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Lower Prescription Drug Costs: Pay Less for Medications

New rules aim to reduce out-of-pocket prescription drug costs for citizens. Starting in 2025, your co-insurance for drugs will be based on the actual price after rebates, not the list price. This means you could pay less for your medications, especially if you have high co-insurance or haven't met your deductible yet.
Key points
Co-insurance calculation change: Your co-insurance for prescription drugs will be based on the drug's price after all rebates and discounts, not the initial list price.
Potential savings: This could lead to lower out-of-pocket expenses for your medications, particularly if you have a high co-insurance obligation.
Effective from 2025: These new rules will apply to plan years beginning on or after January 1, 2025.
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Additional Information
Prescription Drug Rebate Reform Act of 2023
Print number: HR 6856
Sponsor: Rep. Gallagher, Mike [R-WI-8]
Process start date: 2023-12-19