Inflation Reduction Act

Starting January 1, 2023, The Inflation Reduction Act will allow beneficiaries to obtain:

  • Part D covered adult vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) for a $0 copay without being subject to a deductible.
  • Part D covered insulin products will adjudicate with the following maximum copayments* without being subject to deductible:
    • One-month supply: $35
    • Two-month supply: $70
    • Three-month supply: $105
      • *Note: normal adjudication copayments will apply but members will only pay a maximum of $35/per month.
  • Covered insulin includes only those insulin-containing products that are normally covered under AgeWell’s Part D formulary, approved via coverage determination or appeal process or subject to transition fill policy.
  • These will include new adult vaccines and covered insulin products that become available during the plan year.