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Part D (Medicare drug coverage) helps cover cost of prescription drugs, may lower your costs and protect against higher costs.
Find out how to get Medicare drug coverage. Learn about Medicare drug plans (Part D), Medicare Advantage Plans, more. Get the right Medicare drug plan for you.
All Medicare drug plans generally must cover at least 2 drugs per drug category, but plans can choose which drugs covered by Part D they will offer. The formulary might not include your specific drug.
You pay your Part D IRMAA directly to Medicare, not to your plan or employer. You’re required to pay the Part D IRMAA, even if your employer or a third party (like a teacher’s union or a retirement system) pays for your Part D plan premiums.
Medicare calculates the penalty by multiplying 1% of the "national base beneficiary premium" ($34.70 in 2024) times the number of full, uncovered months you didn't have Part D or creditable coverage. The monthly penalty is rounded to the nearest $.10 and added to your monthly Part D premium.
The cost of a one-month supply of each Part D-covered insulin is capped at $35, and you don't have to pay a deductible. If you get a 60- or 90-day supply of insulin, your costs can’t be more than $35 for each month’s supply of each covered insulin.
extra amount is called the Part D Income Related Monthly Adjustment Amount, sometimes called “Part D IRMAA”. You’ll have to pay this extra amount in addition to your monthly Part D plan premium. Who will have to pay the extra amount? Fewer than 5% of all people with Medicare have to pay the extra amount. This
New for 2025: $2,000 cap on covered Part D drugs. Starting in 2025, all Medicare plans will include a $2,000 cap on what you pay out-of-pocket for prescription drugs covered by your plan.
Learn about how Medicare Part D (drug coverage) works with other coverage, like employer or union health coverage.
Part D (Drug coverage) Part D helps cover the cost of prescription drugs (including many recommended shots or vaccines). You join a Medicare drug plan in addition to Original Medicare , or you get it by joining a Medicare Advantage Plan with drug coverage.