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Inflation Reduction Act (IRA)

Information for U.S. pharmaceutical and healthcare stakeholders


Stay up-to-date with recent developments

HHS announces 15 additional drugs selected for the second cycle of Medicare Drug Price Negotiation Program

Medicare has selected 15 more Medicare Part D drugs to negotiate directly with participating drug companies. In accordance with the IRA, these negotiations will occur in 2025 and any negotiated prices will become effective in 2027.

Maximum Fair Price (MFP) explanations for the 10 Medicare Part D drugs selected for the first cycle of negotiations

The MFP explanations include details that are unique to the negotiation for each particular drug, along with information about the data received, the exchange of offers and counteroffers, and the negotiation meetings.

CMS releases negotiated pricing for the first cycle that will go into effect beginning January 1, 2026

To view pricing, key milestones through the first cycle of negotiations, and answers to commonly asked questions, view the CMS fact sheet linked below.


What you need to know about the Inflation Reduction Act

The Inflation Reduction Act (IRA), which was signed into law in August 2022, is a complex law that contains healthcare reforms, tax changes, and environmental policy provisions that impact several aspects of the U.S. healthcare ecosystem. The IRA aims to address rising healthcare costs by exploring innovative pricing models that seek to prioritize access, value, and quality. 

IRA key takeaways for pharmaceutical and healthcare stakeholders

From the Medicare Drug Pricing Negotiation Program to out-of-pocket cost caps, inflation rebates, and other Medicare program changes, these are a few key takeaways for U.S. pharmaceutical and healthcare stakeholders to be aware of.

From CMS

Inflation Reduction Act and Medicare

From Congress.gov

Read H.R.5376 - Inflation Reduction Act of 2022


Did you know?

Medicare Drug Price Negotiation Program (MDPNP) pricing goes into effect in 2026

For the first time, the IRA provides Medicare the ability to directly negotiate maximum fair pricing (MFP) of certain high expenditure, single source drugs without generic or biosimilar competition. Part D drugs are eligible for MFP beginning in 2026 while Part B drugs will be eligible in 2028.

For manufacturers

Valuable insights and support to help you navigate the IRA

The Inflation Reduction Act (IRA) contains implications that pharmaceutical manufacturers need to consider across the full drug discovery, development, and commercialization spectrum. With insights on key elements and a comprehensive understanding of the IRA, our team of experts are here to help you prepare for potential impacts.


How we are helping you prepare

Panel discussion

Strategically prepare for IRA Part D redesign

Insights

Navigating the changing landscape of Inflation Reduction Act (IRA) negotiations

Webinar

What’s next with the Inflation Reduction Act (IRA)

Additional resources

From CMS

Maximum Fair Price (MFP) explanations for the 10 Medicare Part D drugs selected for the first cycle of negotiations

From CMS

HHS releases final guidance for second cycle of historic Medicare Drug Price Negotiation Program

From CMS

Medicare Drug Price Negotiation Program: Negotiated prices for initial price applicability year 2026

From HHS

HHS selects the first drugs for Medicare drug price negotiation

From Congress.gov

Read H.R.5376 – Inflation Reduction Act of 2022