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Diane Publishing Books
Medicare Part D Coverage Gap: Discount Program Effects and Brand-Name Drug Price Trends
John E. Dicken (au)
The Patient Protection and Affordable Care Act of 2010 established the Discount Program to help Medicare Part D beneficiaries with their prescription drug costs while in the coverage gap, which occurs between the initial and catastrophic coverage periods where Medicare helps pay for drug costs. Until the Discount Program began in 2011, beneficiaries in the coverage paid 100% of drug costs. The Discount Program required manufacturers to provide a 50% discount on the price of brand-name drugs for beneficiaries in the gap. This report describes (1) the Centers for Medicare and Medicaid Servicesäó» (CMS) oversight of the Discount Programs; (2) perspectives of plan sponsors, manufacturers, and pharmacy benefit managers (PBMs) on the effects of the Discount Program; and (3) how prices for brand-name drugs used by beneficiaries in the coverage gap changed before and after the start of the Discount Program. Figures and tables. This is a print on demand report.
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