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

← All tasks for this step

Task 1.9.6 of 7

Include physician-administered drugs (now Part B and hospital outpatient) in negotiation; hospitals and clinics are reimbursed at the negotiated price + 6%.

Who does it

Formulary Board

When

Year 2

Trade-off

Including physician-administered drugs saves money but cuts oncology practices' drug margins.

Part of: Create the national formulary & negotiate drug prices

A National Formulary and Pricing Board covers every FDA-approved drug with a negotiated price. Retail drug spending falls from $467.0B to $380.1B (price effect −$113.1B, utilization +$26.2B).

This step changes 10 existing laws, programs, or institutions. See the list.