Medicare Expands Drug Price Negotiations and Adjusts Out-of-Pocket Costs for 2027
Medicare's drug price negotiation program is set to expand, with negotiated prices for an additional 15 Part D drugs taking effect on January 1, 2027. This follows the initial implementation of negotiated prices for the first 10 Part D drugs on January 1, 2026. The Centers for Medicare & Medicaid Services (CMS) continues to outline how drugs are selected, prices are calculated, and how manufacturers who decline to negotiate are handled under the Inflation Reduction Act of 2022. For 2027, the maximum standard Part D deductible will increase to $700, up from $615 in 2026. Additionally, the out-of-pocket threshold for covered Part D drugs will be capped at $2,400 for the year, an increase from $2,100 in 2026. Once this threshold is met, beneficiaries will pay $0 for covered Part D drugs for the remainder of the year. The Medicare GLP-1 Bridge program will also provide access to certain GLP-1 weight-loss medications for qualifying individuals with a $50 copayment for a monthly supply, operating differently fro...