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Some current Medicare beneficiaries and all new Medicare beneficiaries need to decide whether to participate in the Medicare Part D prescription drug program. To determine which beneficiaries might need assistance and what information would be most helpful to them, we examined the distribution of beneficiaries’ previous sources of prescription drug coverage and their satisfaction with that coverage before Medicare Part D was implemented. The purpose of this article is to consider how the new Medicare Part D benefit has changed the relative options for beneficiaries with and without prior prescription drug coverage, and how communication with Part D beneficiaries might be enhanced. (Drug Benefit Trends. 2007;19:149-163)