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15 Drugs Get Cheaper Under Medicare in 2027: The Full List and New Prices

An amber prescription bottle full of pills on a dark table, with a sticky note reading “My copay?”.
Photo by Bruno Guerrero on Unsplash

On January 1, 2027, the price Medicare pays for 15 brand-name drugs drops, for some of them by more than half. The most widely used one on the list had a 2024 list price of $959 for a month's supply. Medicare's new price is $274. That's what your plan pays, though. What you pay at the counter is set by the plan itself, and for some people it won't move at all. One line in your plan's paperwork decides which.

See all 15 drugs and their 2027 prices

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By Margaret Linwood · Updated Sep 29, 2026 · Reviewed against CMS, Medicare.gov, SSA, AARP

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A dirt path splitting in two through a green forest, with a sticky note reading “Hard to undo?”. Medicare You can leave Medigap any fall. Coming back is a different story A thick pile of receipts and papers, with a sticky note reading “Five prices?”. Medicare Your Part D plan's Ozempic price is based on $274 starting January

These prices aren't somebody's estimate. Medicare bargained with the drug makers, the talks wrapped up in November 2025, and plans can't opt out: every Part D plan, and every Medicare Advantage plan with drug coverage, has to cover all 15 in 2027. About 5.3 million people on Part D filled at least one of these prescriptions in 2024.

The mix-up happens at the pharmacy. The new price is what the plan pays. Your share is a separate number the plan picks on its own, and come January it can drop sharply or stay right where it was in December.

See who actually gets the $274 Ozempic price

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When a lower price still isn't low enough

A lower negotiated price doesn't do much if your share is still out of reach. These are the places people look next.

  1. State help. Some states run their own pharmacy assistance programs. A counselor at your State Health Insurance Assistance Program (SHIP) can tell you whether yours does, and the help costs nothing.
  2. Extra Help. If your income and savings are limited, this program can take a big bite out of Part D costs, and with full Extra Help there's no deductible. Applying is free, through Social Security.
  3. Monthly installments. Every Part D plan has to offer the Medicare Prescription Payment Plan. It won't lower what you owe, but it spreads your costs into monthly bills, so a $700 deductible doesn't land all at once in January.
  4. Discount cards, with limits. For some drugs, mostly generics, a card's cash price beats your plan's copay. You can't use a card and Part D on the same fill, though, and cash spent outside the plan usually doesn't count toward your deductible or yearly cap.

None of these tell you whether the cut itself reaches you. The article walks through five steps to find your own 2027 cost before the December 7 deadline.

See the 5 steps to check your copay

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A plain brown paper bag, with a sticky note reading “Cash price?”. Medicare Your copay can be higher than the pharmacy's cash price A brown envelope lying on a white envelope on a wooden table, with a sticky note reading “5 lines?”. Medicare Your plan's September letter has five lines that set your 2027 costs A desk calendar showing December 30 and 31 with an orange highlighter, with a sticky note reading “Ends Dec. 31?”. Medicare If your Medicare Advantage plan ends, you get a 63-day Medigap right A red envelope on a yellow background, with a sticky note reading “Plan G +26%?”. Medicare Your Plan G premium jumped again. Check your state's switching window Colorful pills spilling from an orange prescription bottle on a blue background, with a sticky note reading “+$300?”. Medicare Your Part D deductible can reach $700 in January. Check this line Reading glasses resting on an open book, with a sticky note reading “Medicare: $0”. Medicare Your Medicare Advantage dental benefit probably stops near $1,300 a year

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