Create the national formulary & negotiate drug prices

Months 0–18 for the initial formulary; continuous negotiation · National Formulary and Pricing Board; HTA InstituteDiscuss this step

Physician-administered drugs (Medicare Part B ASP+6%)

replacedYear 2Drugs & devices

Today

Paid at average sales price + 6%, which rewards using pricier drugs.

Under the plan

Negotiated price + flat handling fee.

Trade-off

Removes the incentive for costlier drugs; oncology practices lose margin.