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Generic Prescription Copay History (Employer Plans)

The average generic (first-tier) prescription copay in employer plans was $12 per prescription as of Oct 2026, according to KFF Employer Health Benefits Survey. That is unchanged from a year earlier. Since January 2018 ($11), it is up 9.1%. In our data, which starts Jan 2015, the highest price was $12 (first reached Jan 2021) and the lowest was $11 (Jan 2015).

Latest price
$12
per prescription · as of Oct 2026
Year over year
0.0%
vs a year earlier
Since Jan 2018
+9.1%
Jan 2018: $11
Record high
$12 (first reached Jan 2021)
Low: $11 (Jan 2015)

Generic Prescription Copay History since Jan 2015

Generic prescription copay, first tier (avg, employer plans). Monthly values, step series. Weight in the Real Inflation index: 1.2%.

Generic prescription copay: every recorded change

EffectivePriceChangeSource
Jan 2015$11KFF Employer Health Benefits Survey
Jan 2016$110.0%KFF Employer Health Benefits Survey
Jan 2017$110.0%KFF Employer Health Benefits Survey
Jan 2018$110.0%KFF Employer Health Benefits Survey
Jan 2019$110.0%KFF Employer Health Benefits Survey
Jan 2020$110.0%KFF Employer Health Benefits Survey
Jan 2021$12+9.1%KFF Employer Health Benefits Survey
Jan 2022$11-8.3%KFF Employer Health Benefits Survey
Jan 2023$110.0%KFF Employer Health Benefits Survey
Jan 2024$12+9.1%KFF Employer Health Benefits Survey
Jan 2025$120.0%KFF Employer Health Benefits Survey
Jan 2026$120.0%KFF Employer Health Benefits Survey

Price in January of each year

YearJanuary pricevs year before
2015$11
2016$110.0%
2017$110.0%
2018$110.0%
2019$110.0%
2020$110.0%
2021$12+9.1%
2022$11-8.3%
2023$110.0%
2024$12+9.1%
2025$120.0%
2026$120.0%

Source

Notes and caveats

  • KFF EHBS average first-tier (generic) drug copayment. Whole-dollar rounding by KFF, so $11/$12 flips are within rounding.
  • Step series: each price applies from its change date until the next change. Monthly values hold the price in effect that month.
  • KFF publishes its survey each October. Values are dated Jan 1 of the survey year, so the year-over-year change shows 0.0% until the next survey is added.

FAQ

How much is a generic prescription copay now?

The average generic (first-tier) prescription copay in employer plans was $12 per prescription as of Oct 2026 (0.0% vs a year earlier). Source: KFF Employer Health Benefits Survey.

How much was a generic prescription copay in 2018?

In January 2018 the average generic (first-tier) prescription copay in employer plans was $11 per prescription. Since then it has changed +9.1%.

When was a generic prescription copay most expensive?

In our data (starting Jan 2015), the highest price was $12 (first reached Jan 2021). The lowest was $11 (Jan 2015).

When did the price of a generic prescription copay last change?

The most recent change in our data took effect Jan 2026: from $12 to $12 (0.0%). We have 11 recorded changes since Jan 2015.

How often is this page updated?

We re-check this item on every weekly refresh and record each official change with its effective date.

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