22-Year-Old With Chronic Asthma Died After Inhaler Price Went From $66 to $539: Lawsuit

[Ms. Toad]

86. You might want to check of it is on your formulary.

No Medicare drug plan may have a deductible more than $590 in 2025, and some plans have no deductible.

https://www.medicare.gov/health-drug-plans/part-d/basics/costs

One possibility is that you paid your $590 (or lower) deductible, but the $590 did not cover the entire cost of the meds. In that case you would still owe for the copay on the cost above $590 (or your lower deductible). Last year, my spouse's first prescription cost more than the deductible since the cost was $1500. She owed the deductible (around $500 last year, so she owed the copay on the remaining $1000).

But you should double check to make sure it is on your formulary, because if it isn't you could easily pay more than the $2000 out of pocket cap for the year, since non-formulary purchases don't count toward the cap.

You may be on the same plan I'm on (and my spouse was on last year).