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Coverage

Coverage

insurance coverage for pharmaceuticals

STATE ASSISTANCE PROGRAMS

This report provides in-depth descriptions of state-sponsored prescription drug subsidy and discount programs in over 40 states, most authorized or operational for 2012.  It includes features for policymakers, health professionals and consumers.

 

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MEDICARE DRUG COVERAGE

The federal Affordable Care Act established lower drug costs for high-cost patients in the Medicare Rx coverage gap or “donut hole.” About 2.75 million seniors have  saved $6.1 billion since the discounts began in 2010.  This program also saves state funds in some jurisdictions that run state-only pharmaceutical assistance programs. [Updated 10/3/2013]Continue

 

 

OVERVIEW

In recent years, coverage of and access to many pharmaceuticals has expanded significantly.  Medicare Part D coverage, state pharmaceutical assistance programs, large retailer discounts, combined with manufacturer patient discount programs have benefitted tens of millions.  The Affordable Care Act makes prescription drugs a required “Essential Health Benefit starting Jan.2014, with substantial variation across states and some variation among offered plans.  Medicaid pharmaceuticals provide a decades-old but growing safety-net for 50 million more. [updated 10/3/2013]

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