Drugs anticipated to be selected for Medicare price negotiation in 2026 for implementation in 2028

Part B drugs will be negotiated for the first time in IPAY 2028. Policy changes, such as the OBBBA, exclude several high-cost products from negotiation. These policy decisions have major implications for how the Drug Price Negotiation Program targets high-spend drugs and achieves meaningful savings for the Medicare program.

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Publication Details

Journal
Journal of Managed Care & Specialty Pharmacy
Published
2025-11-14
DOI
https://doi.org/10.18553/jmcp.2025.25253
Primary Topic
Pharmaceutical Economics and Policy
Type
article
Field-Weighted Citation Impact
0.00
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article

Drugs anticipated to be selected for Medicare price negotiation in 2026 for implementation in 2028

Sean D. Sullivan, Emma M. Cousin, Kristi Martin, Ryan N. Hansen et al.
Journal of Managed Care & Specialty Pharmacy
Pharmaceutical Economics and Policy
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Drugs anticipated to be selected for Medicare price negotiation in 2026 for implementation in 2028

Sean D. Sullivan, Emma M. Cousin, Kristi Martin, Ryan N. Hansen, John Coster
article en

Abstract

Part B drugs will be negotiated for the first time in IPAY 2028. Policy changes, such as the OBBBA, exclude several high-cost products from negotiation. These policy decisions have major implications for how the Drug Price Negotiation Program targets high-spend drugs and achieves meaningful savings for the Medicare program.

Journal of Managed Care & Specialty PharmacyVol. 32(1)
University of Washington (US), Camber Collective (United States) (US), Centers for Medicare and Medicaid Services (US), London School of Economics and Political Science (GB)
Openalex Percentile: Top 58%
Pharmaceutical Economics and Policy
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