Medicare is unlikely to land on a single numerical threshold for what qualifies as “bona-fide” marketing of generic or biosimilar competition to a brand drug when determining whether a brand medication qualifies for negotiation under the Inflation Reduction Act.
Medicare Director: ‘Bona-Fide’ Generic Marketing Likely Product-Specific For IRA
CMS won’t put a number on ‘bona fide” generic and biosimilar competition. Medicare's head also discussed how it will ensure rebates don’t disadvantage drugs with government-negotiated prices.

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