The good news: pharmacies like Walgreens provide discounted prescriptions for Part D recipients in the coverage gap.
In the coverage gap: You'll need to pay your premiums and out-of-pocket drug costs from the time you meet your deductible (if your plan has one) until you reach catastrophic coverage. If you have a Medicare prescription drug plan that includes coverage in the gap, you may get a discount after your plan's coverage has been applied to the drug price. The discount for brand-name drugs will apply to the remaining amount you owe.
After the coverage gap: Once your costs exceed the coverage gap ($4,950 in 2017), you'll be in catastrophic coverage and responsible for 5% of your prescription drug costs for the rest of the year.
For covered brand-name prescription drugs, in 2017 you pay 40%, but the entire price counts as out-of-pocket costs, which helps you get out of the donut hole.
For generic prescription drugs, you'll pay 51% of the cost in 2017. With generic drugs, only the amount you pay counts towards getting you out of the donut hole.
You'll receive the discounts once you reach the coverage gap if: