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Cancer Drug Manufacturers Sue HHS OIG Over Denial Of Part D Patient Assistance Program

 
• By Cathy Kelly

Complaint against the US government watchdog agency disputes its conclusion that a proposed cost sharing assistance program in Medicare to be funded by a coalition of cancer drug manufacturers would likely violate the federal anti-kickback statute.

Lawsuit Follows Three Year-Plus Effort To Obtain Favorable OIG Opinion • Source: Shutterstock

The cost sharing limits in Medicare Part D that will be established in the coming years under the Inflation Reduction Act will still leave many patients in need of assistance, a coalition of manufacturers described as the Pharmaceutical Coalition for Patient Access argue in a lawsuit against the Health and Human Services Department’s Office of Inspector General.

For that and other reasons, the court should overturn the recent OIG advisory opinion that the coalition’s proposed cost sharing assistance program for oncology drugs in Medicare Part D could...

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Saving Part D: US Medicare Advisors Sound The Alarm

 
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The US Medicare Patient Advisory Commission worries that Medicare prescription drug market trends may cause the stand-alone plan portion of the program to “wither away,” which could take the traditional fee-for-service side of Medicare with it.

GLP-1 Pricing ‘Paradigm Shift’ Possible, But Would It Meet Trump’s MFN Goals?

 
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More from Government Payers

Japan Reimburses 11 New Drugs But Slashes Price Of Others By Up To 20%

 
• By Lisa Takagi

Japan's NHI program continues to give and take as 11 new drugs are granted reimbursement, while the prices of others - including three ophthalmic therapies - are cut by up to 20% under a Market Expansion Repricing scheme.

HHS Negotiating With Manufacturers On Most Favored Nation Drug Pricing

 
• By Cathy Kelly

MFN policy would would apply to all single source drugs in all insurance markets, according to HHS release. Secretary Robert F. Kennedy Jr. said the department is discussing the plan with drug sponsors.

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