These single-source drugs were chosen based on their eligibility under the IRA and are the “highest total Part D gross covered prescription drug costs” under Medicare Part D, according to CMS. In total, these medications account for $50.5 billion in total gross Part D costs.
Negotiations over these drugs, if manufacturers agree to the process, will take place over 2023 and 2024. Drugmakers have until Oct. 1 to sign agreements.
CMS will publish the “maximum fair prices” for these drugs in September 2024. The negotiated prices for these drugs will go into effect beginning in 2026.
President Joe Biden is expected to give a speech on Tuesday to mark the selection of these drugs.
“For far too long, Americans have paid more for prescription drugs than any major economy,” Biden said in a statement. “And while the pharmaceutical industry makes record profits, millions of Americans are forced to choose between paying for medications they need to live or paying for food, rent, and other basic necessities. Those days are ending.”
“Today, my Administration announced the first 10 Medicare Part D drugs that have been selected for price negotiation — for the first time ever,” Biden continued. “They are among the most common and costly prescriptions that treat everything from heart failure, blood clots, diabetes, arthritis, Crohn’s disease — and more. This is on top of progress we made in reducing the cost of insulin to $35 a month for seniors on Medicare.”
Lauding the plan as a “key part of Bidenomics,” Biden also noted that he was “not backing down” in light of the lawsuits that have been filed against Medicare drug price negotiation.
Here are the 10 drugs chosen:
For treating: Prevention and treatment of blood clots
Manufacturer: Bristol-Myers Squibb and Pfizer
For treating: Diabetes; heart failure
Manufacturer: Boehringer Ingelheim and Eli Lilly and Co.
For treating: Prevention and treatment of blood clots; reduction of risk for patients with coronary or peripheral artery disease
Manufacturer: Janssen Pharmaceuticals
For treating: Diabetes
For treating: Diabetes; heart failure; chronic kidney disease
Manufacturer: AstraZeneca and Bristol-Myers Squibb
For treating: Heart failure
For treating: Rheumatoid arthritis; psoriasis; psoriatic arthritis
Manufacturer: Immunex Corporation
For treating: Blood cancers
Manufacturer: Pharmacyclics and Janssen Biotech
For treating: Psoriasis; psoriatic arthritis; Crohn’s disease; ulcerative colitis
Manufacturer: Janssen Biotech
For treating: Diabetes
Manufacturer: Novo Nordisk