Notice2025-08607

Medicare Program; Inflation Reduction Act (IRA) Medicare Drug Price Negotiation Program Draft Guidance; Comment Request

Primary source

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Published
May 15, 2025

Issuing agencies

Health and Human Services DepartmentCenters for Medicare & Medicaid Services

Abstract

The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' draft guidance for the third cycle of the Medicare Drug Price Negotiation Program, the first cycle of renegotiation, and manufacturer effectuation of the maximum fair price for 2026, 2027, and 2028 for the implementation of the Inflation Reduction Act (IRA).

Full Text

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<title>Federal Register, Volume 90 Issue 93 (Thursday, May 15, 2025)</title>
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[Federal Register Volume 90, Number 93 (Thursday, May 15, 2025)]
[Notices]
[Page 20674]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-08607]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-4210-N]


Medicare Program; Inflation Reduction Act (IRA) Medicare Drug 
Price Negotiation Program Draft Guidance; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Health and Human 
Services (HHS).

ACTION: Notice.

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SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is 
announcing an opportunity for the public to comment on CMS' draft 
guidance for the third cycle of the Medicare Drug Price Negotiation 
Program, the first cycle of renegotiation, and manufacturer 
effectuation of the maximum fair price for 2026, 2027, and 2028 for the 
implementation of the Inflation Reduction Act (IRA).

DATES: Comments must be received by Thursday, June 26, 2025.

ADDRESSES: Written comments should be sent to 
<a href="/cdn-cgi/l/email-protection#1b52495a497e797a6f7e7a757f557e7c746f727a6f7274755b78766835737368357c746d"><span class="__cf_email__" data-cfemail="fbb2a9baa99e999a8f9e9a959fb59e9c948f929a8f929495bb989688d5939388d59c948d">[email&#160;protected]</span></a> with the relevant subject line, 
``Medicare Drug Price Negotiation Program Draft Guidance.'' CMS' draft 
guidance and other Inflation Reduction Act-related guidance can be 
viewed on the dedicated Inflation Reduction Act section of the CMS 
website at <a href="https://www.cms.gov/inflation-reduction-act-and-medicare/">https://www.cms.gov/inflation-reduction-act-and-medicare/</a>.

SUPPLEMENTARY INFORMATION: The Inflation Reduction Act (IRA) (Pub. L. 
117-169) was signed into law on August 16, 2022. Sections 11001 and 
11002 of the IRA established the Medicare Drug Price Negotiation 
Program (hereafter the ``Negotiation Program'') to negotiate maximum 
fair prices (MFPs) for certain high expenditure, single source drugs 
and biological products. The requirements for this program are 
described in sections 1191 through 1198 of the Social Security Act (the 
Act) as added by sections 11001 and 11002 of the IRA. The draft 
guidance describes how CMS intends to implement the Negotiation Program 
for Initial Price Applicability Year (IPAY) 2028 (January 1, 2028 to 
December 31, 2028), which includes renegotiation, and specifies the 
requirements for manufacturer effectuation of the MFPs for 2026, 2027, 
and 2028.
    To obtain copies of the Negotiation Program draft guidance and 
other IRA-related documents, please access the CMS IRA website by 
copying and pasting the following web address into your web browser: 
<a href="https://www.cms.gov/inflation-reduction-act-and-medicare">https://www.cms.gov/inflation-reduction-act-and-medicare</a>. If interested 
in receiving CMS IRA updates by email, individuals may sign up for CMS' 
IRA email updates at <a href="https://www.cms.gov/About-CMS/Agency-Information/Aboutwebsite/EmailUpdates">https://www.cms.gov/About-CMS/Agency-Information/Aboutwebsite/EmailUpdates</a>.

Signature Authority

    The Administrator of CMS, Dr. Mehmet Oz, having reviewed and 
approved this document, authorizes Evell J. Barco Holland, who is the 
Federal Register Liaison, to electronically sign this document for 
purposes of publication in the Federal Register.

Evell J. Barco Holland,
Federal Register Liaison, Centers for Medicare & Medicaid Services.
[FR Doc. 2025-08607 Filed 5-12-25; 4:15 pm]
BILLING CODE 4120-01-P


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Indexed from Federal Register on May 15, 2025.

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