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Advising the Congress on Medicare issues
MedPAC > Recommendations > The Medicare prescription drug program (Part D): Status report

The Medicare prescription drug program (Part D): Status report

March 15, 2018

The Congress should change Part D’s coverage-gap discount to:

  • require manufacturers of biosimilar products to pay the coverage-gap discount by including biosimilars in the definition of “applicable drugs” and
  • exclude biosimilar manufacturers’ discounts in the coverage gap from enrollees’ true out-of-pocket spending.

Topics: Beneficiaries and coverage and Drugs, Devices, and Tests.