Medicare Successfully Negotiates New Prices for 10 Costly Drugs

[diamenz]

these price cuts are huge. nonetheless, big pharma is still making a killing even at the new rates and the cuts are only applicable to those on medicare. shit is highway robbery man. 70k people die every year because they can't afford an arm and a leg to get their meds.





The Biden administration said the first 10 drug prices negotiated under the Inflation Reduction Act would save Medicare $6 billion during the first year.

Following landmark negotiations between Medicare and drug makers, the Centers for Medicare and Medicaid Services (CMS) announced Thursday, Aug. 15, that reduced prices for 10 of the most expensive prescription drugs will go into effect Jan. 1, 2026.

The first-ever negotiations were authorized under a key provision of the Inflation Reduction Act of 2022 aimed at making health care more affordable for Americans. The new prices will be available through Medicare Part D.

Finalized Prices for the 10 Negotiated Drugs

The following are the negotiated prices for 30-day supplies of the selected drugs, reflecting significant reductions from the 2023 list prices:

Januvia, used to treat diabetes: $113 (79% reduction)
Fiasp, Fiasp FlexTouch, Fiasp PenFill, NovoLog, NovoLog FlexPen, and NovoLog PenFill, all insulin products used to treat diabetes: $119 (76% reduction)
Farxiga, used to treat diabetes, heart failure, and chronic kidney disease: $178.50 (68% reduction)
Enbrel, used to treat arthritis and other autoimmune conditions: $2,355 (67% reduction)
Jardiance, used to treat diabetes and heart failure: $197 (66% reduction)
Stelara, used to treat Crohn’s disease: $4,695 (66% reduction)
Xarelto, used to prevent strokes and blood clots: $197 (62% reduction)
Eliquis, used to prevent strokes and blood clots: $231 (56% reduction)
Entresto, used to treat heart failure: $295 (53% reduction)
Imbruvica, used to treat blood cancers: $9,319 (38% reduction)

According to CMS, in 2023 these drugs accounted for about $56.2 billion in total Part D prescription drug costs. If these negotiated prices had been in effect in 2023, they would have saved an estimated $6 billion in net prescription drug costs for Medicare, representing a 22% reduction in spending.
Out-of-Pocket Savings for Consumers

After the new prices take effect in 2026, Medicare enrollees are projected to save an estimated $1.5 billion in out-of-pocket costs in the first year. These savings are in addition to those generated by other cost-saving provisions under the Inflation Reduction Act, including a cap on total out-of-pocket drug costs, which will take effect in 2025. The cap will be $2,000 in 2025 and will be indexed annually for inflation thereafter. Enrollee out-of-pocket spending is projected to be reduced by about $7.4 billion annually among the 18.7 million Medicare Part D enrollees, amounting to savings of nearly $400 per person in out-of-pocket costs. In 2024, changes to Medicare’s prescription drug benefit are estimated to save approximately 178,000 Medicare Part D enrollees in Arkansas over $37 million.

CMS will continue to expand its negotiation efforts, selecting up to 15 additional drugs covered under Part D for price negotiation in 2027. In 2028, up to 15 more drugs will be selected for price negotiation and will include drugs under Part B, which covers drugs administered in outpatient settings such as doctors’ offices, along with drugs under Part D.

For more on the Inflation Reduction Act, see our previous post or visit the CMS website.

https://achi.net/newsroom/medicare-successfully-negotiates-new-prices-for-10-costly-drugs/
https://www.bbc.com/news/articles/c24pqpleqnno
https://www.mmm-online.com/home/channel/cms-final-prices-drug-negotiated-medicare-ira/

[j3lademaster]

Agreed, medication markup is way too ridiculous. Markup for anything inelastic is, and just shows how incredibly opportunistic these guys are. We often times pay what countries like Canada pays for a bottle of pills AFTER insurance.

Our prices are seriously unhinged, even by the standards of a draconic capitalist dystopia like England:


https://www.youtube.com/watch?v=Kll-yYQwmuM

[highwhey]

crazy that live-saving drugs are allowed to be priced that high. quite literally extortion. it encompasses how our own government has failed us. big corporations will always have this country by the balls so as long as our politicians receive legal bribes. so much for "draining the swamp".

[j3lademaster]

crazy that live-saving drugs are allowed to be priced that high. quite literally extortion. it encompasses how our own government has failed us. big corporations will always have this country by the balls so as long as our politicians receive legal bribes. so much for "draining the swamp".

The greed and price gouging is out of control in this country, and unfortunately it's mostly aimed at the poorest demographic because they have the least amount of choices. There's a reason fast food prices have the most insane inflation of all: because parents working two jobs to try to make ends meet have to get their kids the most convenient, cheapest food available; so as long as Burger King doesn't price to the point of sitdown restaurants these people are forced to buy their product. Food should honestly be cheap af considering how much we waste. The supply is way over demand and we'd rather throw it all away and have food insecure households so we can keep markups high. That's proof we live in an oligarchial society, if it was a 'free market' supply and demand will have an equilibrium.

[highwhey]

The greed and price gouging is out of control in this country, and unfortunately it's mostly aimed at the poorest demographic because they have the least amount of choices. There's a reason fast food prices have the most insane inflation of all: because parents working two jobs to try to make ends meet have to get their kids the most convenient, cheapest food available; so as long as Burger King doesn't price to the point of sitdown restaurants these people are forced to buy their product. Food should honestly be cheap af considering how much we waste. The supply is way over demand and we'd rather throw it all away and have food insecure households so we can keep markups high. That's proof we live in an oligarchial society, if it was a 'free market' supply and demand will have an equilibrium.

Yeah, i knew once those prices went up during covid, they were never coming back down...and they didn't even after the supposed "shortages" got resolved. now the excuse is inflation/rising costs of production, which certainly happen but not at this level in such a short amount of time. the government won't do sh1t about it.

[j3lademaster]

Yeah, i knew once those prices went up during covid, they were never coming back down...and they didn't even after the supposed "shortages" got resolved. now the excuse is inflation/rising costs of production, which certainly happen but not at this level in such a short amount of time. the government won't do sh1t about it.

The govt is literally in on it. They're inside trading with these corporations, so the more they price gouge the more $$$ for Pelosi and all the other dumb fk's in congress. And I don't mean to point out Pelosi or a dem, it's obviously happening on both sides with almost everyone... except Bernie and Walz. They're pretty based.

[Norcaliblunt]

You could just end patents and not give corporations a state sanctioned monopoly to rip everybody off for years on end.


And when are they going to start subsidizing organic produce, and gym memberships?

I mean science says if you eat healthy and stay active…….

[rmt]

You can blame all this mess on the Biden/Harris administration and "INFLATION REDUCTION ACT"

Why Did Medicare Panic Over Part D 2025


https://www.youtube.com/watch?v=QzUYHvJvB9I

[paksat]

The average American better forget about even affording stuff like this when a dozen eggs is now 5 fcking dollars at the dollar store.

If you're not north of $30 per hour, you're fcked in this country. Braindead druggies are still Gonna vote Kamala though, lmao

[Norcaliblunt]

The average American better forget about even affording stuff like this when a dozen eggs is now 5 fcking dollars at the dollar store.

If you're not north of $30 per hour, you're fcked in this country. Braindead druggies are still Gonna vote Kamala though, lmao

If you are eating eggs that are less than 5 dollars a dozen then you are gonna need these meds. Lol.

That’s the craziest part.

[rmt]

You can blame all this mess on the Biden/Harris administration and "INFLATION REDUCTION ACT"

Why Did Medicare Panic Over Part D 2025


https://www.youtube.com/watch?v=QzUYHvJvB9I

This is what happens when you try to price fix - unintended consequences upsets the ENTIRE apple cart. I hope the courts rule for the Repubs suing and the whole fiasco BLOWS UP in the Dems face before the election. The millions of seniors will be mighty PISSED OFF. Inflation Reduction Act, my foot.

[bladefd]

these price cuts are huge. nonetheless, big pharma is still making a killing even at the new rates and the cuts are only applicable to those on medicare. shit is highway robbery man. 70k people die every year because they can't afford an arm and a leg to get their meds.





https://achi.net/newsroom/medicare-successfully-negotiates-new-prices-for-10-costly-drugs/
https://www.bbc.com/news/articles/c24pqpleqnno
https://www.mmm-online.com/home/channel/cms-final-prices-drug-negotiated-medicare-ira/

Why Jan 2026? Should be October 1, 2024 ffs.

And why only top 10? Do it for the top 1,000 drugs.

[bladefd]

You could just end patents and not give corporations a state sanctioned monopoly to rip everybody off for years on end.


And when are they going to start subsidizing organic produce, and gym memberships?

I mean science says if you eat healthy and stay active…….

Conservatives would yell communism, but I have no issue with it

[Axe]

The average American better forget about even affording stuff like this when a dozen eggs is now 5 fcking dollars at the dollar store.

If you're not north of $30 per hour, you're fcked in this country. Braindead druggies are still Gonna vote Kamala though, lmao
:oldlol:

Go broke, maga!

[highwhey]

i see the majority of those drugs are for diabetes and heart problems, this should surely help out patrickchewig then, happy for you big guy. :cheers:

[DJMcDonald]

The average American better forget about even affording stuff like this when a dozen eggs is now 5 fcking dollars at the dollar store.

If you're not north of $30 per hour, you're fcked in this country. Braindead druggies are still Gonna vote Kamala though, lmao

:roll::roll::roll:

[rmt]

LOL - people in this thread not even seeing the connection between this price fixing and $2000 (out of pocket) cap (from Inflation Reduction Act) on Medicare Part D and the train wreck that's coming. If CMS is overturned for using tax payer dollars (Chevron - not in IRA) to patch this mess, insurance companies will either pull out of plans (not offer) or offer at 3x what last year's plans cost.

Did the Dems actually think that they could "cut/cap" the price of drugs and the insurance companies not be affected - they are not going to take a loss. It will affect Medicare Advantage plans too - benefits (dental, vision, transportation, etc) will be cut and/or premiums raised to offset insurance company having to cap drugs at $2000.

Meanwhile, those in this thread are celebrating successfully "cutting" prices.

[highwhey]

LOL - people in this thread not even seeing the connection between this price fixing and $2000 (out of pocket) cap (from Inflation Reduction Act) on Medicare Part D and the train wreck that's coming. If CMS is overturned for using tax payer dollars (Chevron - not in IRA) to patch this mess, insurance companies will either pull out of plans (not offer) or offer at 3x what last year's plans cost.

Did the Dems actually think that they could "cut/cap" the price of drugs and the insurance companies not be affected - they are not going to take a loss. It will affect Medicare Advantage plans too - benefits (dental, vision, transportation, etc) will be cut and/or premiums raised to offset insurance company having to cap drugs at $2000.

Meanwhile, those in this thread are celebrating successfully "cutting" prices.

who's celebrating? everyone except for yourself has stayed grounded by questioning why only 10 drugs or acknowledging it's simply just a small feat. the entire medical care system is a scam. did you forget your idol was president? what did he do for the medical care system?

[diamenz]

LOL - people in this thread not even seeing the connection between this price fixing and $2000 (out of pocket) cap (from Inflation Reduction Act) on Medicare Part D and the train wreck that's coming. If CMS is overturned for using tax payer dollars (Chevron - not in IRA) to patch this mess, insurance companies will either pull out of plans (not offer) or offer at 3x what last year's plans cost.

Did the Dems actually think that they could "cut/cap" the price of drugs and the insurance companies not be affected - they are not going to take a loss. It will affect Medicare Advantage plans too - benefits (dental, vision, transportation, etc) will be cut and/or premiums raised to offset insurance company having to cap drugs at $2000.

Meanwhile, those in this thread are celebrating successfully "cutting" prices.

calm down, woman! we already read your first two democrat-deranged posts.

what are you in such heat about???

[rmt]

who's celebrating? everyone except for yourself has stayed grounded by questioning why only 10 drugs or acknowledging it's simply just a small feat. the entire medical care system is a scam. did you forget your idol was president? what did he do for the medical care system?

I agree with the medical care system being a scam. As far as I'm concerned, medical system should be mostly for antibiotics or surgery (and I'll add chemo for cancer). Most other issues can be improved by diet and exercise. Especially type 2 diabetes - low carb, intermittent fasting would solve this epidemic plus obesity.

My as you call "idol" didn't mess with Medicare to get soundbites that he "capped" drug costs - someone's got to pay and in this case, (if this patch is overturned), it'll be ALL the seniors on Medicare - either from NO plans or 3x what they paid last year or for Medicare Advantage - loss of benefits, increase in premiums. These 10 drugs and $2k cap is going to upend the part D system - I can't imagine price fixing of MORE drugs.

Some of you might consider the reminder of covid "vaccine" - US vs Canada (waiting for US to come up with something and administering ONE dose to everyone (instead of the 2 doses) when considering why we pay more to DEVELOP drugs while the rest of the world "copies" the result of most research $ for cheap.

I acknowledge that BOTH sides have been postponing the coming reckoning of SS and Medicare.

[rmt]

calm down, woman! we already read your first two democrat-deranged posts.

what are you in such heat about???

As I started to investigate the whole Medicare/SS/retirement system, I am alarmed at the stack this deck of cards is built on. It's like Jenga. Out goes the common concept of Medicare for All (Medicare is NOT free). Out goes the what we thought saving for retirement thru 401k PRE tax accounts and the RMDs with Secure Act brought and its connection to Medicare IRMAA. Government is revenue hungry, and it seems that doing the right thing just gets penalized.

My advice - save/invest via ROTH (of course, they'll eventually come after these too).

[diamenz]

As I started to investigate the whole Medicare/SS/retirement system, I am alarmed at the stack this deck of cards is built on. It's like Jenga. Out goes the common concept of Medicare for All (Medicare is NOT free). Out goes the what we thought saving for retirement thru 401k PRE tax accounts and the RMDs with Secure Act brought and its connection to Medicare IRMAA. Government is revenue hungry, and it seems that doing the right thing just gets penalized.

My advice - save/invest via ROTH (of course, they'll eventually come after these too).

you're no fun. :mad:

[JohnnySic]

I thought that we beat Medicare? :confusedshrug:

[j3lademaster]

As I started to investigate the whole Medicare/SS/retirement system, I am alarmed at the stack this deck of cards is built on. It's like Jenga. Out goes the common concept of Medicare for All (Medicare is NOT free). Out goes the what we thought saving for retirement thru 401k PRE tax accounts and the RMDs with Secure Act brought and its connection to Medicare IRMAA. Government is revenue hungry, and it seems that doing the right thing just gets penalized.

My advice - save/invest via ROTH (of course, they'll eventually come after these too).

You're late to the party if you're just realizing this. Arthur Laffer designed 401k to slowly siphon money to the top over the years, he did a hell of a job to be 'only' worth like 20 mil today.

edit: Ya'll should look into investing in energy, namely electricity. These new data centers are consuming enough electricity to power small towns and there are corporations(yes, multiple companies) that plan on building 10/20+ more in the next few years. These companies alone will singlehandedly affect the demand nationwide and cause huge price increases. You heard it here first.

ofc when this happens we'll just blame dems or pubs, whichever team we don't like. Goofy ass clowns.

[bladefd]

LOL - people in this thread not even seeing the connection between this price fixing and $2000 (out of pocket) cap (from Inflation Reduction Act) on Medicare Part D and the train wreck that's coming. If CMS is overturned for using tax payer dollars (Chevron - not in IRA) to patch this mess, insurance companies will either pull out of plans (not offer) or offer at 3x what last year's plans cost.

Did the Dems actually think that they could "cut/cap" the price of drugs and the insurance companies not be affected - they are not going to take a loss. It will affect Medicare Advantage plans too - benefits (dental, vision, transportation, etc) will be cut and/or premiums raised to offset insurance company having to cap drugs at $2000.

Meanwhile, those in this thread are celebrating successfully "cutting" prices.

Do the Republicans have a better plan? No, they do not. It has nothing to do with Democrats or Republicans. Neither party is fighting for universal healthcare. Republicans are even more corporation-oriented, so they would be even worse than the shitty Democrats.

[j3lademaster]

Do the Republicans have a better plan? No, they do not. It has nothing to do with Democrats or Republicans. Neither party is fighting for universal healthcare. Republicans are even more corporation-oriented, so they would be even worse than the shitty Democrats.
Andrew Yang had the best(most realistic )healthcare plan. Opt in m4all that competes with private healthcare. There are holes in it for sure, but nothing close has been proposed. While I support Bernie and straight up m4all theres just too much corporate interest against him.

[bladefd]

Andrew Yang had the best(most realistic )healthcare plan. Opt in m4all that competes with private healthcare. There are holes in it for sure, but nothing close has been proposed. While I support Bernie and straight up m4all theres just too much corporate interest against him.

Insurance companies have too much power, and too much of big pharma, and politicians are in bed with them

[rmt]

Medicare is not free - single tax filer premium based on income for Part B (original Medicare) only - not Medigap (extra $267 per month for plan G for a 65 year old non-tobacco male in Miami PLUS cost of Part D/drugs). For Medicare Advantage (no Medigap), some/most? are premium free but EVERYONE must pay below.

Up to Income - Part B Premium only (no Medigap)
$103k - $174.70/per month
$129k - $244.60
$161k - $349.40
$193k - $454.20
$500k - $559.00
>=$500k - $594.00

So all this touting/Bernie of m4all is a bunch of BS.

[rmt]

Medicare is not free - single tax filer premium based on income for Part B (original Medicare) only - not Medigap (extra $267 per month for plan G for a 65 year old non-tobacco male in Miami PLUS cost of Part D/drugs). For Medicare Advantage (no Medigap), some/most? are premium free but EVERYONE must pay below.

Up to Income - Part B Premium only (no Medigap)
$103k - $174.70/per month
$129k - $244.60
$161k - $349.40
$193k - $454.20
$500k - $559.00
>=$500k - $594.00

So all this touting/Bernie of m4all is a bunch of BS.

[rmt]

Sorry about double post.

[rmt]

FYI

At 65 (or when eligible), one can choose from:

1. Medicare Advantage - must pay above monthly premium - offered by insurance companies who restrict network/geographic area, require referral/authorizations, higher out of pocket maximum

2. Original Medicare - must pay above monthly premium - Medicare covers 80% - usually one buys a Medigap policy from insurance company to cover the additional 20% (for my hubby - extra $267/month in Miami + cost of part D/drugs) - can go to any doctor in US that accepts Medicare (98%) - no authorization/referral needed.

[rmt]

Word is getting out - another one (I am still so PISSED):


https://www.youtube.com/watch?v=SNjfGyt7SEc