The U.S. government will select the 10 costliest prescription medicines to Medicare for negotiating prices with drugmakers starting early next year, the program's top official said on Friday.
"Then from there, we rank the negotiation-eligible drugs according to total expenditures for that 12-month period, and we will select drugs with the highest ranking," Seshamani said.
To produce that list, the agency first needs to decide whether to use gross Medicare spending or net spending, which takes into account often sizeable after-market discounts.published in December in which the Centers for Medicare and Medicaid Services , which oversees Medicare, redefines the term "gross covered prescription drug costs" within Medicare Part D.
"We have proposed a clarification to maintain better consistency with gross expenditures. So that is a proposal that is out there, and the comment period closed on February 13," Seshamani said. "We are processing those comments as we work to finalize that regulation."it would announce the list of 10 drugs in September. The agency will make its initial offers in February 2024 and the negotiation period will end that Aug. 1.
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