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Administration Finalizes Most-Favored Nation Drug Pricing Rule
Rachel Sachs in Health Affairs Forefront 
[Guidance Overview] Nov. 23, 2020 "Rather than depending for its success on whether private sector firms volunteer for a novel, difficult task, CMS implements the IFR through the existing buy-and-bill model. Under the IFR, providers themselves will be reimbursed for the 50 Part B drugs that are the subject of the IFR program based on the most-favored-nations price.... CMS has now expanded the scope of the program, choosing to implement a mandatory nationwide program affecting most (though not all) Medicare providers." |
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