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Medicare Drug Costs

Part D and Medicare Advantage drug coverage sets what beneficiaries pay for prescriptions. Starting in 2025 a yearly out-of-pocket cap limits total drug spending, replacing the old coverage gap.

What is the Medicare Part D prescription out-of-pocket cap?

June 30, 2026June 28, 2026 by HealthInsuranceFAQs

Starting in 2025, Medicare Part D caps what you pay out of pocket for covered prescriptions each year. The cap is $2,000 in 2025 and rises with inflation to $2,100 in 2026. After you hit it, covered drugs cost you nothing for the rest of the year.

Categories Costs & Affordability Tags Cost-Sharing, Medicare Drug Costs, Prescription Drugs

Health Insurance FAQs is researched carefully and believed to be accurate and current, but it is general information, not legal, tax, or insurance advice.

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