Frequently Asked Questions about Archive: Closing the Coverage Gap

May, 24 2024 — Not exactly, but in 2025, the Coverage Gap will be eliminated as the third phase of your Medicare Part D drug coverage.

Jul, 25 2019 — No.  The Donut Hole discount only applies to medications that are included on your Medicare prescription drug plan’s formulary or drug list. If you wish to have your non-formulary medicati . . .

May, 27 2023 — All generics covered on your Medicare Part D plan's Formulary will receive the Donut discount.  The discount on generic drugs purchased in the Coverage Gap applies to all generics covered as form . . .

Apr, 20 2024 — It is possible. The Affordable Care Act limits Medicare Part D coverage for applicable drugs to only those drug manufacturers that have an agreement with the Centers for Medicare and Medicaid Services . . .

Jul, 07 2019 — The discount on brand-name drugs purchased in the Coverage Gap is broken into two components, 70% is paid by the drug manufacturer and 5% is paid by your Medicare Part D plan. Medicare (that is, th . . .

Jul, 07 2019 — No.  Only Medicare beneficiaries enrolled in a Medicare Part D prescription drug plan (PDP) or a Medicare Advantage plan that offers a prescription benefit (MA-PD) and who are not enrol . . .