This stands for the True Out Of Pocket costs of your Medications. It includes your Deductible, copays and the cost share to your Health Insurance Plan. It is used to calculate when you reach the Catastrophic” phase of your Rx Coverage and no longer have Copays for your Medications. In 2025 the most you will pay for your Medications will be $2000 at which time you will be in the Catastrophic Phase and your cost share will be $00.00.
The 3 Phases of Medications Coverage–
Deductible
Initial
Catastrophic
Michael M Insurance Blog