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Medicare Part D Patients Paying More For Generics

Over Half Of Generic Drugs Are Not On Medicare Part D Generic Tiers This Year, Avelere Finds

 
• By Chloe Kent

The latest AAM-sponsored study from Avalere Health has found that, for the third year in the row, an increasing percentage of generic drugs are being placed on higher-cost non-generic tiers, even as the overall price of generic drugs decreases.

3D illustration of a rubber stamp with the text Medicare and pills over paper background
Fewer than half of all generic drugs are on generic formulary tiers • Source: Alamy

An Avalere analysis examining Medicare Part D plan tier placement of generic prescription drugs has found that sponsors are increasingly placing generic drugs on higher tiers over time. Overall, 57% of generic drugs are not on 2022 Part D generic tiers, with Medicare Part D plans placing generic prescription drugs on generic tiers just 43% of the time, a decrease from 65% in 2016.

Dan Leonard, president and CEO of the US Association for Accessible Medicines, which funded the research, said: “Avalere's recent findings add to the growing body of evidence that Medicare Part D plans are

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