What Medicare covers
Which drugs have Medicare negotiated prices?
Compare Medicare options near you
Answer 3 quick questions to see Medicare listings from licensed insurance partners.
What’s your ZIP code?
Plan availability is set by your county, so we start here.
How old are you?
This helps match you with options you’re eligible for.
Do you have Medicare Parts A & B?
This affects which Medicare options you can choose.
These listings are provided by licensed insurance partners.
Medicare Advantage plans in your area are changing or leaving for 2027.
Is your plan one of them? Call now — one free call tells you.
Available now — current wait: 0 min
A real person answers. No phone menu, ever.
Medicare Advantage plans in your area are changing or leaving for 2027.
Is your plan one of them? Call now — one free call tells you.
Available now — current wait: 0 min
A real person answers. About 5 minutes, no obligation.
Agents available Mon–Fri, 8am–6pm CT
Want to see more plan options?
Answer a few more questions to continue to additional options from licensed partners.
Continue →Advertising disclosure: MyMedicarePlans.org may be compensated when you contact a partner or licensed agent. Listings are not ranked or endorsed by us, and we do not recommend specific plans. You can also contact Medicare.gov or 1-800-MEDICARE.
Speak to a Licensed Insurance Agent
Click to call 855-729-3240Found a plan you like online?
One free call confirms it's actually right for you — online directories are wrong more often than you'd think.
- Your doctors — confirmed in-network for 2027
- Your prescriptions — checked against the plan's 2027 drug tiers
855-729-3240 · free · about 5 minutes
Short answer
Medicare's negotiated prices took effect January 1, 2026 for the first 10 Part D drugs, including Eliquis, Jardiance, Xarelto, Januvia, Farxiga and NovoLog and Fiasp insulin.
Negotiated prices for 15 more Part D drugs, including Ozempic, Rybelsus and Wegovy, take effect January 1, 2027, and CMS is negotiating a third group of 15 drugs in 2026, the first to include drugs covered under Part B, for prices that start in 2028.
What you pay at the pharmacy still depends on your plan's deductible, copays or coinsurance, and on the Part D out-of-pocket cap.
| Fact | Figure | Source |
|---|---|---|
| Created by | The Inflation Reduction Act of 2022 | CMS |
| First negotiated prices | January 1, 2026: 10 Part D drugs | CMS |
| Second round | January 1, 2027: 15 Part D drugs | CMS |
| Third round | Negotiated in 2026 for 2028: 15 drugs, including Part B drugs | CMS |
| Applies in | Stand-alone Part D plans and Medicare Advantage plans with drug coverage | CMS |
What is Medicare drug price negotiation?
The Inflation Reduction Act of 2022 lets Medicare negotiate the price of some high-cost drugs that have been on the market for years without competition. The negotiated price (the law calls it the maximum fair price) applies when the drug is dispensed to someone with Medicare drug coverage, in stand-alone Part D plans and in Medicare Advantage plans with drug coverage.
Which drugs have negotiated prices in 2026?
| Drug | Commonly used for |
|---|---|
| Eliquis | Blood clots and stroke prevention |
| Jardiance | Type 2 diabetes, heart failure, kidney disease |
| Xarelto | Blood clots and stroke prevention |
| Januvia | Type 2 diabetes |
| Farxiga | Type 2 diabetes, heart failure, kidney disease |
| Entresto | Heart failure |
| Enbrel | Rheumatoid arthritis, psoriasis |
| Imbruvica | Blood cancers |
| Stelara | Psoriasis, Crohn's disease |
| NovoLog / Fiasp | Diabetes (insulin) |
Which drugs get negotiated prices in 2027?
| Drug | Commonly used for |
|---|---|
| Ozempic, Rybelsus, Wegovy (semaglutide) | Type 2 diabetes; heart-risk reduction (Wegovy) |
| Trelegy Ellipta | COPD, asthma |
| Xtandi | Prostate cancer |
| Pomalyst | Multiple myeloma |
| Ibrance | Breast cancer |
| Ofev | Pulmonary fibrosis |
| Linzess | Chronic constipation, IBS |
| Calquence | Blood cancers |
| Austedo, Austedo XR | Movement disorders |
| Breo Ellipta | COPD, asthma |
| Tradjenta | Type 2 diabetes |
| Xifaxan | IBS, liver disease |
| Vraylar | Schizophrenia, bipolar disorder, depression |
| Janumet, Janumet XR | Type 2 diabetes |
| Otezla | Psoriasis, psoriatic arthritis |
Will my copay go down?
It depends on your plan. A plan's coinsurance is a share of the drug's price, so a lower price can lower what you pay when you owe coinsurance or are in the deductible stage. A flat copay may not change. Plans also decide which drugs are on their lists and on which tier. Either way, your out-of-pocket costs for covered drugs stop at the Part D cap ($2,100 in 2026, $2,400 in 2027).
Do I need to do anything to get the negotiated price?
No sign-up is needed: the price applies at the pharmacy for covered prescriptions. During Annual Enrollment (October 15 to December 7), check that your drugs are on your plan's list for 2027 and compare plans on the Medicare Plan Finder.
On this site: Medicare Part D plans by state
Good to know
More questions people ask
Does drug price negotiation apply to Medicare Advantage plans?
Is Ozempic part of Medicare drug price negotiation?
Will more drugs be added?
Related questions
In depth
- CMS: Medicare Drug Price Negotiation Program
- CMS: Selected drugs and negotiated prices
- Medicare.gov: Part D costs and coverage stages
Figures are Medicare’s, set nationally, and were checked against these pages on October 2026. For your own situation, contact Medicare.gov or 1-800-MEDICARE (TTY 1-877-486-2048).
Content Integrity Standards
- No invented figures. Program-level numbers come from CMS / Medicare.gov; we never use placeholder data.
- No plan recommendations. This is educational content. We don't score or recommend specific plans; any Star Ratings shown are Medicare's own CMS ratings, stated as published.
- AI-assisted, human-reviewed. Articles are produced with AI-assisted tools and reviewed by the responsible desk before publishing.
- Inline sourcing. Facts and figures are cited to primary sources — CMS, SSA, and Medicare.gov.
- Correction transparency. We fix errors openly and note when a page was last updated.
- Not a government site. MyMedicarePlans.org is privately owned and not affiliated with or endorsed by Medicare or any government agency.
This page was last updated: October 2026.