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Administration Releases Proposed Medicare International Drug Reference Pricing Models
Health Affairs Forefront Link to more items from this source
[Guidance Overview]
Dec. 29, 2025

"[CMS] proposed two models aiming to implement international reference pricing approaches for drugs under Medicare ... As proposed, both models would be mandatory for any drug manufacturer wishing to participate in Medicare. Both would assess rebates for certain single-source drugs and biological products 'if the prices exceed those paid in economically comparable countries.' The models share a number of conceptual and design features, but operational differences between Part B and Part D do play out in the models' design."  MORE >>

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