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Under the 2022 prescription drug law, which AARP supported, drugmakers that raise their prices more than the rate of general inflation have to pay a penalty to Medicare for the amount of the price hike that exceeded inflation.
This new $2,000 cap (indexed annually to the rate of change in Part D costs) comes on top of the elimination of 5% coinsurance in the catastrophic coverage phase of the Part D benefit, in effect for 2024, which translates to a cap of about $3,300 out of pocket for brand-name drugs.
A $2,000 annual cap on out-of-pocket costs in Medicare Part D in 2025; and. Medicare directly negotiating drug prices with manufacturers.
We can see some general trends, but there are some cases where drug pricing varies between neighboring states or cities. This data is based on cash prices for the 500 most commonly prescribed medications in 30 U.S. cities. The Most and Least Expensive Cities for Prescription Medications - GoodRx goodrx.com healthcare-access research goodrx.com healthcare-access research
This overview page provides links to important plan information on the Medicare Part D prescription drug benefit, first enacted under the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003. Prescription Drug Coverage - General Information - CMS cms.gov medicare prescription-drug-cov cms.gov medicare prescription-drug-cov
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$2,000 a year In 2025, Medicare beneficiaries wont have to pay more than $2,000 a year in copays or coinsurance for the prescription drugs their plan covers. Medicare Out-of-Pocket Drug Cap Will Help Millions - AARP aarp.org health out-of-pocket-cost-analysis aarp.org health out-of-pocket-cost-analysis
In 2024, once your out-of-pocket spending docHubes $8,000 (including certain payments made on your behalf, like through the Extra Help program), youll automatically get catastrophic coverage. This means youll pay nothing for your covered Part D drugs for the rest of the calendar year.

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