Senate Infrastructure Legislation ‘Pay Fors’ Not So Bad For Pharma But Real Threat is Ahead

Senate negotiators opt to delay but not withdraw the pharma-backed rebate rule and target a relatively small reform aimed at allowing Medicare Part B to recoup the cost of leftover physician-administered drugs

Drug Pricing Legislation Heating Up On Capitol Hill • Source: Alamy

A bipartisan Senate bill that would devote nearly $550bn in new spending to the nation’s infrastructure has cost offsets that include a delay in implementing the Trump-era rule to reform the drug rebate system in Medicare Part D and a provision requiring manufacturer refunds to Medicare Part B for discarded drugs packaged in single-use vials.

The infrastructure legislation was unveiled late 1 August and is under debate by the full Senate. The House has already...

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