Medicare’s Insulin Demo Project Likely Depends On Plan Interest

Manufacturers are on board for ‘Part D Senior Savings Model’ that would set a $35 copay cap, but added risk corridor payments may be the key to getting PBMs to offer the enhanced plans focused on reducing insulin costs for patients.

Diabetes

The success of US Medicare program’s demonstration program to offer flat copays on insulin products could depend on whether pharmaceutical benefit managers believe they can effectively set premiums for the enhanced plans.

Under the demonstration, announced on 11 March as the “Part D Senior Savings Model,” Medicare drug plans will be able...

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