CMS Seeks Input on Medicare Drug Price Caps
Published Date: 7/20/2026
Notice
Summary
CMS is asking for public feedback on their draft plan to help lower Medicare drug prices starting in 2028, thanks to the Inflation Reduction Act of 2022. This plan targets expensive single-source drugs by setting fair maximum prices, aiming to save money for Medicare and patients. Comments are open until September 18, 2026, so everyone can weigh in before the changes kick in.
Analyzed Economic Effects
2 provisions identified: 1 benefits, 1 costs, 0 mixed.
Medicare to Negotiate Drug Price Caps
Under the Inflation Reduction Act of 2022, CMS will negotiate maximum fair prices (MFPs) for certain high‑expenditure, single‑source drugs and biological products that will be effectuated in 2028. This is intended to lower prices for drugs covered under Medicare beginning in 2028.
Manufacturers Must Effectuate 2028 Price Rules
CMS' draft guidance specifies the requirements for manufacturers to effectuate the maximum fair prices (MFPs) in 2028 under the Inflation Reduction Act of 2022. Manufacturers of the affected single‑source drugs and biological products will need to follow those effectuation requirements when the program is implemented in 2028.
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