MedicarePartD.guide

A non-government resource built from CMS public data

Archive: How much do I have to pay for generics in the donut hole in 2011, 2012, 2013,2014, 2015, etc. until it reaches 25%

Archive · updated May 31, 2023

Even if your Medicare Part D plan has no coverage in the gap, starting in 2011, you receive a discount on your medications while in the coverage gap. For generic drugs, you would pay the following percentage of your plan's negotiated retail price:

2011: 93%
2012: 86%
2013: 79%
2014: 72%
2015: 65%
2016: 58%
2017: 51%
2018: 44%
2019: 37%
2020: 25%

For more information about the Donut Hole discount please also see our Frequently Asked Question: "What kind of discount can we expect in the Medicare Part D Donut Hole or Coverage Gap?" found on this site