Refilling Basal Insulin Online for Type 2 Diabetes — Same Dose, Physician Reviewed

If you have Type 2 diabetes and are stable on the same basal insulin dose (such as glargine, detemir, or degludec) for at least 3 months, you may be eligible to refill that insulin — along with metformin, a statin, or a blood pressure medication — through a single $59 online request reviewed by a board-certified internist. This service is available in California, Texas, Florida, New York, Illinois, Pennsylvania, Ohio, Georgia, Michigan, and Minnesota. Type 1 diabetes and any history of DKA are not eligible.

Out of Insulin Refills? Get a Physician Review Today

If you have Type 2 diabetes and have been stable on the same basal insulin dose for at least 3 months, submit your chronic medication refill request now. Reviewed by Dr. Iwan Nyotowidjojo, MD (ABIM board-certified internist). $59 flat fee for a 30-day supply — only charged if approved. Prescription sent electronically to your pharmacy, typically within 1 hour.

Start my refill →

Why Is It So Hard to Refill Basal Insulin Online?

If you've tried to find an affordable, convenient way to refill your basal insulin prescription online, you've probably run into the same wall: most asynchronous telehealth services simply won't touch insulin at all. That policy exists because insulin carries real clinical risk — dosing errors, hypoglycemia, and the complexity of titration make it a category many platforms exclude entirely rather than handle selectively.

The result is an access gap that disproportionately affects a large and stable group of patients: people with Type 2 diabetes who have been on the exact same basal insulin dose for months or years, who haven't had an urgent issue, and who simply need a refill. These patients are not new to insulin. They are not adjusting their dose. They just ran out of refills, their prescribing physician has a 3-week wait for appointments, and they need their medication to continue without interruption.

DrRefills.com was built specifically to serve this kind of situation — stable, established chronic medications that a board-certified physician can review asynchronously, safely, and efficiently. Basal insulin for Type 2 diabetes, under specific eligibility conditions, fits that profile.

Which Basal Insulins Can Be Refilled Through This Service?

This service covers same-dose continuation of established basal (long-acting or intermediate-acting) insulin for eligible Type 2 diabetes patients. The insulins within scope include:

Insulin glargine — brand names Lantus, Basaglar, Semglee, Toujeo
Insulin detemir — brand name Levemir
Insulin degludec — brand name Tresiba
NPH insulin (isophane) — including Humulin N and Novolin N

These are long-acting or intermediate-acting insulins that provide a relatively flat, predictable background level of insulin coverage. When a patient has been stable on the same dose for at least 3 months, the clinical picture is very different from someone who is newly starting insulin or actively adjusting their regimen.

This service covers same-dose continuation only. No new insulin starts, no dose increases, no dose decreases, and no titration instructions are within scope. If your dose has changed in the last 3 months, this service cannot refill your insulin.

Who Is Eligible — and Who Is Not?

Eligibility for basal insulin refills through DrRefills.com is defined precisely, because precision matters here. Please read both columns of the table below before submitting a request.

Eligible ✓	Not Eligible ✗
Type 2 diabetes diagnosis	Type 1 diabetes (any form)
Stable on the same basal insulin dose for ≥ 3 months	Started current dose less than 3 months ago
Basal (long-acting or intermediate-acting) insulin only	History of diabetic ketoacidosis (DKA)
No recent dose changes	Mealtime (bolus) insulin or rapid-acting insulin
Requesting continuation of an existing prescription	Sliding-scale insulin regimens
Located in a served state at time of request	Premixed insulin products (e.g., 70/30, 75/25)
No active diabetes-related emergency	New insulin starts (no prior prescription)

Why Type 1 Diabetes Is Excluded

Type 1 diabetes involves complete insulin dependence and carries significantly different clinical risks than Type 2. Dose management in Type 1 is more complex, the consequences of errors are more severe, and the condition requires close, ongoing in-person care that is outside the scope of an asynchronous refill service. If you have Type 1 diabetes, please work with your endocrinologist or primary care physician for insulin management.

Why a DKA History Is Excluded

A history of diabetic ketoacidosis signals a higher-risk clinical profile that warrants closer physician oversight than an asynchronous service can appropriately provide. Even if a prior DKA episode was years ago, this exclusion applies.

Why Mealtime, Bolus, Sliding-Scale, and Premixed Insulins Are Excluded

These insulin types are dosed based on what a patient eats, their real-time blood glucose readings, or a combination of both. They require active, individualized titration and clinical judgment that goes beyond a same-dose continuation review. All requests involving these insulin types are routed to physician review and are outside the scope of this refill protocol.

Can I Refill My Other Diabetes and Chronic Medications at the Same Time?

Yes — and this is one of the practical advantages of using DrRefills.com for your basal insulin refill. Many patients on basal insulin for Type 2 diabetes are also managing related conditions with additional medications. Common combinations include:

Metformin (metformin HCl or metformin ER) for blood glucose management
A statin (such as atorvastatin, rosuvastatin, or simvastatin) for cholesterol
An antihypertensive (such as lisinopril, amlodipine, losartan, or metoprolol) for blood pressure

All of these chronic medications — including the basal insulin — can be included in a single refill request under one flat fee. There is no per-medication charge. The fee is $59 for a 30-day supply of all requested chronic medications, or $79 for a 90-day supply. You are only charged if Dr. Nyotowidjojo approves the request.

Each medication in the request still needs to meet the same core criteria: it must be an established medication you've been stable on, you must be requesting the same dose, and it must be a non-controlled substance that is appropriate for asynchronous review.

How the Refill Process Works

Submit your request online. Use the patient intake form at drrefills.com/maya to describe your current medications, doses, and how long you've been on each. You'll answer a brief clinical questionnaire — no video call required.
Your request is reviewed by Dr. Nyotowidjojo. Iwan S. Nyotowidjojo, MD, board-certified in Internal Medicine by the American Board of Internal Medicine (ABIM), personally reviews every request in this category. You can verify his licensure at drrefills.com/licensure.
Prescription sent to your pharmacy. If approved, your prescription is sent electronically to any licensed pharmacy in your state, typically within 1 hour of approval.
You are only charged if approved. The $59 or $79 fee is not collected unless the request is approved. If Dr. Nyotowidjojo determines the request is outside scope or requires in-person evaluation, you will not be charged.

This is a cash-pay service. No insurance is billed, and no insurance is required. HSA and FSA cards are accepted. Your prescription is sent electronically to any licensed pharmacy in your state — you choose where to fill it.

What States Does This Service Cover?

DrRefills.com currently serves patients located in the following states:

California (CA)
Texas (TX)
Florida (FL)
New York (NY)
Illinois (IL)
Pennsylvania (PA)
Ohio (OH)
Georgia (GA)
Michigan (MI)
Minnesota (MN)

Dr. Nyotowidjojo is personally licensed in each state where he sees patients. You can review his state licensure details at drrefills.com/licensure. You must be physically located in one of these states at the time you submit your request.

What This Service Cannot Do

Being clear about what is outside scope is just as important as explaining what is covered. This service is strictly limited to same-dose continuation of established, non-controlled chronic medications. Specifically, this service cannot and does not:

Start insulin or any new medication for you
Increase or decrease your insulin dose or any other medication dose
Provide titration guidance or dosing advice
Manage acute diabetes complications
Replace your endocrinologist or primary care physician
Prescribe controlled substances
Treat new symptoms or new diagnoses
Provide emergency care of any kind

If you are experiencing an active medical emergency — including symptoms of severe hypoglycemia, diabetic ketoacidosis, or any other acute medical crisis — call 911 or go to your nearest emergency department immediately. Do not use this or any online service in place of emergency care.

If you have new symptoms, new concerns about your diabetes management, or your physician has recently recommended a change in your regimen, please schedule an appointment with your prescribing physician. This service is for continuity of an established, stable regimen — not for clinical decision-making.

Stable on Basal Insulin for 3+ Months? Submit Your Refill Request

Type 2 diabetes patients stable on the same basal insulin dose can request a same-dose refill — along with metformin, a statin, or a blood pressure medication — in a single $59 request. Reviewed personally by Dr. Iwan Nyotowidjojo, ABIM board-certified internist. No charge if not approved. Prescription to your pharmacy, typically within 1 hour.

Start my refill →

Frequently Asked Questions

I have Type 2 diabetes and take Lantus (glargine) 20 units at bedtime. My last refill ran out. Am I eligible?

If you have been on the same 20-unit dose for at least 3 months, have no history of DKA, and are located in one of the served states, you may be eligible to submit a refill request through DrRefills.com. The final determination is made by Dr. Nyotowidjojo after reviewing your intake information. No diagnosis or eligibility confirmation can be given before a request is reviewed.

I take Tresiba for Type 2 diabetes and also take metformin and lisinopril. Can I request all three in one submission?

Yes. You can include all three medications — degludec (Tresiba), metformin, and lisinopril — in a single refill request. A single $59 flat fee covers all chronic medications included in one 30-day request, or $79 for a 90-day supply. Each medication still needs to meet the same eligibility criteria: established, same dose, stable for at least 3 months.

My doctor recently adjusted my insulin dose. Can I still request a refill?

No. This service covers same-dose continuation only. If your dose was changed within the last 3 months, the request falls outside the scope of this refill protocol. You would need to return to your prescribing physician for a refill until the new dose has been stable for at least 3 months.

I was diagnosed with Type 1 diabetes as a child but my doctor now says I may have LADA or Type 2. Am I eligible?

Any history of Type 1 diabetes diagnosis makes a patient ineligible for this specific protocol, regardless of subsequent reclassification. If you have uncertainty about your diabetes type, this is an important clinical question to resolve with your physician before using any online refill service for insulin.

Does DrRefills.com accept insurance for the $59 fee?

No. DrRefills.com is a cash-pay service and does not bill insurance for the service fee. HSA and FSA cards are accepted. Note that the $59 or $79 fee covers the physician review service — your pharmacy prescription is a separate transaction, and you may use your insurance at the pharmacy as you normally would for the medication itself.

What happens if my refill request is not approved?

If Dr. Nyotowidjojo reviews your request and determines it is outside the scope of this service — for example, if the clinical picture requires in-person evaluation or falls outside the eligibility criteria — you will not be charged