Resources
Resources
News and General Resources
Anniversary of the Inflation Reduction Act: Update on CMS Implementation
Inflation Reduction Act Fact Sheet
Inflation Reduction Act FAQ (PDF)
Inflation Reduction Act Implementation Timeline (PDF)
Medicare Drug Price Negotiation Program
The negotiated prices under the Medicare Drug Price Negotiation Program, which the statute refers to as Maximum Fair Prices (MFPs), for 10 drugs covered under Medicare Part D that will go into effect beginning January 1, 2026, based on negotiations and agreements reached between CMS and participating drug companies.
Infographic on Negotiated Prices (Maximum Fair Price) (PDF)
Social Media Toolkit on Negotiated Prices (ZIP)
Please publish/print/repurpose this infographic and social media tool kit to improve awareness of negotiated prices under the Medicare Drug Price Negotiation Program which the statute refers to as Maximum Fair Prices (MFPs), for 10 drugs covered under Medicare Part D that will go into effect beginning January 1, 2026.
Medicare Insulin and Vaccine Benefits
Starting in 2023, people with Medicare Part D coverage pay no more than $35/month per covered insulin product. This benefit expanded to Part B coverage on July 1, 2023. Under the drug law, known as the Inflation Reduction Act, recommended vaccines are available at no cost for people with Medicare prescription drug coverage.
Medicare Part B and D Insulin Benefit article (PDF)
Please publish/print/repurpose this article to improve awareness of expanded insulin benefit in Medicare Part B and D available in multiple languages.
Frequently Asked Questions: Medicare Part B and D Insulin Benefit (PDF)
5 Things to Know about Medicare Insulin costs (PDF)
Medicare Part D Vaccines Benefit article (PDF)
Please publish/print/repurpose this article to improve awareness of the of the expanded benefit for ACIP-recommended vaccines in Medicare available in multiple languages.
Additional materials
Additional materials, such as postcards for insulin and vaccine coverage under Medicare, are available on the Medicare.gov publications section, where users can easily search for materials by title, key word, or publication number in multiple languages.
Medicare Extra Help Benefits Expansion
Beginning January 1, 2024, nearly 300,000 low-income people with Medicare currently enrolled in the Extra Help program are newly eligible for expanded benefits including no deductible, no premiums and fixed, lowered copayments for certain medications. An additional 3 million people could benefit from the Extra Help program now but aren’t currently enrolled.
Extra Help article (PDF)
Please publish/print/repurpose this article to improve awareness of the program and encourage enrollment in Extra Help in multiple languages.
Extra Help social media toolkit
Please publish/print/repurpose the materials in this toolkit to improve awareness of the program and encourage enrollment in Extra Help.
Extra Help postcards
Extra Help postcards, in multiple languages, are available on the Medicare.gov publications section, where users can easily search for materials by title, key word, or publication number.
Medicare Prescription Payment Plan
The Medicare Prescription Payment Plan is a new payment option in the prescription drug law that works with an enrollee’s current drug coverage to help them manage their out-of-pocket Medicare Part D drug costs by spreading them across the calendar year (January-December). Starting in 2025, anyone with a Medicare drug plan or Medicare health plan with drug coverage (like a Medicare Advantage Plan with drug coverage) can use this payment option.
Medicare Prescription Payment Plan Fact Sheet (PDF)
Please publish/print/repurpose this fact sheet to improve awareness of the Medicare Prescription Payment Plan in multiple languages.
Medicare Prescription Payment Plan Takeaway Card (PDF)
Please publish/print/repurpose this takeaway card to improve awareness of the Medicare Prescription Payment Plan in multiple languages.
To order print copies of these CMS products in English, Spanish, Chinese, Korean, or Vietnamese at no cost to you and your organization, follow the instructions here. (PDF)
Catastrophic Cap
For 2024, the prescription drug law places a cap on annual out-of-pocket costs on Part D drugs if a person reaches catastrophic coverage phase in their Medicare prescription drug plan. And, for most people, they may contribute roughly between $3,300 and $3,800 toward the cap of $8,000 in true out-of-pocket (TrOOP) costs, and then pay $0 for covered Part D drugs for the rest of the year.
Lower out-of-pocket drug costs in 2024 and 2025 article (PDF)
Please publish/print/repurpose this article to improve awareness of the out-of-pocket cap in Medicare Part D.
Partner Education Speaking Requests
Are you interested in hearing from a CMS representative about the Inflation Reduction Act as part of an upcoming event? Fill out this Speaking Request Form to request a speaker and learn more about the law.
Page Last Modified:
10/31/2024 04:07 PM