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Costs & IRMAA

Standalone Medicare Drug Plans Have Fallen to a Record Low of 360 Nationwide, Less Than Half the 709 That Were Available Two Years Ago

A KFF analysis of CMS data finds that the standalone Medicare Part D prescription drug plan market has lost nearly half its offerings in two years, reducing consumer choice for the roughly 24 million beneficiaries who rely on standalone coverage and pointing toward further pressure in 2027 as the federal premium subsidy program ends.

By the Goodsurance editorial teamAugust 3, 2026

The number of standalone Medicare prescription drug plans available for individual enrollment has dropped to 360 nationwide for 2026, down from 464 in 2025 and 709 in 2024, according to a KFF analysis of CMS data. The 2026 count represents the fewest standalone Part D plans since the benefit launched in 2006, cutting the shopping pool for approximately 24 million non-employer beneficiaries who use standalone plans rather than bundling drug coverage with Medicare Advantage.

The decline reflects sustained financial pressure on plan sponsors. The Part D benefit redesign under the Inflation Reduction Act shifted more catastrophic-phase costs onto plan sponsors, making standalone drug plans less profitable in many markets. Some carriers exited the business entirely, and others collapsed multiple offerings into single products. The Part D Premium Stabilization Demonstration, which provided additional federal subsidies to standalone plan sponsors to keep premiums from spiking in the initial years after redesign, helped slow the pace of exits, but CMS announced in late July 2026 that it will end that demonstration after this year.

Standalone Medicare drug plans fell from 709 in 2024 to 360 in 2026, a record low. Here is what that shrinking market means for consumers.

For consumers, fewer standalone plans can mean a narrower selection of formularies, cost-sharing structures, and preferred pharmacy networks. The effect is uneven across geographies: in some counties, beneficiaries who qualify for low-income subsidies have very few zero-premium choices, and a smaller overall pool reduces competitive pressure on premiums.

CMS has said it expects zero-premium plans to remain available for low-income enrollees nationally for 2027, but the full 2027 Part D plan landscape will not be released until mid-to-late September. Beneficiaries will need to compare available options carefully during the October 15 to December 7 enrollment period.

In plain words

The number of standalone Medicare drug plans has dropped sharply. In 2024 there were 709 plans available. In 2025 there were 464. In 2026 there are only 360. That is the fewest since Medicare drug coverage started in 2006. About 24 million people use these standalone plans. Fewer plans means less choice. In some areas, the options are very limited. This problem may get worse in 2027 because a federal program that gave extra help to drug plan sponsors is ending after this year. CMS says low-income enrollees should still find a free drug plan for 2027, but the full list of 2027 plans will not be available until September.

Source: KFF
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