In the coverage gap, what percentage do members pay for most brand-name drugs?

In the coverage gap, members typically pay 25% for most brand-name drugs. This is a key feature of the Medicare Part D plan, which outlines how costs are shared between the plan and its beneficiaries during this specific phase of their prescription drug coverage. During the coverage gap, after an initial coverage limit has been reached, beneficiaries are responsible for a larger portion of their drug costs until catastrophic coverage kicks in. The 25% cost-sharing for brand-name drugs is designed to help manage out-of-pocket expenses while still providing necessary medication access, thereby balancing the financial responsibilities of both the insurer and the insured.