Game On: Medicare Will Parry Manufacturer Efforts To Sidestep Price Negotiation, Guidance Says

CMS will need to continue to be ‘savvy’ to strategies brand manufacturers already employ to shape the landscape for generic and biosimilar competition, policy expert says.

CMS Likely To Face Creative Efforts From Manufacturers • Source: Shutterstock

The Centers for Medicare and Medicaid Services will work to ensure that new generics and biosimilars that could disrupt or delay price negotiation for brands are not encumbered by distribution or sales limits dictated by the reference product manufacturer, the agency says in its initial guidance for the program.

Released on 15 March, the guidance covers the Medicare negotiation process for prices that go into effect in 2026, the first year of the program. It offers a first look at how CMS will go about designing and implementing the ground-breaking program

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