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1st Oct, 2026 12:00 AM
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Trump Medicare Drug Pricing Model May Apply to Only Four Companies After Exemptions

NEW YORK, Oct 1 (Reuters) - A Trump administration rule to cut hospital drug prices for Medicare patients ⁠may apply to as few as four drugmakers after exempting companies that signed separate "most favored ⁠nation" pricing agreements with the administration, according to the finalized rule.

According to ⁠the rule published on Wednesday ‌evening, Medicare's regulator plans to waive the requirement manufacturers that have signed separate deals with the White House participate in the price-setting model, called GLOBE.

If that is the case, the number of remaining manufacturers ‌that the model would apply to is 4, a ​footnote in ‌the rule said. It does ‌not name the companies.

The final rule also sharply reduced the government's projected savings from ⁠the model. HHS now estimates the program ‌will reduce Medicare ⁠Part B spending by ​about $440 million over the model ‌period, compared with roughly $11.9 billion projected in the proposed rule.

Article Key Points
  • GLOBE Medicare Part B drug-pricing model may apply to only 4 manufacturers.
  • Exemption: companies with separate White House most-favored-nation deals.
  • Final rule sharply cuts projected savings: ~$440M vs $11.9B proposed.
  • HHS did not explain the large downward revision in savings estimate.
  • >2 dozen drugmakers have signed separate pricing deals with the administration.
Dive Deeper
Which Medicare Part B drugs are targeted by GLOBE?
How do MFN deals affect Medicare pricing models?
What drove the reduced GLOBE savings estimate?

The Department of Health and Human Services did not respond to questions about what ​drove the reduction in projected savings.

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Trump has ‌signed ‌deals with more than two dozen drugmakers, including most of the world's ‌largest pharmaceutical companies ​like Pfizer, Eli Lilly and Novo Nordisk, starting last year. According to the White House Council of Economic Advisers, that ⁠drug pricing push could save state governments $27.6 billion ‌and the federal government $36.6 billion over the next decade.

(Reporting by Michael ​Erman; Editing by Chizu Nomiyama )

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