Pfizer will have to pay rebates to Medicare for five drugs under Biden plan to lower Rx costs

Pfizer will have to pay rebates to Medicare for five drugs under Biden plan to lower Rx costs


President Joe Biden delivers remarks about the Build Back Better legislation’s new rules around prescription drug prices in the East Room of the White House on December 06, 2021 in Washington, DC.

Chip Somodevilla | Getty Images

Five of Pfizer’s drugs will cost less for Medicare recipients starting next month as part of President Joe Biden’s plan to lower prescription drug costs, the Department of Health and Human Services said Wednesday. 

Pfizer’s drugs are among the first set of 27 Part B prescription drugs that will be subject to Medicare inflation rebates starting April 1, according to the department. That requires Pfizer and other prescription drug companies to refund Medicare through rebates because the prices for those drugs rose faster than the rate of inflation. 

Pfizer’s drugs include the blood thinner Fragmin, which was approved by the Food and Drug Administration in 1994. It also includes Atgam, a medicine used to treat symptoms of Renal Allograft and Aplastic Anemia, and the chemotherapy injection Nipent. Pfizer’s antibacterial drugs Bicillin L-A, used for treating syphilis, and Bicillin C-R are also included. Both drugs are also used to treat upper respiratory infections.

Seniors could see their out-of-pocket costs for the drugs decrease by $2 to as much as $390 per average dose, the department said. The amount that Medicare beneficiaries will save depends on several factors, such as what their treatment protocol is and whether they have supplemental coverage. 

The savings stem from a provision of the Inflation Reduction Act, which congressional Democrats passed last August. The announcement is also part of Biden’s broader push to reduce healthcare costs for Americans amid stubbornly high inflation. 

In addition to the rebates, the provision discourages other companies from hiking their prices at a faster rate than inflation in the future, the department said. An HHS report released in September 2022 found that the prices of 1,200 prescription drugs increased faster than inflation in 2021, one year before the IRA was signed into law. 

Later this year, Medicare will start negotiating lower prescription drug prices for its beneficiaries. 

“Already, millions of seniors are saving hundreds of dollars each per year because of the Biden Administration’s actions, and President Biden is fighting to expand these cost savings to all Americans,” the White House said in a statement. 



Source

Labcorp to pay .1 million to settle DOJ lawsuit for allegedly overbilling Defense Department
Health

Labcorp to pay $2.1 million to settle DOJ lawsuit for allegedly overbilling Defense Department

Laboratory Corporation of America will pay the U.S. $2.1 million to settle allegations that it overbilled the Department of Defense for genetic tests that involved children and fetuses, the Justice Department announced Monday. A former LabCorp employee turned whistleblower, Donna Hecker-Gross, sued the diagnostic testing company in 2018 on behalf of the federal government under […]

Read More
BioNTech shares slip on gloomy Covid vaccine sales outlook
Health

BioNTech shares slip on gloomy Covid vaccine sales outlook

Vials containing the Pfizer/BioNtech vaccine against the coronavirus disease (COVID-19) are displayed before being used at a mobile vaccine clinic, in Valparaiso, Chile, January 3, 2022. Rodrigo Garrido | Reuters Shares of BioNTech on Monday slid by more than 6% in morning trading after the German drugmaker shared a gloomy 2023 sales outlook for its […]

Read More
Wyoming abortion ban blocked due to Obamacare-era amendment
Health

Wyoming abortion ban blocked due to Obamacare-era amendment

Abortion is legal in Wyoming again, oddly enough as the result of a state constitutional amendment pushed by conservatives opposed to Obamacare more than a decade ago. Teton County District Court Judge Melissa Owens in a ruling Wednesday temporarily blocked enforcement of the state’s newly enacted abortion ban that took effect Sunday. Owens’ decision pointed […]

Read More