Medicare Negotiates Discounts with Pharmaceutical Companies on 10 Widely Prescribed Drugs, Saving Billions for Older Americans
ICARO Media Group
In a move aimed at alleviating the financial burden on older Americans, the Biden administration recently announced that Medicare has successfully negotiated discounts with pharmaceutical companies on 10 commonly prescribed drugs. The medications, including popular brands such as Xarelto and Eliquis, are used to treat conditions such as blood clots, cancer, heart disease, and diabetes.
Effective from 2026, these negotiated discounts will result in substantial savings for Medicare beneficiaries. Estimated to save Medicare a whopping $6 billion, the price cuts will range from 38% to 79%. In addition, Medicare enrollees are expected to save approximately $1.5 billion in out-of-pocket costs, according to the U.S. Department of Health and Human Services (HHS).
Among the drugs included in the negotiated list, the price reductions are particularly significant. For instance, the list price of Merck's Januvia, a widely used diabetes medication, will be slashed from $527 for a 30-day supply to just $113 starting in 2023. Similarly, Eliquis, a blood thinner produced by Bristol Myers Squibb and Pfizer, will see its cost decrease from $521 to $231 for a 30-day supply.
President Joe Biden's Inflation Reduction Act, a legislation passed in 2022, empowered Medicare to negotiate prices directly with pharmaceutical companies for a limited number of medications. The act also paves the way for selecting an additional 30 drugs in the next two years, which will be subject to negotiated prices set to roll out in 2027 and 2028.
Speaking about the significant achievement, Housing and Urban Development (HUD) Secretary Xavier Becerra stated, "For the first time ever, Medicare negotiated directly with drug companies, and the American people are better off for it." Vice President Kamala Harris, who played a key role in passing the legislation, is expected to highlight the cost savings for seniors during a campaign stop.
It is important to note that these discounts will not be applicable to most working-age Americans who are insured through their workplaces. Typically, employers negotiate lower-cost prescription drugs through insurance companies and pharmacy managers. However, a recent analysis by the nonprofit health policy organization KFF found that 3.4 million individuals with employer health insurance out of the 167 million insured took one of the 10 drugs negotiated by Medicare.
Aside from the negotiated prices, the federal law includes other provisions to benefit Medicare enrollees. These provisions allow for recommended vaccines with no out-of-pocket costs and limit the out-of-pocket expenses for covered insulin products at $35. Furthermore, by 2025, enrollees in Medicare's Part D drug plans will have their out-of-pocket prescription expenses capped at $2,000 per year.
Although drug companies and industry allies have filed lawsuits challenging different aspects of the federal law, negotiations have remained unaffected. The Pharmaceutical Research and Manufacturers of America (PhRMA), a trade group representing drug manufacturers, has expressed concerns about the lack of transparency and potential negative impacts on research investments. As the law moves forward, Senator Amy Klobuchar, a strong advocate for the legislation, believes it will bring much-needed financial relief to millions of older Americans struggling with prescription drug costs.
The successful negotiation of discounts on these widely prescribed drugs by Medicare signifies a step forward in addressing the rising costs of medications for older Americans. With billions of dollars in savings projected, this initiative showcases the administration's commitment to making healthcare more affordable and accessible for all.