Drug Protections and Negotiated Prices

While some costs are increasing, several protections designed to help limit prescription drug expenses will continue in 2027:

• Prescription drug costs remain capped. In 2027, you’ll pay no more than $2,400 out of pocket for covered Part D drugs. Once you reach that amount, you won’t pay anything for covered Part D drugs for the rest of the year.¹

• Insulin remains capped at $35 for a month’s supply of each covered insulin product, with no deductible.²

• Recommended adult vaccines remain covered at no cost under Part D, including vaccines for shingles and RSV.³

• The Medicare Prescription Payment Plan continues. This optional program allows you to spread your out-of-pocket prescription drug costs throughout the year instead of paying larger amounts at the pharmacy all at once.⁴

• Extra Help continues to provide assistance with Part D premiums and other prescription drug costs for people who qualify based on income and resources.⁵

More Prescription Drugs Will Have Medicare-Negotiated Prices

Another change takes effect January 1, 2027: 15 additional prescription drugs will have prices negotiated by Medicare, joining the first 10 drugs with negotiated prices that took effect in 2026.⁶ The 2027 list includes medications such as Ozempic, Rybelsus, and Wegovy, along with drugs used to treat cancer, asthma, and other conditions.⁷

Keep in mind that a lower negotiated price doesn’t necessarily mean every person will have a lower copay. What you pay will still depend in part on your specific Medicare drug plan and how it covers your medications. That’s another reason to check your plan’s formulary, its list of covered medications, before deciding whether to keep your coverage for 2027.

Comparing Prices with TrumpRx.gov

TrumpRx.gov is a federal website that shows cash prices and coupons for some prescription drugs.⁸ When you use TrumpRx and other discount cards instead of your Medicare plan, what you spend doesn’t count toward your deductible or your $2,400 out-of-pocket limit.⁹ Before you decide, compare the TrumpRx.gov price with what you’d pay under your plan.

SOURCES

1. “How much does Medicare drug coverage cost?” Medicare.gov, https://www.medicare.gov/health-drug-plans/part-d/basics/costs. Accessed 22 October 2026.

2. “Insulin.” Medicare.gov, https://www.medicare.gov/coverage/insulin. Accessed 22 October 2026.

3. “Medicare Part D Vaccines.” MLN908764. CMS.gov, July 2026, https://www.cms.gov/files/document/mln908764-medicare-part-d-vaccines.pdf. Accessed 23 October 2026.

4. “Medicare Prescription Payment Plan.” CMS.gov, https://www.cms.gov/inflation-reduction-act-and-medicare/part-d-improvements/medicare-prescription-payment-plan. Accessed 22 October 2026.

5. “2027 Medicare Advantage and Part D Landscape: State-by-State Fact Sheets.” CMS.gov, https://www.cms.gov/files/document/2027-medicare-advantage-part-d-landscape-state-state-fact-sheets.pdf. Accessed 22 October 2026.

6. “Selected Drugs and Negotiated Prices.” CMS.gov, https://www.cms.gov/initiatives/medicare-prescription-drug-affordability/overview/medicare-drug-price-negotiation-program/selected-drugs-negotiated-prices. Accessed 22 October 2026.

7. “Medicare Drug Price Negotiation Program: Selected Drugs for Initial Price Applicability Year 2027.” CMS.gov, 17 January 2025, https://www.cms.gov/files/document/factsheet-medicare-negotiation-selected-drug-list-ipay-2027.pdf. Accessed 22 October 2026.

8. “Your Medicare in 2027: What’s New & Changing.” 12229. Medicare.gov, https://www.medicare.gov/publications/12229-your-medicare-in-2027-whats-new-and-changing.pdf. Accessed 27 October 2026.

9. “Help with drug costs.” Medicare.gov, https://www.medicare.gov/basics/costs/help/drug-costs. Accessed 27 October 2026.