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The Medicare Prescription Payment Plan offers patients the choice to pay OOP drug costs in monthly payments, instead of all at once at the pharmacy!
Patients can sign up during open enrollment, or anytime during the plan year
The plan allows you to spread OOP costs over the rest of the year, rather than pay them all at once
Patients pay $0 to the pharmacy and will instead be billed monthly by their Part D drug plan
While the program is available to all patients with Medicare prescription drug coverage, the patients who are most likely to benefit from the program include those who expect high prescription drug costs earlier in the year. Signing up for the payment plan can spread those costs out throughout the year, allowing patients to pay smaller amounts each month.
All patients can opt-into the Prescription Payment Plan directly through their Part D or Part C Medicare Advantage plan during open enrollment or at any time during the plan year.
There are three main ways someone can sign up:
2025
First Fill in January
First Fill in July
Without Payment Plan
With Payment Plan
Without Payment Plan
With Payment Plan
January
$600
$167
--
--
February
$600
$94
--
--
March
$600
$154
--
--
April
$200
$176
--
--
May
--
$176
--
--
June
--
$176
--
--
--
$176
$600
$333
August
--
$176
$600
$173
September
--
$176
$600
$323
October
--
$176
$200
$200
November
--
$176
--
$485
December
--
$176
--
$485
Total
$2,000
2025
First Fill in January
With Payment Plan
Without Payment Plan
January
$600
$167
February
$600
$94
March
$600
$154
April
$200
$176
May
--
$176
June
--
$176
July
--
$176
August
--
$176
September
--
$176
Octomber
--
$176
November
--
$176
December
--
$176
Total
$2,000
2025
First Fill in July
With Payment Plan
Without Payment Plan
January
--
--
Febuary
--
--
March
--
--
April
--
--
May
--
--
June
--
--
July
$600
$333
August
$600
$173
September
$600
$323
Octomber
$200
$200
November
--
$485
December
--
$485
Total
$2,000
Please note that a patient’s monthly payments will vary depending on their mix of drugs and the month in which drugs are filled, but total OOP costs for the year will not be more than $2,000. This is simply an example of the payment plan and does not take into account potentially variable deductibles, coinsurances, and copays.
Low-Income Subsidy (LIS), or Extra Help, helps people with limited income and resources to lower or cut Part D costs:
Drug Plan Premium
Annual deductible
Copay for brand-name drug & $4.90 copay for generic drugs
Medicare.gov/prescription-payment-plan, or call 1-800-MEDICARE (1-800-633-4227)
Patients can visit their plan’s website or call them directly.
Visit ssa.gov/extrahelp for more information on if you qualify for Extra Help and how to apply. You can also apply over the phone or request an application by calling Social Security at 1-800-325-0778
https://interactive.digitalpfizer.com/tips-for-picking-a-medicare-plan-micro-module/index.html
For help with Medicare, contact SHIP

Disclaimer: The information on this site is intended for U.S. residents only and is provided purely for educational purposes. Health, legal, regulatory, insurance, or financial related-information provided here is not comprehensive and is not intended to provide individual guidance or replace discussions with a healthcare provider, attorney, or other experts. All decisions must be made with your advisers considering your unique situation. © Triage Cancer & Pfizer Inc. 2025