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Prescription Drugs

California Health Advocates > News > Prescription Drugs

Understanding New Rules Regarding Insulin Costs & Rights to Switch Plans

Posted by Karen Joy Fletcher on December 14, 2022

insulin

One of the many good provisions in the Inflation Reduction Act of 2022 (IRA) is the cap on out-of-pocket costs for all insulin drugs. The IRA limits out-of-pocket costs to no more than $35 per 30-day insulin prescription under all Medicare drug prescription plans. Plans also cannot charge a deductible for insulin. This means that a 60-day supply would be no more than $70, … [Read more...] about Understanding New Rules Regarding Insulin Costs & Rights to Switch Plans

Filed Under: Prescription Drugs - Blog, Low-Income Help, Prescription Drugs, Professionals

Learn How the Inflation Reduction Act of 2022 Will Significantly Reduce Drug Costs

Posted by Karen Joy Fletcher on September 1, 2022

Inflation Reduction Act - prescription drugs on a table from a bottle

Last month Congress passed the historic Inflation Reduction Act of 2022. Some of the many significant pieces of this legislation are a plethora of Medicare prescription drug reforms and protections to shield people from high drug costs. This is great news, and the changes coming will help lower prescription drug costs for all people on Medicare, and especially older adults with … [Read more...] about Learn How the Inflation Reduction Act of 2022 Will Significantly Reduce Drug Costs

Filed Under: Prescription Drugs - Blog, Low-Income help, Prescription Drugs

Draft Bill Provides Needed Prescription Drug Pricing Reform

Posted by Karen Joy Fletcher on July 19, 2022

prescription drug, variety of colorful pills

In early July, the Senate Finance Committee drafted legislation to help address the burdensome, high prescription drug prices affecting Medicare beneficiaries, and aims to have it passed through the upcoming reconciliation process. This legislation would allow Medicare to negotiate drug prices, cap beneficiary out-of-pocket costs to $2,000 annually starting in 2025, and … [Read more...] about Draft Bill Provides Needed Prescription Drug Pricing Reform

Filed Under: Prescription Drugs, Prescription Drugs - Blog

Don’t Believe the Lies ~ Medicare Drug Negotiations Savings Would Be ReInvested for More Medicare Benefits

Posted by Karen Joy Fletcher on October 21, 2021

Diverse Hands Holding The Word Wellbeing

Much to pharmaceutical companies' benefit, Medicare has been barred from negotiating for the lowest drug prices when paying for the Part D prescription drug benefit. This translates to unnecessarily higher costs for both beneficiaries and Medicare. Currently both the House and Senate are looking at various proposals that would give Medicare drug price negotiation power. One is … [Read more...] about Don’t Believe the Lies ~ Medicare Drug Negotiations Savings Would Be ReInvested for More Medicare Benefits

Filed Under: Prescription Drugs - Blog, Fraud & Abuse, Medicare Basics, Prescription Drugs, Professionals

Biden Administration Rescinds Proposed Part D Changes That Would Have Weakened Access to Essential Medications

Posted by Karen Joy Fletcher on April 2, 2021

person holding young plant with soil in hands outsdie

Last month, the Biden Administration rescinded proposed Part D changes by the former administration that would've restricted people's access to important categories of drugs, such as antidepressants and immunosuppressants. The Trump Administration made these changes on January 19, one day before Biden's inauguration. The proposed changes pertained to Part D demonstration … [Read more...] about Biden Administration Rescinds Proposed Part D Changes That Would Have Weakened Access to Essential Medications

Filed Under: Prescription Drugs, Prescription Drugs - Blog, Professionals

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Do you have comments or concerns about your Medicare coverage? Issues regarding getting your needed prescriptions from your Part D plan, or a Medicare Advantage plan representative's marketing practices? Let us know at comments@cahealthadvocates.org.

We are dedicated to making Medicare's program work well for all beneficiaries. Your feedback from your own or your client's concerns and experiences with Medicare, will guide our Medicare advocacy efforts with key policy and decision-makers in both California and nationally with the Centers for Medicare and Medicaid Services (CMS) and Congress.

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