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Medicare Negotiation Second Cycle Draft Guidance Offers Options For ‘Effectuating’ Prices

 
• By Cathy Kelly

The mechanics of implementing the new prices is the most significant update in the draft. The few revisions to key elements of the negotiation process in the guidance include alternative approaches to forums for collecting patient input on the selected drugs. 

The Negotiation Process Likely Won't Change Much In the Next Round. • Source: Shutterstock

A key update in the Centers for Medicare and Medicaid Services draft guidance for the second round of the Medicare price negotiations focuses on the mechanics of getting negotiated prices into the supply chain and pharmacy counter in 2026 and 2027.

The guidance, released 3 May, covers the process CMS will follow when negotiating prices for 15 Part D drugs that...

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