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Centers for Medicare & Medicaid Services
CMS Seeks Feedback on Medicare $2 Drug List Model, Sample $2 Drug List, and Outreach

Today, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), released a Request for Information (RFI) [ https://www.cms.gov/files/document/m2dl-model-rfi.pdf ] and a sample list of prescription drugs that the agency preliminarily intends to include under the proposed Medicare $2 Drug List Model, which was developed in accordance with President Biden’s Executive Order 14087, “Lowering Prescription Drug Costs for Americans."

Under the model, people enrolled in a participating Medicare prescription drug coverage (Part D) plan would have access to these drugs for a low, fixed copayment of no more than $2 for a month’s supply per drug. The model would provide individuals more certainty about the out-of-pocket costs for these generic covered Part D drugs that treat common medical conditions. CMS issued this RFI to support continued development of the model.

The Center for Medicare and Medicaid Innovation’s (Innovation Center's) Medicare $2 Drug List Model aims to test whether a simplified approach to offering low-cost, clinically important generic drugs can:


* Improve medication adherence,
* Lead to better health outcomes, and
* Improve satisfaction with the Part D prescription drug benefit among people with Medicare and prescribers.

Participation in the model would be voluntary for Part D sponsors and, pending further development, could start as early as January 2027.

Details on the Medicare $2 Drug List Request for Information can be found at Medicare $2 Drug List webpage [ https://www.cms.gov/priorities/innovation/innovation-models/medicare-two-dollar-drug-list-model ]. Additional details on the Medicare $2 Drug List Model were also  released in October 2023 in the “CMS Innovation Center’s One-Year Update on the Executive Order to Lower Prescription Drug Costs for Americans [ https://www.cms.gov/blog/cms-innovation-centers-one-year-update-executive-order-lower-prescription-drug-costs-americans ]” blog post.

Information on how to submit comments can be found on https://surveys.cms.gov/jfe/form/SV_40iDHQWMNuVfyGq. Comments must be submitted by December 9, 2024, and will only be accepted through the link above.

 

Follow us on X (formerly Twitter [ https://twitter.com/CMSinnovates ])  | Visit the CMS Innovation Center website [ https://www.cms.gov/priorities/innovation/overview ]

Centers for Medicare & Medicaid Services (CMS) has sent this update. To contact Centers for Medicare & Medicaid Services (CMS) go to our _contact us [ https://links-2.govdelivery.com/CL0/http:%2F%2Fwww.cms.gov%2FAbout-CMS%2FAgency-Information%2FContactCMS%2Findex.html/1/010101917af17a06-8cca53fa-b7ed-446b-8e78-204875b46fd3-000000/OzlD51RwVCCpICfdVV8iiF2Dn6GBo6UHXhkwe1f21sk=367 ] _page.

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