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Part B Negotiated Drug Prices: How MA Plans Should Prepare

On January 1, 2028, certain Part B drugs will be subject to negotiated maximum fair prices (MFPs) for the first time ever, per the Inflation Reduction Act (IRA). This is a significant inflection point: Part B drug negotiation introduces a new layer of operational and financial complexity, particularly for Medicare Advantage (MA) plans. The drugs selected for Initial Price Applicability Year (IPAY) 2028 are currently prescribed to roughly 1.8 mil…
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avalerehealth.com broke the news on Tuesday, July 7, 2026.
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