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Health Care & Hospital Law,
Government

Nov. 2, 2023

Medicare and pharma must agree on drug prices – or face penalties

The heavy penalties for noncompliance have been labeled “extortion” by Pharma. They have also been called “turning up to a fight where only one side has a gun.” But Medicare is a completely voluntary program and pharmaceutical companies are not forced to participate in it.

John H. Minan

Emeritus Professor of Law
University of San Diego School of Law

Professor Minan is a former attorney with the Department of Justice in Washington, D.C. and the former chairman of the San Diego Regional Water Quality Board.

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The United States has traditionally barred Medicare from negotiating prices with drug manufacturers. This changed with enactment of the Inflation Reduction Act of 2022 (IRA), which created a Drug Price Negotiation Program.

The Program plans to lower the high cost of prescription drugs available to seniors enrolled in Medicare by using its purchasing power to establish a drug price negotiation process. The Secretary of Health and Human Ser...

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