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Centers for Medicare & Medi-Cal Part D Drug Cost Negotiations:

Jul 2

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What to Expect in 2026 for your Part D Drug Costs


(CMS) has taken decisive action to negotiate prices for ten specific Medicare Part D drugs. This marks a significant milestone as these are the first drugs to be negotiated under the Inflation Reduction Act.


The selected drugs for 2026 include treatments for several conditions: 


  • Diabetes: Januvia, Jardiance, Farxiga, Fiasp/NovoLog

  • Blood clots: Eliquis, Xarelto

  • Heart failure: Entresto, Farxiga

  • Psoriasis and Crohn's disease: Stelara

  • Rheumatoid Arthritis: Enbrel

  • Blood cancers: Imbruvica 


Courtesy of CMS
Courtesy of CMS

These drugs have been strategically selected based on the criteria established by the Inflation Reduction Act. They are among the top-spending medications that lack generic or biosimilar competition and meet specific age requirements since their FDA approval.


Projected Savings for People with Medicare Part D Coverage:

Starting in January 1, 2026, when the negotiated prices are implemented, individuals enrolled in Medicare prescription drug coverage will benefit from an estimated $1.5 billion in savings under the projected standard benefit design. These substantial savings from the Negotiation Program will further enhance the impactful cost-saving provisions of the Inflation Reduction Act, including the groundbreaking cap on out-of-pocket drug costs for Medicare beneficiaries.


Stay tuned for further updates!






*Source CMS.gov

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