The 10 drugs selected for Medicare Part D price negotiation with HHS will be announced on September 1, 2023, HHS said Wednesday.
The Biden administration Wednesday outlined how it plans to engage with stakeholders and other steps it will take as it begins to implement Medicare drug pricing negotiations as stipulated in the Inflation Reduction Act, which passed last year.
Between now and January 1, 2026, when prices on the 10 drugs with the largest share of Medicare spending are expected to drop, HHS will issue a raft of guidance and comment periods, starting this winter.
The first round starts with a 60-day comment period to identify which small biotech drugs should be excluded from the first few years of negotiated prices.
In the spring, CMS said it will release how it plans to collect data for decision making and what should be considered when negotiating the top fair price, as well as information that should be included in the counteroffer process with drug manufacturers.
The government will use the time frame of June 1, 2022, to May 31, 2023, to collect data on Medicare Part D total spending to determine which drugs to target for the first year of price reductions in 2026, with the announcement of the 10 drugs coming on September 1.
Drug makers will have until October 1 to sign agreements to participate in the negotiation process, followed by the submission of company-specific data they want CMS to consider by the following day.
As announced Wednesday, the process would then continue to unfold in 2024:
An additional 15 Part D drugs will be selected for 2027, followed by another 15 Part B or Part D drugs for 2028, and 20 more Part B or Part D drugs for each year that follows.
Also Wednesday, administration officials touted the almost-final results of signups for health insurance under the Affordable Care Act, saying that a record of nearly 16 million individuals have enrolled. The open enrollment period ends this Sunday, January 15.
Just over 3 million people are new enrollees, officials said. Overall, this year saw a 13% increase in enrollment over last year.
Bridging the Gaps: New Strategies for Preventing Cardiovascular Disease
July 31st 2025During the Addressing Cardiovascular Risk and Intervening Early webinar, experts discussed innovative strategies for cardiovascular disease prevention, emphasizing risk assessment, lifestyle changes, and collaborative care to improve patient outcomes.
Read More
Taletrectinib Recommended in NCCN Guidelines for ROS1-Positive NSCLC
July 31st 2025Taletrectinib was added to the National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines in Oncology as a preferred option for the first-line and subsequent treatment of advanced ROS1-positive non–small cell lung cancer (NSCLC).
Read More
Trends in Insulin Out-of-Pocket Costs and Use Disparities, 2008-2021
July 31st 2025Given trends in cost and use, insulin out-of-pocket cost reduction policies would be more efficient if they targeted members in high-deductible health plans with savings options and low-income patients.
Read More