Will Medicare Advantage Prescription Drug (MAPD) plans have more than one formulary structure in 2025?

Medicare Advantage Prescription Drug (MAPD) plans will have a standardized formulary structure in 2025, which means that all plans operating under Medicare Advantage will follow this uniform structure. The rationale behind this consistency is to ensure a more streamlined and transparent approach for beneficiaries, making it easier for them to understand their medication coverage options and access necessary prescriptions.

The uniform formulary structure is designed to simplify the comparison among various MAPD plans, thus empowering consumers to select plans that best fit their health needs without being overwhelmed by varying formulary complexities. Establishing a single formulary structure enhances predictability in coverage for enrollees and ensures that essential medications remain accessible across different plans.

This move signifies a shift towards a more patient-centered focus in the Medicare program, aiming for equal treatment and access to medications across all MAPD offerings.