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CMS Names 15 Drugs for 2028 Medicare Price Talks, First List to Include Part B Treatments

The picks represent about $27 billion in recent Medicare spending, touching roughly 1.8 million enrollees.

Overview

  • The selection includes Trulicity, Botox for Medicare-covered uses, Biktarvy, and multiple cancer and autoimmune therapies.
  • Manufacturers must decide by Feb. 28, 2026 whether to participate, with negotiations running through 2026 and new prices taking effect Jan. 1, 2028.
  • CMS also chose to renegotiate Tradjenta, a Type 2 diabetes drug previously slated for 2027 price reductions.
  • Physician-administered Part B medicines are included for the first time, expanding the program’s scope and posing added implementation challenges.
  • Reaction split along familiar lines, with AARP welcoming potential savings and PhRMA warning the IRA’s approach could deter future drug development.