Feb. 3 at 10:44 PM
Medicare drug price negotiations to include treatments administered in doctors’ offices, including some for Type 2 diabetes, HIV, cancer & arthritis.
These are drugs covered in Medicare Part B. Only retail medications covered by Part D were eligible for the talks during the previous two rounds of discussions.
The negotiated prices for the 15 drugs chosen this year will take effect in 2028.
About 1.8M beneficiaries used these medications b/n Nov 2024 & Oct 2025, and they accted for about
$27B in Medicare Part B & D spending
Note: 14 of the drugs, Medicare revs exposed to the negotiations represents only 0% to 3% of the companies’ worldwide 2027 sales.
$GILD Biktarvy, a once-daily pill that treats HIV, draws significant sales from Medicare, representing around 8% of Gilead’s est'd global FY27 revs
$LLY $ABBV $GSK $PFE