The document discusses challenges facing employers who provide post-retirement pharmaceutical benefits and alternatives to address these challenges. It describes the Retiree Drug Subsidy program and its limitations. A key alternative presented is an Employee Group Waiver Plan (EGWP), where an employer contracts with a Part D plan sponsor to provide a Medicare Part D prescription drug plan and receive subsidies directly from Medicare. An EGWP can provide increased subsidies compared to the Retiree Drug Subsidy and outsources administration. The document provides an example comparing the financial impact of these options for an employer with 57,000 Medicare-eligible retirees.