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In Law360, Attorneys Examine CMS Changes Coming to Medicare Part D Market

Practices: Health Care, Life Sciences, Drug Pricing & Price Reporting, Managed Care, Health Care Finance & Restructuring

In a Law360 article, health care partners Margaux Hall and Stephanie Webster and health care associate Chandler Gray analyzed the Centers for Medicare & Medicaid Services changes coming to Medicare Part D. CMS issued the final rule revising the way Medicare determines the negotiated price upon which beneficiary cost sharing is based at the pharmacy counter under Medicare Part D.

The authors note the final rule may significantly affect the stakeholders in Medicare Part D, including plan sponsors, pharmacies and beneficiaries. On the whole, CMS expects that pharmacies, manufacturers and certain beneficiaries would benefit from the rule, while Part D sponsors would not.

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