Content created by Assistant Secretary for Public Affairs (ASPA)
The U.S. Department of Health and Human Services has curated this Inflation Reduction Act Toolkit for anyone who wants to support and spread awareness. In this toolkit, you'll find resources and materials that can serve as a foundation for your efforts to educate communities about the Inflation Reduction Act. You're encouraged to make use of these resources as a starting point or a creative spark for your own initiatives aimed at sharing the benefits of this law with a wider audience.
Key Messaging
In this section, you'll find key messages that can serve as your compass through the new prescription drug law, highlighting the critical components and their real-world implications.
- The Inflation Reduction Act is delivering lower prescription drug costs, making health insurance more affordable, and making the economy work for working families.
- Thanks to the Inflation Reduction Act, people with Medicare are benefiting from lower out-of-pocket costs.
- A historic part of the Inflation Reduction Act allows Medicare, for the first time, to negotiate directly with drug manufacturers to lower the price of some of the costliest drugs.
- Since January 1, 2023, people with Medicare prescription drug coverage through a Part D plan or their Medicare Advantage plan have paid no more than $35 per month for each covered insulin product.
- Since July 2023, people with Medicare who have insulin covered through Part B and take insulin delivered through a pump have also paid no more than $35 per month for each covered insulin product.
- A variety of Medicare prescription drug plans cover insulin. Help may be available for people with Medicare who take insulin, and we encourage them to call 1-800-MEDICARE if they need assistance in exploring options to find the plan that works best for them. Your local State Health Insurance Assistance Program (SHIPs) can also help with insurance plan counseling. Find your local SHIP
- Certain-recommended preventive adult vaccines are free of charge for people with Medicare prescription drug coverage since January 1, 2023.
- Adult vaccines that are covered under Medicare Part D include: RSV, shingles; tetanus/diphtheria (Td); tetanus, diphtheria, and pertussis – also known as whopping cough (Tdap); hepatitis A; and hepatitis B.
- Medicare Part B already covers flu, pneumococcal, COVID-19, and certain other vaccines without cost-sharing for people with Medicare.
- State Medicaid programs are now required to cover certain recommended approved adult vaccinations, without cost-sharing, for many adults in Medicaid.
- As of January 1, 2025, everyone with Medicare Part D will see their out-of-pocket costs lowered even more, with a new $2,000 annual cap on covered prescription drug costs.
- About 11 million Part D enrollees are expected to reach the $2,000 out-of-pocket cap and these enrollees are projected to have average out-of-pocket savings of about $600 per enrollee in 2025.
- Overall, among the total enrollees (11.3 million LIS and non-LIS enrollees) projected to reach the catastrophic coverage phase under the IRA in 2025, total Part D out-of-pocket savings under the IRA are estimated to be approximately $7.2 billion.
- The Inflation Reduction Act now requires all Medicare prescription drug plans (Medicare Part D plans) — including both standalone Medicare prescription drug plans and Medicare Advantage plans with prescription drug coverage — to offer enrollees the option to pay out-of-pocket prescription drug costs in the form of capped monthly installment payments instead of all at once at the pharmacy.
- Because of the historic Inflation Reduction Act, quality health care coverage continues to be more affordable than ever before
- In 2025, four out of five HealthCare.gov enrollees will continue to find a plan for $10 or less after financial help.
- In 2023, a record-breaking 21 million people signed up for marketplace coverage.
- Go to HealthCare.gov to sign up for a health plan, or find free, local enrollment assistance.
- Under the Inflation Reduction Act, Medicare now has the power to negotiate directly with drug companies with the aim to lower prescription drug prices for people with Medicare.
- On January 17, 2025, 15 new prescription drugs covered under Part D were selected for negotiation for 2027 as required by the Inflation Reduction Act. These drugs are:
- Ozempic; Rybelsus; Wegovy
- Trelegy Ellipta
- Xtandi
- Pomalyst
- Ibrance
- Ofev
- Linzess
- Calquence
- Austedo; Austedo XR
- Breo Ellipta
- Tradjenta
- Xifaxan
- Vraylar
- Janumet; Janumet XR
- Otezla
- Between November 2023 and October 2024, about 5.3 million people with Medicare Part D coverage used these drugs to treat a variety of conditions, such as cancer, type 2 diabetes, and asthma.
- These selected drugs accounted for about $41 billion in total gross covered prescription drug costs under Medicare Part D, or about 14%, during that time period.
Outcome of the first cycle of the Negotiation Program:
- On August 15, 2024, CMS announced that it reached agreements for new, lower prices for all 10 drugs selected for the first cycle of negotiations. These negotiated drugs are some of the most expensive and most frequently dispensed drugs in the Medicare program and are used to treat conditions such as heart disease, diabetes, and cancer. The new prices will go into effect for people with Medicare Part D prescription drug coverage beginning January 1, 2026.
- The 10 selected drugs for the first cycle of negotiations are Eliquis, Jardiance, Xarelto, Januvia, Farxiga, Entresto, Enbrel, Imbruvica, Stelara, NovoLog/Fiasp*
- *Includes Fiasp, Fiasp FlexTouch, Fiasp PenFill, NovoLog, NovoLog FlexPen, and NovoLog PenFill
- The negotiated prices range from 38 to 79 percent discounts off of list prices.
- If the new prices had been in effect in 2023, Medicare would have saved an estimated $6 billion, or approximately 22 percent of total spending, across the 10 selected drugs.
- People with Medicare prescription drug coverage are expected to see total estimated savings of $1.5 billion in their personal out-of-pocket costs in 2026.
- 15 more drugs covered by Part B or Part D have been selected for negotiation for 2028 and up to 20 more Part B or Part D drugs will be selected for negotiation each year after that, as required by the Inflation Reduction Act. For more detailed information about the negotiated prices for 2026, please see the Centers for Medicare & Medicaid Services (CMS) Negotiated Prices Fact Sheet.
- Manufacturers are required to pay rebates to Medicare if they increase their prices for certain drugs faster than the rate of inflation. The first rebate period began October 1, 2022 for drugs covered under Part D and January 1, 2023 for drugs covered under Part B.
- Some people with Medicare may pay a lower coinsurance for some Part B drugs as a result of this program.
- Since April 1, 2023, CMS has announced over 120 Part B drugs with reduced coinsurances.
- The Extra Help or Low-Income Subsidy Program helps with drug costs for Part D enrollees with limited income and resources.
- Starting January 2024, the Inflation Reduction Act expanded the program to cover more drug costs for people with limited resources:
- Nearly 300,000 low-income people with Medicare currently enrolled in the Extra Help program are newly eligible for expanded benefits, including no deductible, no premiums, and fixed, lowered copayments for certain medications.
- Now, everyone who qualifies for Extra Help will pay $0 in premiums, $0 in deductibles, and a reduced amount for generic and brand-name drugs.
- Some people who already receive help paying for their Medicare costs are automatically enrolled in Extra Help, but that’s not true for everyone.
- Visit Social Security online at SSA.gov/extrahelp or call Social Security at 1-800-772-1213 to see if you are eligible.
- Contact your local State Health Insurance Assistance Program (SHIPs) at shiphelp.org
- Call 1-800-MEDICARE to learn more about lowering drug costs.
- Contact your local State Health Insurance Assistance Program (SHIP) at shiphelp.org or call 1-877-839-2675 to get free personalized health insurance counseling.
Social Media Sharables
This section features a collection of ready-to-use graphics and engaging social media posts crafted to help you spread awareness and amplify the benefits of the Inflation Reduction Act.
Post Copy - Facebook/Instagram/X/LinkedIn: For decades, Americans have spent more on Rx drugs than people in other countries — paying two to three times more for the same drugs. The Inflation Reduction Act is making changes to Medicare so that millions of people with Medicare will spend less!
Graphic Alt-text: The Inflation Reduction Act Accomplishments
To Do List
$35 Insulin
Free Recommended vaccines
Cap on out-of-pocket costs
First 10 drugs selected for negotiations now with new lower prices in 2026
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Post Copy - Facebook/Instagram/X/LinkedIn: The Inflation Reduction Act makes improvements to #Medicare that expands benefits, lowers drug costs, keeps Rx drug plan premiums stable, & improves the sustainability of the Medicare program for future generations!
Graphic Alt-text: The Inflation Reduction Act is:
Capping out-of-pocket costs for Rx drugs covered under Part D
Improving coverage of certain drugs including insulin and vaccines
Expanding eligibility for financial assistance
Improving Part D benefits
Allowing Medicare to negotiate with participating drug companies for certain drugs covered under Medicare
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Post Copy - Facebook/Instagram/X/LinkedIn: Starting in January 2025, everyone with Part D prescription drug coverage will have their out-of-pocket costs capped at $2,000 annually – saving people with Medicare like Diana thousands of dollars: https://www.youtube.com/watch?v=5alg1BP496A
Graphic Alt-text: Thanks to the Inflation Reduction Act: All Medicare Part D enrollees now have their out-of-pocket costs capped at: $2,000 annually
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Post Copy - Facebook/Instagram/X/LinkedIn: Did you know that more than 8 million Americans rely on insulin to manage their blood glucose levels? Thanks to the #InflationReductionAct, people with #Medicare Part D have a $35/month cap on insulin
Graphic Alt-text: Thanks to the Inflation Reduction Act:
All Medicare covered insulin is no more than $35/MONTH
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Post Copy - Facebook/Instagram/X/LinkedIn: Thanks to the #InflationReductionAct, if you have #MedicarePart B & take insulin delivered through a pump, you’ll pay no more than $35/mo.
Graphic Alt-text: The Inflation Reduction Act & Medicare
Save money for the things you love! Medicare Part B enrollees pay no more than $35/ Month for insulin delivered through a pump
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Post Copy - Facebook/Instagram/X/LinkedIn: Did you know that you could be missing out on benefits from Medicare's Extra Help Program? Qualified enrollees have $0 premiums, $0 deductibles, and fixed, reduced copays.
Graphic Alt-text: Do you qualify for Medicare’s Extra Help program?
Don’t miss out on potential benefits.
Visit LowerDrugCosts.gov to learn more.
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Post Copy - Facebook/Instagram/X/LinkedIn: The Inflation Reduction Act is delivering lower prescription drug costs! Certain recommended preventive adult vaccines are now free for people with #Medicare.
Graphic Alt-text: The Inflation Reduction Act
Certain recommended preventive adult vaccines are FREE for people with Medicare Rx drug coverage
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Post Copy - Facebook/Instagram/X/LinkedIn: Thanks to the Inflation Reduction Act, access to affordable health care is better than ever. Now certain recommended adult vaccines are free of charge for people with #Medicare Rx drug coverage
Graphic Alt-text: The Inflation Reduction Act and Medicare
Certain recommended preventive adult vaccines are FREE with Medicare Rx Drug Coverage
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Post Copy - Facebook/Instagram/X/LinkedIn: Medicare enrollees who take one of the 10 drugs with new, lower negotiated prices will save some money in 2026. The #InflationReductionAct is putting dollars back in the pockets of American taxpayers!
Graphic Alt-text: New Prices after negotiation of the first ten drugs selected for Medicare price negotiations.
| Drug | List Price | Negotiated Price |
|---|---|---|
| Eliquis For Blood Clots | $521 | $231 |
| Jardiance For Diabetes, Heart Failure, Chronic Kidney Disease | $573 | $197 |
| Xarelto For Blood Clots and Coronary Artery Disease | $517 | $197 |
| Januvia For Diabetes | $527 | $113 |
| Farxiga For Diabetes, Heart Failure, Kidney Disease | $556 | $178.50 |
| Entresto For Heart Failure | $628 | $295 |
| Enbrel For Arthritis, Psoriasis, Psoriatic Arthritis | $7,106 | $2,355 |
| Imbruvica For Blood Cancers | $14,934 | $9,319 |
| Stelara For Psoriasis, Psoriatic Arthritis, Crohn’s Disease, Ulcerative Colitis | $13,836 | $4,695 |
| Fiasp Fiasp Flextouch, Fiasp Penfill, Novolog, Novolog Flexpen, Novolog Penfill For Diabetes | $495 | $119 |
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Post Copy - Facebook/Instagram/X/LinkedIn: HHS has made lowering health care costs for America’s families a top priority & now thanks to the #InflationReductionAct drug companies that increase their prices faster than the rate of inflation will pay rebates back to the #Medicare Trust Fund.
Graphic Alt-text: The President's New Lower Cost Prescription Drug Law
Requires drug companies to pay rebates to Medicare if their prices for certain drugs increase faster than inflation
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Post Copy - Facebook/Instagram/X/LinkedIn: 64 #Medicare Part B drugs will have lowered coinsurance rates from January 1, 2025 – March 31, 2025 thanks to the #InflationReductionAct. #LowerDrugCosts
Graphic Alt-text:
Medicare Prescription Drug Inflation Rebate Program reduced coinsurance for Medicare Part B drugs with savings up to $10,818 per day depending on their coverage.
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These postcards have been designed to educate and spread the word about the Inflation Reduction Act and Medicare.
Postcard: Lower Cost Prescription Drug Law
- English
- Spanish | Español
- Chinese (Traditional) | 中文
- Chinese (Simplified)
- Korean | 한국어
- Vietnamese | Tiếng việt
Postcard: Save On Your Medicare Drug Costs With Extra Help
Postcard: Save Money On Your Medicare-covered Insulin
Postcard: Medicare Covers More Vaccines For Free!
These drop-in articles can be used to spread awareness about the Inflation Reduction Act and Medicare.
Low-Income Subsidy (Extra Help) Program article
Medicare Part B and D Insulin Benefit article
Medicare Part D Vaccine Benefit article
Medicare Part D Out-of-Pocket Costs: Catastrophic Cap