SCHUMER, STANDING WITH PLATTSBURGH SENIORS GETTING PRESCRIPTION DRUG PRICES LOWERED, ANNOUNCES NEXT PHASE WITH NEW $2,000 CAP ON MEDICATION COSTS COMING FOR NEARLY 46,000 IN[...]

Earlier This Month Feds Announced - For First Time In History - 10 New, Negotiated Lower Drug Prices For Medicare Thanks To Inflation Reduction Act, Impacting Those With Cancer Diabetes, Heart Disease & More

Senator Announces $2,000 Annual Cap On Medication For Seniors Coming In January And Details Steps Seniors Need To Take To Opt In For New Monthly Medicare Payment Options Benefiting Thousands In Plattsburgh & North Country

Schumer: Lowering Health Care Costs Is Just What The Doctor Ordered For Plattsburgh & North Country Seniors!

On the heels of just announced newly negotiated, lower prices for 10 of the highest-spend drugs in Medicare, U.S. Senate Majority Leader Chuck Schumer stood with Plattsburgh seniors who take these drugs to spotlight the importance of these tremendous cost saving measures, a result of Schumer secured provisions in the Inflation Reduction Act. Schumer revealed the next phase on lowering drug costs with a $2,000 cap on total out-of-pocket prescription drug costs for NY seniors on Medicare starting this January as well as a new tool that allows seniors to break their drug costs into monthly payments which they will need to opt in for if they would like to participate.

"Come this January, New York seniors on Medicare will not have to pay more than $2,000 for prescription drugs, and will help end the decision making like choosing between buying life-saving medications and keeping food on the table. It means more money in the pockets of Plattsburgh & North Country seniors and less in the pockets of Big Pharma, a win-win and just what the doctor ordered," said Senator Schumer. "Thanks to the Inflation Reduction Act, we've made record progress lowering prescription drug prices for older Americans on Medicare. Before, seniors often had to pay thousands upon thousands of dollars for a single drug. Now, we are taking on Big Pharma directly to negotiate prices, which is lowering costs of medication for cancers, diabetes, and heart diseases as much as 79%."

Schumer was joined by local seniors who benefit from the new lowered negotiated drugs, Schumer said seniors in America are paying higher prices than anywhere else in the world for commonly-taken drugs. Nationally, one-in-five seniors recently reported forgoing medication, skipping doses or cutting pills in half because they could not afford their drugs. This year thanks to the IRA, Medicare selected for negotiation the 10 highest spending drugs in Medicare Part D, the new prices will go into effect in 2026 and each year moving forward, Medicare will negotiate lower prices for even more drugs. The first ten drugs alone this year are expected to impact 660,000 in NY, and save seniors across America over $1.5 billion every year in out of pocket costs and taxpayers nearly $6 billion every year.

Drug Name	Commonly Treated Conditions	NY Seniors Taking Drug	Current Price Set by Drug Company For A 30 Day Supply	New Price Negotiated by Medicare	Discount Secured By Medicare
Eliquis	Blood clots	232,000	$521	$231	56%
Xarelto	Blood clots, heart disease	96,000	$517	$197	62%
Januvia	Diabetes	85,000	$527	$113	79%
Jardiance	Diabetes and heart failure	96,000	$573	$197	66%
Enbrel	Rheumatoid arthritis and Psoriasis	4,000	$7,106	$2,355	67%
Imbruvica	Blood cancers	2,000	$14,934	$9,319	38%
Farxiga	Diabetes, Heart failure and Chronic Kidney Disease	53,000	$556	$178.50	68%
Entresto	Heart failure	43,000	$628	$295	53%
Stelara	Psoriasis and Crohn's Disease	2,000	$13,836	$4,695	66%
Fiasp and NovoLog	Diabetes	50,000	$495	$119	76%

In addition, Schumer announced that while an out-of-pocket spending limit of roughly $3,100 has been in place for 2024, it is lowering to $2,000 in January 2025. Once a senior spends $2,000 next year, their prescription drugs for the remainder of 2025 will be free of charge. This will provide major protection to the set of seniors on Medicare who currently have extremely high prescription drug spending. Before the Inflation Reduction Act, a single prescription could cost $10,000 out-of-pocket. AARP estimates that 261,000 New York seniors - the seniors who currently have the highest levels of drug spending - will benefit from the cap next year. By 2029, one in ten seniors nationally is expected to see savings because of the cap.

Schumer also spotlighted the provision he also helped deliver that will be starting in January tool that allows Medicare beneficiaries to break their drug costs into monthly payments. For some seniors taking a very expensive drug, they could hit the $2,000 limit in January or February, which leads to a huge spike in costs for a short period of time that may be hard to budget for. With the monthly payment tool, that same senior could pay their $2,000 obligation in equal $167 monthly payments throughout the year rather than facing a huge bill at the pharmacy counter in January or February.

The monthly payment tool requires patients to opt into it. Schumer said that while he wrote into the IRA that insurance companies are supposed to target and reach out to beneficiaries likely to benefit, it is critical to build awareness among beneficiaries and pharmacists so that everyone can take advantage, and nobody falls through the cracks. Schumer said this new out-of-pocket limit will work in tandem with other major drug affordability provisions he secured in his Inflation Reduction Act, including making vaccines free for seniors and a $35 insulin cap for those on Medicare, to help make healthcare more affordable for more than 3.8 million New York seniors on Medicare.

Schumer said collectively these cost saving measures will benefit thousands in the North Country. The total Medicare Part D enrollment for the North Country this month is 45,674. A county by county breakdown can be found below:

County	Enrollment
Clinton	7,984
Essex	3,849
Franklin	5,343
Hamilton	649
Jefferson	7,152
Lewis	2,065
St. Lawrence	10,126
Warren	4,890
Washington	3,616

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