Medicare Part D: A First Look at Plan Offerings in 2015

Jack Hoadley, Juliette Cubanski, Elizabeth Hargrave, and Laura Summer
Published: Oct 10, 2014

Appendix 1: Information about Medicare Stand-Alone Prescription Drug Plans by State

Table A1: Number of Stand-Alone Prescription Drug Plans by State, 2006-2015
STATE/TERRITORY	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2014-2015 change
U.S. Total	1,429	1,875	1,824	1,689	1,576	1,109	1,041	1,031	1,169	1,001	-168
Alabama	41	56	53	49	46	34	32	33	35	30	-5
Alaska	27	45	47	45	41	29	25	23	28	24	-4
Arizona	43	53	51	49	46	30	30	29	34	30	-4
Arkansas	40	58	55	52	49	34	30	30	34	29	-5
California	47	55	56	51	47	33	33	32	36	32	-4
Colorado	43	55	55	53	48	31	28	29	34	30	-4
Connecticut	44	51	51	47	48	34	30	30	33	27	-6
Delaware	47	55	52	48	45	33	31	29	36	27	-9
District of Columbia	47	55	52	48	45	33	31	29	36	27	-9
Florida	43	57	58	54	49	32	33	34	35	27	-8
Georgia	42	55	54	50	45	32	30	30	34	30	-4
Hawaii	29	46	49	47	41	28	25	23	29	25	-4
Idaho	44	56	54	51	48	35	33	32	37	31	-6
Illinois	42	56	53	49	46	35	33	32	38	33	-5
Indiana	42	53	52	48	44	32	31	31	35	31	-4
Iowa	41	53	52	48	46	33	33	32	34	30	-4
Kansas	40	53	52	48	46	33	31	30	33	29	-4
Kentucky	42	53	52	48	44	32	31	31	35	31	-4
Louisiana	39	52	50	47	45	32	30	30	33	28	-5
Maine	41	53	53	46	43	30	28	28	32	28	-4
Maryland	47	55	52	48	45	33	31	29	36	27	-9
Massachusetts	44	51	51	47	48	34	30	30	33	27	-6
Michigan	40	54	55	51	46	35	34	33	36	31	-5
Minnesota	41	53	52	48	46	33	33	32	34	30	-4
Mississippi	38	52	49	47	45	32	30	29	33	28	-5
Missouri	41	53	52	48	45	32	30	31	35	31	-4
Montana	41	53	52	48	46	33	33	32	34	30	-4
Nebraska	41	53	52	48	46	33	33	32	34	30	-4
Nevada	44	54	53	49	46	31	29	29	34	32	-2
New Hampshire	41	53	53	46	43	30	28	28	32	28	-4
New Jersey	44	57	57	52	47	33	30	29	34	29	-5
New Mexico	43	57	55	50	47	32	30	30	36	31	-5
New York	46	61	55	51	50	33	29	28	31	25	-6
North Carolina	38	51	52	49	47	33	30	30	34	29	-5
North Dakota	41	53	52	48	46	33	33	32	34	30	-4
Ohio	43	60	58	49	46	34	33	33	37	31	-6
Oklahoma	42	56	52	49	46	33	30	30	36	31	-5
Oregon	45	57	55	48	44	32	30	30	35	30	-5
Pennsylvania	52	66	63	57	55	38	36	38	39	29	-10
Rhode Island	44	51	51	47	48	34	30	30	33	27	-6
South Carolina	45	59	56	53	47	34	32	31	35	31	-4
South Dakota	41	53	52	48	46	33	33	32	34	30	-4
Tennessee	41	56	53	49	46	34	32	33	35	30	-5
Texas	47	60	56	53	50	33	33	32	36	32	-4
Utah	44	56	54	51	48	35	33	32	37	31	-6
Vermont	44	51	51	47	48	34	30	30	33	27	-6
Virginia	41	53	52	48	44	32	30	31	35	31	-4
Washington	45	57	55	48	44	32	30	30	35	30	-5
West Virginia	52	66	63	57	55	38	36	38	39	29	-10
Wisconsin	45	54	57	53	48	32	29	30	33	29	-4
Wyoming	41	53	52	48	46	33	33	32	34	30	-4
TERRITORY
American Samoa	1	3	4	4	3	2	1	1	1	1	0
Guam	1	3	4	4	3	2	1	1	1	2	1
Northern Mariana Islands	1	3	4	4	3	2	1	1	1	1	0
Puerto Rico	10	28	34	33	29	17	16	16	13	7	-6
Virgin Islands	4	6	7	7	6	4	3	1	1	1	0
NOTE: Analysis includes 37 plans under CMS sanction and closed to new enrollees as of September 2014. SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS 2014-2015 PDP crosswalk and landscape source files.

Table A2: Monthly Premiums for Stand-Alone Prescription Drug Plans by State, 2015
STATE/TERRITORY	Minimum Premium	Maximum Premium	Weighted Average Premium	% Change, 2014-2015
U.S. Total	$12.60	$171.90	$37.20	4.4%
Alabama	$15.60	$133.10	$37.92	0.1%
Alaska	$15.60	$135.20	$34.91	7.3%
Arizona	$15.70	$133.70	$31.57	8.6%
Arkansas	$15.60	$138.60	$38.25	-0.8%
California	$15.70	$145.70	$36.87	6.1%
Colorado	$15.60	$131.40	$37.71	5.0%
Connecticut	$15.60	$128.80	$34.34	7.4%
Delaware	$15.70	$127.10	$39.56	-5.2%
District of Columbia	$15.70	$127.10	$39.56	-5.2%
Florida	$15.70	$171.90	$37.21	6.8%
Georgia	$15.70	$127.10	$36.30	2.4%
Hawaii	$15.60	$127.10	$30.33	2.3%
Idaho	$15.70	$144.70	$42.23	3.8%
Illinois	$15.70	$131.90	$35.99	9.4%
Indiana	$15.70	$131.30	$38.37	1.6%
Iowa	$15.70	$139.20	$36.81	7.7%
Kansas	$15.60	$139.40	$37.19	5.9%
Kentucky	$15.70	$131.30	$38.37	1.6%
Louisiana	$15.70	$129.80	$35.59	-2.6%
Maine	$15.60	$127.10	$32.59	5.1%
Maryland	$15.70	$127.10	$39.56	-5.2%
Massachusetts	$15.60	$128.80	$34.34	7.4%
Michigan	$15.70	$107.10	$38.01	4.8%
Minnesota	$15.70	$139.20	$36.81	7.7%
Mississippi	$15.60	$127.10	$36.81	-0.3%
Missouri	$15.70	$136.50	$37.09	2.4%
Montana	$15.70	$139.20	$36.81	7.7%
Nebraska	$15.70	$139.20	$36.81	7.7%
Nevada	$15.70	$127.10	$35.46	4.0%
New Hampshire	$15.60	$127.10	$32.59	5.1%
New Jersey	$15.70	$137.10	$42.37	5.2%
New Mexico	$12.60	$127.10	$26.66	4.7%
New York	$15.70	$143.00	$38.58	1.4%
North Carolina	$15.70	$133.50	$37.32	9.0%
North Dakota	$15.70	$139.20	$36.81	7.7%
Ohio	$15.60	$114.00	$34.94	5.0%
Oklahoma	$15.70	$140.90	$37.69	5.0%
Oregon	$15.70	$155.50	$38.18	3.1%
Pennsylvania	$15.70	$151.80	$38.04	3.4%
Rhode Island	$15.60	$128.80	$34.34	7.4%
South Carolina	$15.60	$141.70	$40.47	3.5%
South Dakota	$15.70	$139.20	$36.81	7.7%
Tennessee	$15.60	$133.10	$37.92	0.1%
Texas	$15.60	$152.10	$37.05	2.7%
Utah	$15.70	$144.70	$42.23	3.8%
Vermont	$15.60	$128.80	$34.34	7.4%
Virginia	$15.60	$126.00	$36.63	6.9%
Washington	$15.70	$155.50	$38.18	3.1%
West Virginia	$15.70	$151.80	$38.04	3.4%
Wisconsin	$15.70	$130.00	$38.53	5.3%
Wyoming	$15.70	$139.20	$36.81	7.7%
TERRITORY
American Samoa	$24.80	$24.80	$24.80	22.8%
Guam	$21.40	$23.70	$21.40	4.4%
Northern Mariana Islands	$11.70	$11.70	$11.70	8.3%
Puerto Rico	$0.10	$63.50	$38.94	8.5%
Virgin Islands	$43.60	$43.60	$43.60	33.7%
NOTE: Analysis includes 37 plans under CMS sanction and closed to new enrollees as of September 2014. Average monthly premium is weighted by 2014 enrollments for the region in which the state is located. Terminated plans are excluded in calculation of premium change. SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS 2014-2015 PDP crosswalk and landscape source files.

Table A3: Number of Stand-Alone Prescription Drug Plans With No Coverage in the Gap by State, 2006-2015*
STATE/TERRITORY	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015
U.S. Total	1,208	1,328	1,295	1,273	1,268	744	771	684	891	740
Alabama	35	39	38	38	37	24	24	22	28	23
Alaska	22	33	33	34	34	20	19	16	22	19
Arizona	37	38	36	37	38	21	23	19	27	23
Arkansas	34	40	39	39	39	23	22	21	27	22
California	40	41	41	39	38	22	23	21	27	23
Colorado	36	40	39	40	39	21	21	19	25	22
Connecticut	37	36	36	35	38	23	23	20	25	20
Delaware	41	39	37	36	36	22	23	20	27	20
District of Columbia	41	39	37	36	36	22	23	20	27	20
Florida	35	41	40	39	39	21	23	21	26	20
Georgia	35	39	39	38	36	21	22	19	25	21
Hawaii	24	34	34	35	32	19	19	16	23	20
Idaho	38	40	39	39	39	24	26	23	29	24
Illinois	36	40	38	37	37	23	24	21	30	25
Indiana	35	37	37	36	35	21	22	19	26	22
Iowa	34	38	36	36	37	22	24	21	26	22
Kansas	33	37	37	36	37	22	23	20	25	21
Kentucky	35	37	37	36	35	21	22	19	26	22
Louisiana	33	37	36	36	37	22	23	21	26	21
Maine	35	37	37	34	35	20	21	18	24	21
Maryland	41	39	37	36	36	22	23	20	27	20
Massachusetts	37	36	36	35	38	23	23	20	25	20
Michigan	34	39	39	38	37	24	25	22	28	23
Minnesota	34	38	36	36	37	22	24	21	26	22
Mississippi	32	37	35	36	37	22	23	20	26	21
Missouri	34	37	37	36	36	21	22	20	26	22
Montana	34	38	36	36	37	22	24	21	26	22
Nebraska	34	38	36	36	37	22	24	21	26	22
Nevada	37	38	38	37	38	21	22	19	25	22
New Hampshire	35	37	37	34	35	20	21	18	24	21
New Jersey	38	40	39	39	37	22	23	20	26	21
New Mexico	37	40	39	38	39	22	23	20	27	23
New York	40	44	40	39	41	23	22	20	24	19
North Carolina	31	36	36	36	37	22	22	20	26	21
North Dakota	34	38	36	36	37	22	24	21	26	22
Ohio	36	43	41	37	37	22	23	20	27	22
Oklahoma	35	40	37	37	37	22	23	21	28	23
Oregon	39	40	38	36	35	21	23	21	27	23
Pennsylvania	44	47	46	44	44	25	25	23	29	22
Rhode Island	37	36	36	35	38	23	23	20	25	20
South Carolina	39	43	41	41	38	23	24	21	27	23
South Dakota	34	38	36	36	37	22	24	21	26	22
Tennessee	35	39	38	38	37	24	24	22	28	23
Texas	41	43	40	40	40	22	24	21	28	24
Utah	38	40	39	39	39	24	26	23	29	24
Vermont	37	36	36	35	38	23	23	20	25	20
Virginia	35	37	37	36	35	21	22	20	26	22
Washington	39	40	38	36	35	21	23	21	27	23
West Virginia	44	47	46	44	44	25	25	23	29	22
Wisconsin	36	38	40	39	37	20	20	19	23	20
Wyoming	34	38	36	36	37	22	24	21	26	22
TERRITORY
American Samoa	1	2	3	3	2	1	1	1	0	1
Guam	1	2	3	3	2	1	1	1	0	2
Northern Mariana Islands	1	2	3	3	2	1	1	1	0	1
Puerto Rico	9	21	22	22	21	11	13	11	9	6
Virgin Islands	4	4	5	5	4	3	3	1	0	1
NOTE: Total for 2015 includes 37 plans under CMS sanction and closed to new enrollees as of September 2014. Prior to 2015, plan counts reflect the number of plans offering no coverage in the gap, excluding plans that offer coverage of “few” brands or generics in the gap (where “few” is defined as more than zero percent to less than 10 percent of formulary drugs). *2011-2015 numbers reflect plans not offering additional coverage in the gap beyond what the law requires. Beginning in 2011, all Part D plans were required to offer additional coverage of drug costs in the coverage gap (a provision in the Affordable Care Act of 2010). In 2015, beneficiaries will receive a 50% price discount and a 5% payment by plans toward the cost of brand-name drugs and 35% plan payment toward the cost of generic drugs. By 2020, the coverage gap will be phased out and beneficiaries will be responsible for 25% of their total drug costs prior to qualifying for catastrophic coverage. SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS 2006-2015 PDP landscape source files.

Table A4: Number of Stand-Alone Prescription Drug Plans Below Low-Income Subsidy Benchmark by State, 2006-2015
STATE/TERRITORY	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015
U.S. Total	409	640	495	308	307	332	327	331	352	283
Alabama	9	17	15	12	9	11	12	13	11	12
Alaska	8	17	15	7	6	5	4	7	11	7
Arizona	6	10	7	2	8	9	10	10	11	12
Arkansas	13	23	18	12	15	17	15	15	12	6
California	10	14	9	6	7	5	6	6	9	6
Colorado	10	19	12	8	6	7	5	4	5	7
Connecticut	11	20	14	12	13	12	10	6	8	5
Delaware	15	21	18	11	11	12	13	13	13	10
District of Columbia	15	21	18	11	11	12	13	13	13	10
Florida	6	10	8	5	5	4	3	2	5	4
Georgia	14	21	18	11	8	14	12	13	9	8
Hawaii	8	18	10	5	7	6	10	10	4	9
Idaho	14	20	14	9	9	11	12	10	13	12
Illinois	15	23	19	12	10	10	10	10	14	10
Indiana	13	19	17	12	9	14	13	11	15	10
Iowa	14	20	16	9	8	10	9	8	10	5
Kansas	11	20	17	10	9	12	10	10	13	7
Kentucky	13	19	17	12	9	14	13	11	15	10
Louisiana	11	12	10	7	13	10	12	14	14	11
Maine	14	21	18	5	4	7	8	10	7	9
Maryland	15	21	18	11	11	12	13	13	13	10
Massachusetts	11	20	14	12	13	12	10	6	8	5
Michigan	14	26	17	11	9	12	12	10	13	10
Minnesota	14	20	16	9	8	10	9	8	10	5
Mississippi	12	21	15	13	10	14	12	13	13	9
Missouri	10	15	13	6	13	5	8	8	8	6
Montana	14	20	16	9	8	10	9	8	10	5
Nebraska	14	20	16	9	8	10	9	8	10	5
Nevada	7	9	5	1	5	4	2	2	4	4
New Hampshire	14	21	18	5	4	7	8	10	7	9
New Jersey	14	20	18	7	6	6	9	10	12	10
New Mexico	8	14	11	7	8	8	6	7	7	7
New York	15	16	15	9	11	11	12	12	8	8
North Carolina	13	21	17	11	8	11	9	8	10	8
North Dakota	14	20	16	9	8	10	9	8	10	5
Ohio	10	22	15	6	5	8	8	8	12	8
Oklahoma	12	20	13	8	10	10	9	11	12	10
Oregon	15	20	15	7	9	8	9	10	12	10
Pennsylvania	15	26	18	9	11	12	12	14	13	9
Rhode Island	11	20	14	12	13	12	10	6	8	5
South Carolina	16	26	20	15	13	15	12	14	8	7
South Dakota	14	20	16	9	8	10	9	8	10	5
Tennessee	9	17	15	12	9	11	12	13	11	12
Texas	16	19	15	14	11	12	13	12	11	10
Utah	14	20	14	9	9	11	12	10	13	12
Vermont	11	20	14	12	13	12	10	6	8	5
Virginia	16	21	17	13	11	10	10	10	13	9
Washington	15	20	15	7	9	8	9	10	12	10
West Virginia	15	26	18	9	11	12	12	14	13	9
Wisconsin	14	21	16	16	10	10	10	10	12	8
Wyoming	14	20	16	9	8	10	9	8	10	5
TERRITORY
American Samoa	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A
Guam	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A
Northern Mariana Islands	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A
Puerto Rico	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A
Virgin Islands	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A
NOTE: Benchmark plans are not designated (N/A) in the territories because low-income beneficiaries residing in the territories are not eligible for the low-income subsidy. Analysis for 2015 includes 27 benchmark plans under CMS sanction and closed to new enrollees as of September 2014. SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS 2006-2015 PDP landscape source files.

Appendix 2: Medicare Part D Standard Benefit Parameters, 2006-2015

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Medicare Part D: A First Look at Plan Offerings in 2015

Appendix 1: Information about Medicare Stand-Alone Prescription Drug Plans by State

Appendix 2: Medicare Part D Standard Benefit Parameters, 2006-2015

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