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It’s time for Drug Channels ’ annual update on pricing at the largest pharmaceuticalmanufacturers. These data remain inconvenient for drugpricing flat earthers (#DPFE): When rebates and discounts were factored in, brand-name drugprices again declined—or grew slowly—in 2023.
billion annually because of these restrictions, as drug companies limit 340B discounts on medications purchased through contract pharmacies. billion in 340B savings is at risk, due to increasing limitations imposed by pharmaceuticalmanufacturers which could further strain the healthcare safety net and patient care services.
Gaulkin — Enacted in 2022, the Inflation Reduction Act (IRA) amended the Medicare provisions of the Social Security Act to impose several discount requirements on pharmaceuticalmanufacturers. On July 31, 2024, CMS published a proposed rule to codify its guidances, with some changes.
Gaulkin — On April 10, the Fourth Circuit unanimously affirmed a summary judgment ruling for the Centers for Medicare & Medicaid Services (CMS) regarding the agency’s definitions of “line-extension drug” and “new formulation” for purposes of determining rebates that drugmanufacturers may owe the Medicaid Drug Rebate Program (MDRP).
This expansion continues a flawed policy that threatens innovation and jeopardizes patient access to critical treatments, including drugs vital for cancer treatment and popular new weight loss medications that have transformed the management of obesity and related conditions. What Will 2025 Mean for Medicare DrugPrice Setting Under the IRA?
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