• Let the games (almost) begin

Let the games (almost) begin

On Tuesday we are expecting to learn what are the first drugs that will be negotiated as part of the Inflation Reduction Act’s (IRA’s) 2026 Medicare negotiation program. I use the word negotiated loosely.

Last fall I did a lot of work looking at Part D spending files and patent expiration dates and expectations for generics. And I can’t say my results were any different than what others have guessed. But, just for fun, I created this table that compares several different lists. Overall there is a lot of commonality but around the edges, it gets interesting. I don’t know if Vegas has odds (they probably do) but Tuesday morning will start the process. For kicks I added which companies had IRA suits filed.

If we were going by strength of the consensus, the 10 would be:

Eliquis

Xarelto

Enbrel

Imbruvica

Januvia

Jardiance

Xtandi

Ibrance

Myrbetriq

Symbicort

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