Can My Drug Cost Go Over $2000 On a Part D Plan if a Drug is not on Formulary?
Posted: February 4, 2025
Yes, your drug costs can exceed $2,000 on a Medicare Part D plan if the drug is not on your plan’s formulary (the list of covered drugs). The $2,000 out-of-pocket cap (starting in 2025) only applies to covered drugs. What Happens If a Drug Is Not on the Formulary? You Pay Full Price – If a medication is not on your plan’s formulary, Medicare does...