What imbalance exists in prescription drug spending, and how has it impacted overall costs?

In 2025, Medicare eliminated the Part D Coverage Gap (a.k.a. Donut Hole). This now limits the consumer from spending over $2000 on all covered prescription drugs. However, not all plans may cover all of your medications, so ensure you verify Part D plan options in your zip code at www.Medicare.Gov.

Answered by Christopher Boyd on March 4, 2025

Agent Licensed in IN, KY, MI, OH, PA & TN

Answered by Christopher Boyd Medicare Insurance Agent
Prescription drug costs are too high. Max out of pocket yearly will help a great deal though. Going from over $5000 to $2000 max

Answered by Martin Cahill on March 4, 2025

Agent Licensed in MA, CT, FL & 5 other states

Answered by Martin Cahill Medicare Insurance Agent
A recent report highlighted a stark imbalance where generic drugs, despite being 91.5% of prescriptions, only represent 12.9% of the drug spending, while brand-name drugs, at 8.5%, account for 87.1% of costs. This disparity contributed to an 11.4% increase in drug spending, reaching $450 billion, primarily due to rising costs for treatments of diabetes and obesity.

Answered by Brian Moore on February 16, 2025

Broker Licensed in OH

Answered by Brian Moore Medicare Insurance Agent

Tags: Medicare Part D Prescription Drug