2025 Part D Moop will be lower than 2000.00?

[DonP]

I feel sorry for some independent pharmacies. I met one here who is really struggling, says she can’t make money on most of the carriers. She says the ONLY PDP she will accept is United Healthcare.
That’s not the first time I’ve heard such a story.

Look no further than Walgreens stock . Near a 30 yr low down 95% from all time highs . There pharmacy is dieing . When I see all the low income people I deal with doing mail order now I know it’s tough times ahead for pharmacies. The cvs’s only make money if you come in the store and buy there crazy expensive other items

 

[renee15]

heard from a trusted source today that because of something in the Inflation Reduction Act the calculations for the 2000.00 moop will be based on the standard part D model which for 2025 is 590.00 deductible and 25% in initial stage and whether or not a part D plan has a deductible the consumer gets credit for 590.00 deductible and 25% after that.So lets say someone is on Ozempic at tier 3 and cost of drug is 1000.00 their real moop will be about 270.00 even though consumer is only paying tier 3 copay of say 45.00 they are getting a 250.00 credits each month ( 25% of 1000.00) towards their moop so after about 6 months( 250.00 x 6) or 45.00 copay x 6= 270.00 oop they have reached moop of 2000.00

Carriers will have to eat these additional cost whether or not a plan has a deductible so we may see part d deductible on mapd next year- or formulary reductions.

yes-UHC showed slides with a similar example