For Generic Manufactures, New Medicare Drug Pricing Demo Is a Dud

The proposed CMS innovation center's $2 drug list model will not address the barriers to newer generics getting on Part D formularies and plans may have little incentive to participate in the demo, an industry group said. 

close up of a US $2 bill
CMS announces potential list of generics for proposed Part D demonstration. • Source: Shutterstock

The US Center for Medicare and Medicaid Innovation’s plan to reduce drug costs by giving Medicare Part D beneficiaries access to select generic drugs for up to $2 a month did not receive a warm reception from the generic industry, largely because it is seen as focusing on drugs that are already firmly entrenched and not incentivizing better coverage of newer follow-on products.

Key Takeaways
  • New information on Medicare’s $2 generic drug copay innovation center model did not excite the generic drug industry because the list is dominated by medicines that are already highly genericized.

  • More than 100 generic drugs are included in CMMI’s initial list for the model and feedback on the list and other aspects of the model may be submitted until 9 December

“If CMS were to implement this, it would apply only to a select list of older, largely commoditized generics,” the Association for Accessible Medicines told Pink Sheet. “Further, there is no incentive for plans to participate

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