“Specialty Drug Copayment Limitation Act of 2015” (D.C. Law 21-248; D.C. Code § 48–855; Effective from Apr 7, 2017)
Per § 48–855.02(a)(2) “On July 1 of each year, the limit on a required copayment or coinsurance applicable to a drug on a specialty tier provided in paragraph (1) of this subsection shall increase by a percentage equal to the percentage change from the preceding year in the medical care component of the March Consumer Price Index for All Urban Consumers, Washington-Baltimore metropolitan area, as published by the Bureau of Labor Statistics of the United States Department of Labor.”
According to information from the Bureau of Labor Statistics website the annual adjustment is shown below.
| Year | 30-day Supply | 90-day Supply |
|---|---|---|
| July 2017 | $150 | $300 |
| July 2018 | $153 | $306 |
| July 2019 | $154 | $308 |
| July 2020 | $157 | $315 |
| July 2021 | $167 | $336 |
| July 2022 | $177 | $355 |
| July 2023 | $172 | $345 |
| July 2024 | $178 | $358 |
| July 2025 | $178 | $359 |
| July 2026 | $181 | $362 |
