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Supreme Court rejects appeals from drug manufacturers over Medicare price negotiations

The justices rejected drugmakers’ appeals, leaving negotiated prices in place after Medicare saved several billion dollars in the first rounds, CMS said.

  • The Supreme Court rejected high-profile appeals from major pharmaceutical companies on Monday, allowing the federal government to continue directly negotiating Medicare prescription drug prices.
  • By declining to review the challenges, the justices left intact a lower appellate court ruling that dismissed the industry's claims that the mandatory negotiation process violates their constitutional rights.
  • Drug manufacturers had fiercely argued that the program's steep tax penalties for non-compliance essentially amounted to an unconstitutional "taking" of private property and compelled speech.
  • Despite receiving zero Republican votes during its 2022 passage under the Biden administration, the cost-cutting program has been fully embraced and defended in court by the Trump administration.
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On Monday, the U.S. Supreme Court rejected a series of appeals from several of the country's largest pharmaceutical companies challenging a program that forces companies to negotiate with Medicare the prices of some of their drug companies.

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The Hamilton Spectator broke the news in Hamilton, Canada on Monday, May 18, 2026.
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