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Medicare Prescription Payment Program

Date: 11/01/24

Medicare Prescription Payment Program

Introducing a New Program to Make Prescription Drugs More Affordable for Medicare Members

By Allowing Them to Spread Costs Over Time

Passed into law August 2022 by President Biden, H.R. 5376: Inflation Reduction Act (IRA) includes policies on Medicare drug pricing. The IRA significantly reforms the Medicare Part D benefit design, including a new program, Medicare Prescription Payment Plan (M3P), which will be available to all eligible Medicare members1, beginning Jan. 1, 2025.

Program Overview for Eligible Participating Medicare Members   

Financial benefits to all Medicare members1 in 2025 include an elimination of the coverage gap and capping the maximum out-of-pocket (OOP) prescription costs at $2,000 annually, which beneficiaries can spread across the plan year.

 M3P participants will pay $0 at the pharmacy for covered Part D drugs and be billed monthly for any cost-sharing they incur while in the program, which will help them manage prescription costs by spreading their monthly payments over time.

  • Monthly payments may change as additional prescriptions are filled.
  • The program is voluntary, and eligible members can choose to opt-in to the program during the annual enrollment period and throughout the plan year. Members can conveniently opt-in via online, by phone, or mail:
  •  Online: express-scripts.com/mppp
  •  Phone: 1-833-750-9969.
  • Mail: Mail Express Scripts Medicare

Prescription Payment Plan

P.O. Box 2

St. Louis, MO 63166

  • Existing members will receive additional information in their Annual Notice of Change.
  • New members will receive additional information within 10 days of confirmed enrollment.
  • Excludes plans that solely charge $0 cost sharing for Part D covered drugs. See your plan’s Evidence of Coverage for more details.
  • Questions or Concerns?

We encourage you to use the resources on Medicare.gov/prescription-payment-plan. You may also contact your Provider Engagement Specialist who will coordinate with the Pharmacy Team to address your question. If you need your assigned Provider Engagement Specialist’s contact information, please email us at AzCHProviderEngagement@azcompletehealth.com.