How much is cost sharing for prescription drug coverage when someone enters catastrophic coverage?
Once an individual’s out-of-pocket spending reaches $8,000 in 2024 (including payments made by ADAP on a client’s behalf), the individual will automatically transition to the “catastrophic coverage” phase. Once in this phase, the individual (as well as ADAP) will pay nothing for covered Part D drugs for the rest of the calendar year.
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