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

Manufacturer rebates and Medicaid Drug Rebate Program

replacedYear 4Drugs & devices

Today

Opaque rebate system; Medicaid gets statutory rebates and 'best price'.

Under the plan

Replaced by net negotiated prices; Medicaid best-price rules end.

Trade-off

Simpler and transparent; 'best price' cross-market spillovers end.