Here's what's of direct interest to Pharma in terms of the 10 year impact from 2010 to 2019
- Medicare Pharmaceutical MFG drug discount program - +$1.9 billion. This Costs Medicare Part D more due to the insurance effect. Pharma of course will be subsidizing beneficiary out of pockets to the tune of 50% or more costing Pharma up to $45 billion in lost revenue (my most recent estimates).
- Biosimilar Biologics provides savings (reduced revenue to Pharma and Bio) to Medicare and Medicaid of -$5.6 billion
- Medicaid Rebates - Increase in Standard Rebate Level for Brands -$8.7 billion and generics -$0.66 billion
- Medicaid Rebates - Extension of Rx Drug Discounts to enrollees of Medicaid Managed Care -$8.54 billion
- Medicaid Rebates - Revision of drug formulation rebates -$3.05 billion
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