The lack of an OOP cap is one of the biggest challenges inhibiting Medicare Part D from being even more successful in meeting the health care needs of Medicare beneficiaries.
MAPRx urges the Committees to establish an OOP cap for Medicare Part D to limit the amount Medicare beneficiaries pay for covered prescription drugs. Your draft legislation is a good starting point in considering such a cap. MAPRx also recommends a monthly cap (or other mechanism) that would allow total OOP costs to be distributed more evenly throughout the year. This would ease the financial strain for Medicare beneficiaries who currently are faced with paying a significant percentage of their total OOP financial burden at the beginning of each benefit year.
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