@daisy17 Just a clarification: Medicare Advantage plans are required to cap annual out-of-pocket spending for covered Part A and Part B medical services, but prescription drug costs are handled separately under Part D. Beginning in 2025, Medicare Part D does have a $2,000 annual out-of-pocket cap for covered prescription drugs. Whether a specific osteoporosis medication is covered depends on the plan's formulary and how the drug is classified. Since you're using VA drug coverage, different rules may apply.