Drugmakers like Eli Lilly and Pfizer could see profits fall if their blockbuster medicines are on the list.
Despite legal challenges from a growing number of drugmakers, the Biden administration on Tuesday is expected to announce the 10 drugs Medicare will pay less for beginning in 2026, a major step in its program to cut Medicare spending on a handful of high-price medicines.
Companies with medicines expected to be on the list include Bristol-Myers Squibb , Pfizer , Merck , Eli Lilly , Amgen , and Johnson & Johnson . As of last week, six drugmakers and two industry groups have filed lawsuits challenging the program, with the latest announced Friday by AstraZeneca . Early Tuesday, the Centers for Medicare and Medicaid Services, which oversees Medicare, is set to announce the 10 drugs whose prices will be the first to be negotiated, with new prices going into effect in 2026.
Eligibility for negotiation depends on Medicare Part D’s spending on the drug, plus whether the drug will face competition from a generic or biosimilar medicine before 2026, among other factors. Medicines with generic or biosimilar competitors are exempt from negotiation, though some experts say that drugs whose patents are set to expire before 2026, but do not yet have generic competitors, may still be on the list.
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