At Cross-Purposes? How Trump Budget's Part D Gap Discount Policy Aligns With New Law

President Trump's 2019 federal budget proposal includes plan to exclude manufacturer discounts in the Medicare Part D coverage gap from beneficiaries' out-of-pocket totals, which may be at odds with recently enacted legislation.  

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The Medicare Part D drug pricing proposals in President Trump's 2019 federal budget proposal includes a policy to exclude manufacturer discounts in the coverage gap from beneficiary out-of-pocket totals, which is likely to generate significant push-back from manufacturers and patients.

The out-of-pocket proposal will lower Medicare costs by $47bn over 10 years, the budget projects. Beneficiaries progress through the three...

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