LOS ANGELES (AP) — Gov. Gavin Newsom said Thursday that California will begin selling affordable insulin under its own label on Jan. 1, nearly three years after he first announced a partnership to sell state-branded generic drugs at lower prices.
But California won’t be the only state making lower-cost insulin available. The nonprofit Civica said it will also distribute its economical diabetes medication to pharmacies nationwide. California began partnering with Civica in 2023 for its “CalRx” brand of insulin and put $50 million toward its development, the company said.
Starting in the new year, insulin pens will be available at a recommended price of $11 per pen, or a maximum of $55 for a five-pack, Civica said.
“You don’t need a new prescription,” Newsom said at a news conference in Los Angeles. “It's access on the basis of affordability.”
It is one piece of California's effort to lower prescription drug costs by offering generics as a cheaper alternative. Newsom announced in April that the state will sell the overdose medication Naloxone. The drug, available as a nasal spray and in an injectable form, is considered a key tool in the battle against a nationwide overdose crisis.
For the insulin development, the state entered a 10-year deal with Civica and Biocon Biologics in early 2023. Officials said then that they hoped California’s emergence as an insulin-maker would prompt prices to collapse.
The new pens will be interchangeable with glargine, the generic alternative for more expensive once-a-day injections that regulates blood sugar. As a comparison, the equivalent of a five-pack of Eli Lilly's Rezvoglar sells to pharmacies for more than $88, according to data compiled by the governor’s office, but consumers may pay a different price based on their insurance.
About 38 million Americans — and roughly 3.5 million Californians — have diabetes, according to the American Diabetes Association.
Chris Noble, organizing director of Health Access California, a statewide consumer health care advocacy group, welcomed Newsom’s announcement, saying efforts by California and others to develop a competing generic will bring relief to patients who have seen drug prices spike in recent years.
“California consumers need relief now, so health advocates are relieved to see CalRx moving quickly to lower insulin costs for the people of California while continuing to pursue other needed prescription drug cost solutions," Noble said in a statement Thursday.
There could be risks. State analysts have warned that California's entry into the market could prompt other manufacturers to reduce the availability of their drugs, a potential unintended consequence.
State lawmakers approved $100 million for the project in 2022, with $50 million dedicated to developing three types of insulin and the rest set aside to invest in a manufacturing facility.
According to state documents from 2023, the proposed program could save many patients between $2,000 and $4,000 a year. In addition, lower costs could result in substantial savings because the state buys the product every year for the millions of people on its publicly funded health plans.
California Gov. Gavin Newsom announces CalRx-branded insulin glargine pens available next Jan. 1, 2026, at a suggested retail price of no more than $55 per five-pack, or $11 per pen, during a news conference at Cedar-Sinai's Mark Goodson pharmacy in Los Angeles Thursday, Oct. 16, 2025. Secretary Kim Johnson, Cal HHS Agency, middle. (AP Photo/Damian Dovarganes)
A composite for the upcoming CalRx-branded Insulin Glargine pens available next Jan. 1, 2026, at a suggested retail price of no more than $55 per five-pack, or $11 per pen, is displayed at during a Gov. Gavin Newson's news conference at Cedar-Sinai's Mark Goodson pharmacy in Los Angeles, Thursday, Oct. 16, 2025. (AP Photo/Damian Dovarganes)
California Gov. Gavin Newsom announces CalRx-branded insulin glargine pens available next Jan. 1, 2026, at a suggested retail price of no more than $55 per five-pack, or $11 per pen, during a news conference at Cedar-Sinai's Mark Goodson pharmacy in Los Angeles, Thursday, Oct. 16, 2025. (AP Photo/Damian Dovarganes)
HAVANA (AP) — Cuban soldiers wearing white gloves marched out of a plane on Thursday carrying urns with the remains of the 32 Cuban officers killed during a stunning U.S. attack on Venezuela as trumpets and drums played solemnly at Havana's airport.
Nearby, thousands of Cubans lined one of Havana’s most iconic streets to await the bodies of colonels, lieutenants, majors and captains as the island remained under threat by the administration of U.S. President Donald Trump.
The soldiers' shoes clacked as they marched stiff-legged into the headquarters of the Ministry of the Armed Forces, next to Revolution Square, with the urns and placed them on a long table next to the pictures of those killed so people could pay their respects.
Thursday’s mass funeral was only one of a handful that the Cuban government has organized in almost half a century.
Hours earlier, state television showed images of more than a dozen wounded people described as “combatants” accompanied by Cuban Foreign Minister Bruno Rodríguez arriving Wednesday night from Venezuela. Some were in wheelchairs.
Those injured and the remains of those killed arrived as tensions grow between Cuba and the U.S., with Trump recently demanding that the Caribbean country make a deal with him before it is “too late.” He did not explain what kind of deal.
Trump also has said that Cuba will no longer live off Venezuela's money and oil. Experts warn that the abrupt end of oil shipments could be catastrophic for Cuba, which is already struggling with serious blackouts and a crumbling power grid.
Officials unfurled a massive flag at Havana's airport as President Miguel Díaz-Canel, clad in military garb as commander of Cuba's Armed Forces, stood silent next to former President Raúl Castro, with what appeared to be the relatives of those killed looking on nearby.
Cuban Interior Minister Lázaro Alberto Álvarez Casa said Venezuela was not a distant land for those killed, but a “natural extension of their homeland.”
“The enemy speaks to an audience of high-precision operations, of troops, of elites, of supremacy,” Álvarez said in apparent reference to the U.S. “We, on the other hand, speak of faces, of families who have lost a father, a son, a husband, a brother.”
Álvarez called those slain “heroes,” saying that they were an example of honor and “a lesson for those who waver.”
“We reaffirm that if this painful chapter of history has demonstrated anything, it is that imperialism may possess more sophisticated weapons; it may have immense material wealth; it may buy the minds of the wavering; but there is one thing it will never be able to buy: the dignity of the Cuban people,” he said.
Thousands of Cubans lined a street where motorcycles and military vehicles thundered by with the remains of those killed.
“They are people willing to defend their principles and values, and we must pay tribute to them,” said Carmen Gómez, a 58-year-old industrial designer, adding that she hopes no one invades given the ongoing threats.
When asked why she showed up despite the difficulties Cubans face, Gómez replied, “It’s because of the sense of patriotism that Cubans have, and that will always unite us.”
Cuba recently released the names and ranks of 32 military personnel — ranging in age from 26 to 60 — who were part of the security detail of Venezuelan President Nicolás Maduro during the raid on his residence on January 3. They included members of the Revolutionary Armed Forces and the Ministry of the Interior, the island’s two security agencies.
Cuban and Venezuelan authorities have said that the uniformed personnel were part of protection agreements between the two countries.
A demonstration was planned for Friday across from the U.S. Embassy in an open-air forum known as the Anti-Imperialist Tribune. Officials have said they expect the demonstration to be massive.
“People are upset and hurt. There’s a lot of talk on social media; but many do believe that the dead are martyrs” of a historic struggle against the United States, analyst and former diplomat Carlos Alzugaray told The Associated Press.
In October 1976, then-President Fidel Castro led a massive demonstration to bid farewell to the 73 people killed in the bombing of a Cubana de Aviación civilian flight financed by anti-revolutionary leaders in the U.S. Most of the victims were Cuban athletes.
In December 1989, officials organized “Operation Tribute” to honor the more than 2,000 Cuban combatants who died in Angola during Cuba’s participation in the war that defeated the South African army and ended the apartheid system. In October 1997, memorial services were held following the arrival of the remains of guerrilla commander Ernesto “Che” Guevara and six of his comrades, who died in 1967.
The latest mass burial is critical to honor those slain, said José Luis Piñeiro, a 60-year-old doctor who lived four years in Venezuela.
“I don’t think Trump is crazy enough to come and enter a country like this, ours, and if he does, he’s going to have to take an aspirin or some painkiller to avoid the headache he’s going to get,” Piñeiro said. “These were 32 heroes who fought him. Can you imagine an entire nation? He’s going to lose.”
A day before the remains of those killed arrived in Cuba, U.S. Secretary of State Marco Rubio announced $3 million in aid to help the island recover from the catastrophic Hurricane Melissa, which struck in late October.
The first flight took off from Florida on Wednesday, and a second flight was scheduled for Friday. A commercial vessel also will deliver food and other supplies.
“We have taken extraordinary measures to ensure that this assistance reaches the Cuban people directly, without interference or diversion by the illegitimate regime,” Rubio said, adding that the U.S. government was working with Cuba's Catholic Church.
The announcement riled Cuban Foreign Minister Bruno Rodríguez.
“The U.S. government is exploiting what appears to be a humanitarian gesture for opportunistic and politically manipulative purposes,” he said in a statement. “As a matter of principle, Cuba does not oppose assistance from governments or organizations, provided it benefits the people and the needs of those affected are not used for political gain under the guise of humanitarian aid.”
Coto contributed from San Juan, Puerto Rico.
Follow AP’s coverage of Latin America and the Caribbean at https://apnews.com/hub/latin-america
Military members pay their last respects to Cuban officers who were killed during the U.S. operation in Venezuela that captured Venezuelan President Nicolas Maduro, at the Ministry of the Revolutionary Armed Forces where the urns containing the remains are displayed during a ceremony in Havana, Cuba, Thursday, Jan. 15, 2026. (AP Photo/Ramon Espinosa)
A motorcade transports urns containing the remains of Cuban officers, who were killed during the U.S. operation in Venezuela that captured Venezuelan President Nicolas Maduro, through Havana, Cuba, Thursday, Jan. 15, 2026. (AP Photo/Ramon Espinosa)
Soldiers carry urns containing the remains of Cuban officers, who were killed during the U.S. operation in Venezuela that captured Venezuelan President Nicolas Maduro, at the Ministry of the Revolutionary Armed Forces in Havana, Cuba, Thursday, Jan. 15, 2026. (Adalberto Roque /Pool Photo via AP)
A motorcade transports urns containing the remains of Cuban officers, who were killed during the U.S. operation in Venezuela that captured Venezuelan President Nicolas Maduro, through Havana, Cuba, Thursday, Jan. 15, 2026. (AP Photo/Ramon Espinosa)
A motorcade transports urns containing the remains of Cuban officers, who were killed during the U.S. operation in Venezuela that captured Venezuelan President Nicolas Maduro, through Havana, Cuba, Thursday, Jan. 15, 2026. (AP Photo/Ramon Espinosa)
People line the streets of Havana, Cuba, Thursday, Jan. 15, 2026, to watch the motorcade carrying urns containing the remains of Cuban officers killed during the U.S. operation in Venezuela that captured Venezuelan President Nicolas Maduro. (AP Photo/Ramon Espinosa)
Workers fly the Cuban flag at half-staff at the Anti-Imperialist Tribune near the U.S. Embassy in Havana, Cuba, Monday, Jan. 5, 2026, in memory of Cubans who died two days before in Caracas, Venezuela during the capture of Venezuelan President Nicolas Maduro by U.S. forces. (AP Photo/Ramon Espinosa)
