Yes: insulin aspart from Novo Nordisk is sold as NovoLog in the US and as NovoRapid in Europe. The UK also lists Trurapi, another insulin aspart, at £21.42 for five pens; the US lists Merilog and Novo's unbranded insulin aspart.

Why does Medicare's price end in 2026?

CMS's maximum-fair-price file of November 2, 2026 ends the negotiated price for NovoLog and Fiasp on December 31, 2026 and marks them as deselected. Medicare patients' $35 monthly cap for covered insulin continues under separate rules.

What does NovoRapid cost in Germany?

There is no statutory price ceiling for insulin aspart (list of October 15, 2026), and we found no freely published official pharmacy price. Insured patients pay at most €10 per pack (€15 from 2027).

Sources

  1. CMS — NADAC, as of October 28, 2026: NovoLog vial $6.93278 per mL; NovoLog FlexPen $8.93367; insulin aspart vial (unbranded) $6.95482; Merilog vial $6.8159
  2. CMS — Selected drug list and maximum fair price data file (November 2, 2026): NovoLog vial $6.956927 and FlexPen $8.956984 per unit in 2026, end date December 31, 2026, “Deselect”
  3. CMS — Negotiated prices for initial price applicability year 2026 (fact sheet): Fiasp/NovoLog $119 negotiated price, $495 list price (2023), 30-day supply, 76% lower
  4. Medicare.gov — Insulin: “No more than $35 for a one-month supply of each Part B- and Part D-covered insulin product”; no deductible
  5. NHS dm+d — NovoRapid 100 units/mL 10 mL vial: NHS indicative price £14.08 (since April 15, 2013)
  6. NHS dm+d — NovoRapid FlexPen 3 mL, 5 pens: NHS indicative price £30.60 (since January 1, 2011)
  7. NHS dm+d — Trurapi 3 mL SoloStar pens, 5: NHS indicative price £21.42 (since June 21, 2021)
  8. NHS Business Services Authority — prescription charges and exemptions (England)
  9. Base de données publique des médicaments — NovoRapid 100 U/mL, 10 mL vial: €12.83 excluding dispensing fee, 65% reimbursed (updated November 3, 2026)
  10. Base de données publique des médicaments — NovoRapid FlexPen, 5 × 3 mL: €22.20 excluding dispensing fee, 65% reimbursed
  11. Federal Office of Public Health (BAG) — Spezialitätenliste: Insulin NovoRapid 10 mL CHF 37.90; FlexPen 5 × 3 mL CHF 56.60; cost share 10%
  12. Austrian social insurance (Dachverband) — Erstattungskodex monthly data, Nov 2026: NovoRapid 100 E/ml Inj.lsg. Dstfl. €28.10; NovoRapid Penfill 100 E/ml Inj.lsg. Patronen €41.75 (social-insurance price excl. VAT; green box)
  13. oesterreich.gv.at — prescription fee (Rezeptgebühr) €7.55 per pack since January 1, 2026
  14. Zorginstituut Nederland — Medicijnkosten.nl: NovoRapid 100 E/mL vial 10 mL (Novo Nordisk BV), average price €16.47 (updated to November 1, 2026)
  15. BfArM / GKV-Spitzenverband — Festbetrag list as of October 15, 2026 (no group for insulin aspart)
  16. European Central Bank — reference rates, October 30, 2026 (1 US dollar = €0.89509 = £0.74633 = CHF 0.82295)

Wellness Vision Editorial Policy

Wellness Vision does not sell medicine, recommend pharmacies or suppliers, or take payments from drug makers. Every price above comes from the official source cited; conversions and per-30-tablet figures are our own calculations, shown with their formula. This is a cost comparison, not medical advice.

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