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Commercial Spillover Impact of Part B Negotiations on Physicians

Summary by Avalere Health
The Medicare Drug Negotiation Program (MDNP) established under the Inflation Reduction Act (IRA) allows the Centers for Medicare & Medicaid Services (CMS) to negotiate Maximum Fair Prices (MFPs) for a subset of high-spend drugs. MFPs for the first 10 Part D negotiated products will take effect in 2026. Starting in 2028, physician-administered drugs covered under Part B will also be included in the MDNP. On August 15, CMS announced the final MFPs…
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