Medicare Part D Coverage of Drugs Selected for the Drug Price Negotiation Program

Author:

Patterson Julie A.1,Wagner Tyler D.1,O’Brien John M.1,Campbell Jonathan D.1

Affiliation:

1. National Pharmaceutical Council, Washington, DC

Abstract

This cross-sectional study describes and historically benchmarks Medicare Part D coverage in 2019 and 2023 for the first 10 drugs selected for negotiation.

Publisher

American Medical Association (AMA)

Reference6 articles.

1. The Inflation Reduction Act: how will Medicare negotiating drug prices impact patients with heart disease?;Johnson;Curr Cardiol Rep,2023

2. Coverage, formulary restrictions, and out-of-pocket costs for sodium-glucose cotransporter 2 inhibitors and glucagon-like peptide 1 receptor agonists in the Medicare Part D program.;Luo;JAMA Netw Open,2020

3. Out-of-pocket costs of specialty medications for psoriasis and psoriatic arthritis treatment in the Medicare population.;Pourali;JAMA Dermatol,2021

4. Commercial coverage of specialty drugs, 2017–2021.;Rucker;Health Aff Sch,2023

5. Seshamani? M. Medicare Drug Price Negotiation Program: revised guidance, implementation of sections 1191-1198 of the Social Security Act for initial price applicability year 2026. Centers for Medicare & Medicaid Services. June 30, 2023. Accessed August 26, 2023. https://www.cms.gov/files/document/revised-medicare-drug-price-negotiation-program-guidance-june-2023.pdf

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