05/19/2026
💊 Medicare drug cost rules changed in 2026. To recap:
✔️ Part D now has a $2,100 annual out-of-pocket cap.
✔️ The maximum deductible is $615 (many plans charge less).
✔️ Insulin costs are capped at $35 or less per month for covered products.
✔️ Medicare negotiated lower prices on 10 high-cost drugs, including Eliquis, Jardiance, Xarelto, Januvia, Farxiga, Entresto, Enbrel, Stelara, Imbruvica, and certain insulin products.
✔️ Many adult vaccines remain $0 under Part D.
Your actual cost still depends on your plan’s structure, pharmacy network, and drug tier placement. If you’re taking prescriptions, especially any one of the negotiated drugs, it’s worth reviewing your coverage. That's what we're here for!