Medicare Part D drug plans for 2027
323 stand-alone Part D plans are offered for 2027, down from 367 in 2026, across 39 drug-plan regions, according to the CMS landscape files. Their median deductible is $700 ($615 in 2026).
What changes for drug plans in 2027?
| Drug plans | 2026 | 2027 | Change |
|---|---|---|---|
| Stand-alone drug plans | 367 | 323 | ▼down 44 |
| Median deductible | $615 | $700 | ▲up $85 |
| Median monthly premium | $61.70 | $80.30 | ▲up $18.60 |
| Yearly cap on your drug costs (all Part D plans) | $2,100 | $2,400 | ▲up $300 |
| Largest deductible a plan may charge | $615 | $700 | ▲up $85 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); the cap and the largest deductible: CMS, Announcement of calendar year 2027 Part D parameters. Medicare negotiated prices for 15 more drugs, Ozempic among them, from January 1, 2027 (CMS).
Which companies sell drug plans?
| Parent company | Plans 2027 | Plans 2026 | Members, Sept. 2026 |
|---|---|---|---|
| Centene Corporation | 68 | 68 | 8,951,798 |
| Humana Inc. | 102 | 102 | 3,491,346 |
| UnitedHealth Group, Inc. | 73 | 73 | 2,338,121 |
| CVS Health Corporation | 20 | 33 | 1,812,413 |
| Health Care Service Corporation | 40 | 68 | 1,749,651 |
| Elevance Health, Inc. & BCBSMA & BCBSRI & BCBSVT | 2 | 2 | 175,617 |
| Blue Cross Blue Shield of Kansas | 3 | 3 | 151,721 |
| BCBS MN, MT, NE, ND, WY, Wellmark IA and SD | 1 | 1 | 84,540 |
| Guidewell Mutual Holding Corporation | 2 | 2 | 46,875 |
| California Physicians' Service | 2 | 2 | 38,967 |
| Horizon Mutual Holdings, Inc | 2 | 2 | 31,497 |
| BlueCross BlueShield of Alabama | 2 | 2 | 30,890 |
| CuraCor Solutions Corp. | 2 | 2 | 30,279 |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 2 | 2 | 22,036 |
| USAble Mutual Insurance Company | 2 | 2 | 17,480 |
| Highmark Health | 0 | 2 | 14,596 |
| BlueCross BlueShield of South Carolina (BCBSSC) | 0 | 1 | 13,809 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
Which large drug plans end?
| 2026 plan | Region | Parent | Members, Sept. 2026 |
|---|---|---|---|
| SilverScript ChoiceS5601-012 | Pennsylvania, West Virginia | CVS Health Corporation | 182,772 |
| SilverScript ChoiceS5601-050 | Upper Midwest and Northern Plains (Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota and Wyoming) | CVS Health Corporation | 171,387 |
| SilverScript ChoiceS5601-064 | California | CVS Health Corporation | 157,930 |
| SilverScript ChoiceS5601-030 | Indiana, Kentucky | CVS Health Corporation | 132,488 |
| SilverScript ChoiceS5601-004 | Central New England (Connecticut, Massachusetts, Rhode Island, and Vermont) | CVS Health Corporation | 119,612 |
| HealthSpring Extra RxS5617-382 | California | Health Care Service Corporation | 46,025 |
| SilverScript ChoiceS5601-060 | Oregon, Washington | CVS Health Corporation | 41,895 |
| SilverScript ChoiceS5601-062 | Idaho, Utah | CVS Health Corporation | 33,589 |
| SilverScript ChoiceS5601-032 | Wisconsin | CVS Health Corporation | 31,171 |
| SilverScript ChoiceS5601-018 | South Carolina | CVS Health Corporation | 28,701 |
| SilverScript ChoiceS5601-042 | Louisiana | CVS Health Corporation | 27,018 |
| HealthSpring Extra RxS5617-353 | New York | Health Care Service Corporation | 19,775 |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- Every drug plan for 2027323 plans with premiums and deductibles
- Is your drug covered?Coverage share and tier