US Government Proposals Would Obligate Health Plans To Place Generics On Correct Tiers

HHS And CMS Recommendation Has Been Welcomed By The AAM

The HHS and CMS have proposed that health plans in the US be required to place generic and brand drugs on the correct tiers for their drug category.

Man holding up blue and red pills
Plans would see patients paying fairer prices for their medications • Source: Shutterstock

The US Association for Accessible Medicines has praised the US Department of Health and Human Services and the Center for Medicare & Medicaid Services for their recommendation that health plans be required to place generic and branded drugs on their own specialized tiers as part of the Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2024.

“In spite of the lower prices of generics and biosimilars, plan design too often does not optimize their use. And when this occurs, patients are forced to pay more than necessary,” noted AAM interim CEO David Gaugh. “We look forward to working with the CMS to ensure that patients have access to and realize the full value of lower cost generic and biosimilar medicines

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