When you first use your PACENET card, and in the months that follow, you will have to pay a monthly deductible that is equal to the regional benchmark premium for Part D, which is $35.50 for 2014. After you pay this deductible at the pharmacy, you will pay the PACENET co-pays for your medications ($8 for generics and $15 for name brand medications).
If you have not used your PACENET card and you do not currently take medications, you will not have to pay this deductible until you activate your card at the pharmacy. Once you activate your PACENET card, the monthly deductible will accumulate if it is not met each month. This process is only for PACENET cardholders that do not enroll in Part D.
EXAMPLE: I sign up for PACENET in January 2014, but do not use my card until March, 2014. In March, I pay a deductible of $35.50. If I do not purchase any medications in April, my deductible in May will be $71.00 ($35.50 from April plus $35.50 for May) and so forth.