Which of the following costs does NOT count towards TrOOP costs?

The monthly premium does not count towards TrOOP (True Out-of-Pocket) costs because TrOOP costs specifically refer to the out-of-pocket expenses that a Medicare Part D enrollee incurs for prescription drugs. These costs are what the enrollee pays directly, such as copayments, coinsurance, and costs incurred during the deductible, initial coverage, and coverage gap phases.

Premiums are paid monthly to maintain coverage, but they do not qualify as costs for medications that would count towards the out-of-pocket threshold set by Medicare. Understanding this distinction is crucial for navigating Medicare Part D plans and determining eligibility for additional assistance programs. While deductibles, initial coverage costs, and coverage gap costs all contribute to TrOOP, premiums remain separate from this calculation.