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In 2024, total U.S. spending on prescriptiondrugs was almost $800 billion. Although low-cost generic drugsfilled 91% of all prescriptions, the 9% of prescriptionsfilled with a branded medicine accounted for 84% of drug spending.
Overall, while the NHC appreciates CMS’ intent to streamline the data submission process and make it more accessible, we encourage ongoing dialogue and adjustments to ensure that the process remains patient-centered, efficient, and capable of capturing the full spectrum of information necessary to inform meaningful drugprice negotiations.
General Comments The NHC appreciates CMS’ commitment to actively engaging with stakeholders, including patients, consumer advocates, and health experts, in implementing the Medicare DrugPrice Negotiation Program (DPNP). An assessment of regulatory interpretation of qualifying single-source drugs in Medicare negotiation.
I’ll also note that I’m not certain that the “Pharmacy” revenue is ONLY prescriptionfills. Digest per prescription revenue figure is believable (it’s also down about $6 since I started paying attention to the Digest , hence my annoyance at people that blame pharmacists for “skyrocketing drugprices.”
1 (February 14, 2023): 1023, [link] 10 Institute for Clinical and Economic Review, Assessment of Barriers to Fair Access Report , 2024, [link] Report-121924.pdf. 12 Mark Kyle and Natalie Keating, “Prior Authorization and Association with Delayed or Discontinued PrescriptionFills,” Journal of Clinical Oncology 42, no.
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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