2027 Medicare Part D Prescription Drug Plans

The following are highlights that will be in place for the 2027 plan year.  

Please note: the actual drug plan options and 2027 benefits will be available for review beginning October 1, 2026.  

• You pay 100% of the drug costs (if applicable) until you reach your annual deductible.
• We expect most plan deductibles to be $700  (up from $615 in 2026), but some plans may have lower or $0 deductibles.  
• Many Part D plans exempt lower-tier medications (like Tier 1 or Tier 2 generics) from the deductible entirely. This results in you only having to meet the deductible on higher tier medications.  
• Insulin covered by Part D and Part B are always excluded from the deductible.  
• Please note: plans with lower deductibles typically have higher monthly premiums and do not guarantee lower out of pocket costs.

• If you have Medicare Part D, you'll pay no cost-sharing (copays or coinsurance) for the remainder of the year on covered Part D drugs when you reach $2,400 in out-of-pocket costs. The cap was $2,100 in 2026.
• In 2027, you'll have the option to pay out-of-pocket costs in monthly installments over the plan year through the Medicare Prescription Payment Plan (MPPP), instead of when they happen (see section below).

Most drug plans will release their 2027 plan benefits to the public by late September 2026. 

The Medicare GLP-1 Bridge Program is a short-term federal initiative running from July 1, 2026, through December 31, 2027, that gives eligible Part D beneficiaries access to specific weight-loss medications for a flat cost of $50 a month    

Covered Medications

• The program covers only three specific GLP-1 products approved for chronic weight management:  Foundayo® (tablets),  Wegovy® (injections or tablets),  Zepbound® (KwikPen® only; single-dose pens and vials are excluded)

 Program Costs

• You pay a fixed $50 per month copayment for a 30-day supply. 
• The cost remains the same regardless of your income or Extra Help status. 
• This $50 payment does not count toward your yearly Part D deductible or out-of-pocket maximum 

 Basic Eligibility Requirements -  to qualify, you must meet all of the following rules: 

• You are enrolled in Medicare Part D drug coverage (standalone plan or Medicare Advantage with drug coverage). 
• You are not already getting a GLP-1 drug covered through your regular Part D plan. 
• You do not have type 2 diabetes, moderate-to-severe sleep apnea, or fatty liver disease (as those may be covered under regular Part D). 
• You are at least 18 years old and meet specific BMI and health risk thresholds (such as a BMI of 35+, or a lower BMI combined with conditions like high blood pressure, heart disease, or prediabetes). 

 How to Get Started

• Talk to your doctor to see if an eligible medication is right for you and if you meet the medical criteria.   
• Your doctor submits a request for prior authorization directly to a central Medicare processing system (outside of your standard Part D plan).
• Once approved, your doctor sends the prescription to a participating pharmacy. 
• Pick up your medication at the pharmacy by presenting your Medicare ID and paying the $50 copay. 

More info here: https://www.medicare.gov/publications/12234-medicare-glp-1-bridge-glp-1-drugs-for-50-a-month.pdf  

The Medicare prescription payment plan was introduced in 2025, and will also be available in 2027.     

• You can spread the out-of-pocket costs for prescription medications into monthly payments over the course of the plan year (the payment plan does not lower your Part D drug costs or save you money).    
• You’ll no longer pay the pharmacy. You will receive a monthly bill from your drug plan and pay the plan directly.  
• You need to enroll in the payment plan by opting in with your plan provider.
• You will also receive a separate bill for your monthly premium if you have one.
• This program may not be a good fit if your Part D drug costs are low and/or consistently the same each month.