Capping Drug Costs for Seniors in Medicare Part D
The Act amends the Medicare Part D program to establish an annual out-of-pocket spending cap for prescription drugs of $2,000 starting in 2025. It also creates a manufacturer discount program for eligible beneficiaries and redesigns the benefit structure, including modifications to reinsurance rules and the sunsetting of the coverage gap discount program.
Key points
Establishment of an annual out-of-pocket spending cap for prescription drugs in Medicare Part D set at $2,000 beginning in 2025.
Implementation of a manufacturer discount program providing access to discounted prices effective January 1, 2025.
Redesign of the Medicare Part D benefit structure, including changes to reinsurance payments and the sunset of the coverage gap discount program.
Expired
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