Phase 1: Enactment & build · Step 1.9
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
Ledger line 'Retail prescription drugs': $467.0B → $380.1B. Board start-up $1.5B one-time.
| Cost item | Type | 2024 / before | Amount |
|---|---|---|---|
| Retail prescription drugs 19 calculation steps | Spending | $467.0B | $380.1B |
| Formulary & technology-assessment start-up 4 calculation steps | One-time | — | $1.5B |
| Pharmaceutical manufacturer revenue 7 calculation steps | Loss | — | −$84.8B |