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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

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

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

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

Key Findings

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