CMS Takes Action to Lower Prescription Drug Prices and Increase Transparency

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CMS Takes Action to Lower Prescription Drug Prices and Increase Transparency | CMS

CMS is also codifying a policy that enables beneficiaries to select a Medicare Advantage plan that negotiates prices for physician-administered medicines when beneficiaries are first starting on the medicines. By strengthening a plan’s ability to negotiate with prescription drug companies, this policy will ensure that plans can better deliver value for a patient’s medical needs. Many physician-administered medicines are biologics, which are some of the most expensive therapies in use today. Lower-cost biosimilars are coming to market to compete with biologics, and this policy is part of the Trump Administration’s broader strategy to foster innovation in biosimilars in order to drive competition in the market for physician-administered drugs.

In addition, today’s rule implements in Part D legislation signed by President Trump to prohibit “gag clauses,” which keep pharmacists from telling patients about lower-cost ways to obtain prescription drugs. These efforts to promote transparency on the price of prescription drugs complement a series of other changes towards this important goal, including a final rule issued by CMS last week to require pharmaceutical companies to disclose the list price of prescription drugs in direct-to-consumer television advertisements.
 
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