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Reuters (3/15, Aboulenein, Erman) reports the federal “government will select the Medicare program’s 10 costliest prescription medicines based on gross spending for negotiating price cuts that will go into effect in 2026, the U.S. Centers for Medicare and Medicaid Services (CMS) said on Wednesday.” The agency “will only accept one ...

The Centers for Medicare & Medicaid Services (CMS) on March 15 announced the first round of prescription drugs for which Medicare beneficiaries will pay reduced coinsurance from April 1 – June 30, 2023. As required by the Inflation Reduction Act, drug manufacturers that increase prices faster than the inflation rate will be required to pay ...

The extent to which individual Medicare beneficiaries will enjoy this cap on cost-sharing will depend on the kinds of other (non-Medicare) coverage they use. For the quarter starting in April, CMS estimates that the Medicare beneficiaries may see coinsurance charges that are reduced by as much as $2 to $390 per average dose.

On Wednesday, March 15, 2023, the Centers for Medicare and Medicaid Services (CMS) posted the names of the first drugs and biologics sanctioned for excessive price increases under the Medicare ...