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Under Pressure, CMS Backs Off New Part D Protected Class Management

 
• By Cathy Kelly

Decision in final rule marks a setback in the Trump Administration’s game plan for lowering drug prices. But CMS proceeds with codifying previous guidance allowing step therapy for Part B drugs in Medicare Advantage.

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CMS Final Rule On Part D Protected Class Drugs A Win For Manufacturers

The Centers for Medicare and Medicaid Services has decided on a much more limited approach to allowing Medicare Part D plans to apply management tools to prescription drugs in the protected classes than previously proposed.

The decision was announced in the final rule on “Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out-of-Pocket Expenses,” released 16 May.

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