Goodsurance
ES

Drug prices & Part D

Lower prices on 15 drugs arrive in 2027

Medicare's negotiated prices for 15 widely used medicines take effect this coming January. Here is what that changes, and what it does not, for your own pharmacy bill.

By the Goodsurance editorial teamJuly 1, 2026

Starting January 1, 2027, Medicare's first round of negotiated prices on a second set of 15 high cost drugs takes effect. Public reporting has identified the popular diabetes and weight loss medicines Ozempic and Wegovy among them, alongside treatments for other common conditions. Medicare says that if these negotiated prices had been in place in 2024, they would have lowered net Medicare drug spending by about 8.5 billion dollars, or roughly 36 percent on those drugs. This builds on the first ten negotiated prices that took effect in January 2026, and Medicare is still refining the program, with a proposed update published June 12, 2026 and open for public comment through August 17. Here is the honest read for your own wallet. A negotiated price lowers what the Medicare program pays for a drug, which helps hold down overall costs and can ripple into plan pricing. What you personally pay at the pharmacy still depends on your specific plan, its formulary, and where you are in the year. For most people, the bigger everyday protection is the annual cap on out of pocket drug costs, reported at 2,100 dollars for 2026, which limits your total spending on covered drugs no matter how expensive they are. So the takeaway is not to switch anything today. It is to know that lower negotiated prices are coming for these drugs in January, and to compare plans this fall on how they actually cover the medicines you take.

Medicare's negotiated prices on 15 more drugs, reportedly including Ozempic and Wegovy, take effect January 1, 2027.

In plain words

Medicare can now negotiate the price of some very costly drugs. The first ten lower prices started in January 2026. Now a second group of 15 drugs gets lower prices, starting January 1, 2027. News reports say two of them are the well known drugs Ozempic and Wegovy. Medicare says these prices could cut its drug spending by about 8.5 billion dollars, roughly 36 percent on those drugs. Here is what it means for you. A negotiated price lowers what Medicare pays. What you pay at the pharmacy still depends on your own plan and the time of year. For most people, the bigger help is the yearly limit on what you pay out of pocket for covered drugs, set at 2,100 dollars for 2026. That caps your total no matter how pricey the drug. You do not need to do anything today. Just know the lower prices are coming in January, and when you shop this fall, check how each plan covers the drugs you take.

Source: Centers for Medicare and Medicaid Services
Read at the source →

More news

Other stories on what is moving in Medicare.

Drug prices & Part D

Third Medicare Drug Negotiation Cycle Closes, Including Part B Doctor-Office Drugs for the First Time

The formal negotiation period for 15 drugs ended November 1; CMS must publish any agreed-upon maximum fair prices by November 30, including the first-ever negotiated prices for drugs given in doctors' offices.

November 1, 2026

Drug prices & Part D

Average Medicare Part D Stand-Alone Premium Projected to Rise 50 Percent for 2027, KFF Finds

A KFF analysis published today finds the average monthly premium for stand-alone Part D drug plans is on track to climb from 34 dollars to 51 dollars for 2027, with deductibles also rising sharply, for enrollees who do not switch plans before December 7.

October 30, 2026

Drug prices & Part D

Study: Medicare Drug Price Negotiations Cut Costs for Most Enrollees, but Not for Those Already Hitting the Annual Spending Limit

A research letter in Annals of Internal Medicine finds that patients on six of the first ten negotiated Part D drugs saw out-of-pocket costs fall 26 to 49 percent, while patients on the three highest-priced negotiated drugs saw no additional benefit because they were already reaching the annual cap.

October 24, 2026

Drug prices & Part D

A Customs Rule That Would Have Complicated Drug Orders From Canada Is Delayed Three Months

A new paperwork and bonding requirement for international mail containing medications was set to take effect today but was pushed back to January 20, 2027, preserving a cost-saving pathway that many Medicare beneficiaries and other older adults have come to rely on.

October 22, 2026

Drug prices & Part D

CMS Proposes Eliminating the 1-Dollar Generic Drug Copay for the Lowest-Income Medicare Dual Enrollees

A proposed rule published today in the Federal Register would bring the Part D generic drug copayment to zero for full-benefit dual eligible individuals at or below the Federal Poverty Level, starting in 2028.

October 20, 2026

Drug prices & Part D

Drug Maker Agrees to Pay 4 Million Dollars for Billing Medicare Part D for an Eye Drop That Had Gone Over the Counter

Somerset Lifesciences continued labeling a generic antihistamine eye drop as prescription-only for more than three years after its brand equivalent became available without a prescription, causing Medicare to pay pharmacy claims for a drug the program does not cover.

October 19, 2026