Goodsurance

Drug prices & Part D

CMS Sets the Key 2027 Drug Plan Benchmark at 296 Dollars, Up About 24 Percent

The national average monthly bid amount for Medicare Part D will rise to 296.05 dollars in 2027, and with the premium stabilization program closing after 2026, standalone drug plan premiums are likely to follow that benchmark upward.

By the Goodsurance editorial teamJuly 24, 2026

On July 28, 2026, CMS released preliminary Part D bid figures for contract year 2027, a required technical step that helps plan sponsors finalize pricing before fall open enrollment. The national average monthly bid amount, known as the NAMBA, came in at 296.05 dollars for 2027, roughly 24 percent above the prior year figure. The base beneficiary premium, the starting point CMS uses to calculate the government subsidy for each plan, was set at 41.33 dollars. Under the Inflation Reduction Act, the base premium is capped at a 6 percent annual increase through 2029, and the 41.33 dollar figure reflects that maximum. Alongside the bid data, CMS confirmed that the Part D Premium Stabilization Demonstration will not continue beyond 2026. That voluntary program, in place since 2025, had cushioned standalone prescription drug plans against premium spikes following the benefit redesign the Inflation Reduction Act required. Without it, standalone plan premiums will be set by market conditions alone in 2027. The standalone drug plan market has also contracted: available plans fell from 709 to 360, meaning fewer options in many areas. People who rely on a standalone Part D plan rather than drug coverage inside a Medicare Advantage plan should compare all options carefully when enrollment opens in October.

The 2027 Medicare drug plan benchmark jumped 24 percent, and the stabilizer that kept standalone premiums in check ends this year.

In plain words

Every year CMS puts out a key number for Medicare drug plans called the national average bid. For 2027, that number rose about 24 percent to 296.05 dollars. A related number, the base premium, was set at 41.33 dollars. These numbers shape what people pay for standalone drug plans. A program that kept those premiums steadier for two years is ending after 2026. That means standalone drug plan premiums could rise noticeably in 2027. There are also far fewer standalone plans to choose from, dropping from 709 to 360. During fall open enrollment, people with standalone drug plans should compare their options.

Source: CMS
Read at the source →

More news

Other stories on what is moving in Medicare.

Drug prices & Part D

OIG Report Finds Medicare Part B Drug Price-Substitution Mechanism Saved 1.6 Million Dollars in 2024

An annual OIG analysis posted Wednesday found CMS applied price reductions to 14 physician-administered drugs based on 2024 market data, while reporting that errors in manufacturer price submissions blocked the review of 31 additional drugs.

September 24, 2026

Drug prices & Part D

CMS Must Send Final Written Price Offers to 15 Drug Makers by September 30 in Third Negotiation Cycle

The final statutory step before drug manufacturers accept or reject Medicare prices arrives this week. CMS must issue written maximum fair price offers by September 30, and manufacturers have until October 31 to respond. Agreed prices would take effect in 2028.

September 23, 2026

Drug prices & Part D

About 140,000 Wellcare Part D Members Were Dropped Mid-Year After Small New Premiums Were Added to Their Previously Free Plans

KFF Health News found that Wellcare terminated tens of thousands of drug plan members in April 2026 when minimal monthly premiums went unpaid, leaving many without prescription coverage and at risk for permanent Medicare drug enrollment penalties.

September 21, 2026

Drug prices & Part D

MedPAC September Meeting Finds IRA Changes Improved Drug Affordability for Enrollees but May Be Accelerating Overall Medicare Part D Spending

Medicare's congressional advisory commission opened its new study cycle in September finding that Inflation Reduction Act drug benefit changes have helped individual beneficiaries while putting upward pressure on total program spending and future premiums.

September 20, 2026

Drug prices & Part D

Medicare's 2027 Part D Base Beneficiary Premium Will Be 41 Dollars and 33 Cents, Hitting the Inflation Reduction Act's Annual Cap

CMS set the 2027 Part D base beneficiary premium at 41 dollars and 33 cents in July, representing a 6 percent rise from the prior year and the maximum the IRA allows, a benchmark that shapes what drug plans charge as open enrollment approaches.

September 19, 2026

Drug prices & Part D

Federal Watchdog Adds Medicare Part D GLP-1 Overdispensing to Its Active Study List

The Office of Inspector General announced a new evaluation of GLP-1 prescribing patterns in Part D, as the Medicare obesity drug bridge program continues to attract enrollment.

September 17, 2026