How and when Americans will see Medicare’s drug price reductions


Summary

Medicare prescription savings

According to the Trump administration, reductions for 15 prescription drugs covered by Medicare were announced and are set to take effect in 2027.

Legislative background

The price cuts are part of the Medicare price negotiation program created through former President Joe Biden's Inflation Reduction Act in 2022.

Scope of cost reductions

The Centers for Medicare & Medicaid Services estimates that the reductions will save those with Medicare prescription drug coverage around $685 million.


Full story

On Tuesday, the Trump administration announced price reductions for 15 prescription drugs covered by Medicare. While the reductions won’t take effect until 2027, the administration said Medicare recipients will save substantially on prescriptions.

The prescription price cuts come from the Medicare price negotiation program former President Joe Biden created with his Inflation Reduction Act in 2022. These latest reductions follow last year’s, when Biden negotiated lower prices for 10 drugs with pharmaceutical companies.

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“President Trump directed us to stop at nothing to lower health care costs for the American people,” Health and Human Services Secretary Robert F. Kennedy Jr. said in a statement. “As we work to Make America Healthy Again, we will use every tool at our disposal to deliver affordable health care to seniors.”

What drugs does this affect?

The price reductions impact drugs that treat severe chronic diseases like Huntington’s disease and several forms of cancer. According to the Centers for Medicare & Medicaid Services, about 5.3 million Medicare beneficiaries used these medications in 2024. 

Pfizer’s breast cancer therapy Ibrance is included in the reductions and was used by 16,000 Medicare Part D beneficiaries last year. Novo Nordisk’s weight-loss and diabetes drugs Ozempic, Rybelsus and Wegovy are also on the list. 

Trump previously announced a deal with the government and Novo Nordisk to lower the cost of Ozempic. 

Under the drug negotiation program, companies can choose to walk away but it would cut them off from one of the largest markets in the country. 

How much is the reduction?

The reduction is expected to save those with Medicare prescription drug coverage an estimated $685 million in total, according to the MMS. 

The reductions range from 38% to 85%. With some drugs costing thousands of dollars less than the list price. 

Older Americans have raised concerns about the rising costs of prescription drugs, according to AARP. About 2-in-5 adults 50 and older are concerned about their ability to afford prescription drugs in the next few years.

Several drugs have seen dramatic price increases. AARP said prescription drugs increase in price the longer they stay on the market. One example is the irritable bowel disease drug Xifaxan, which has been available since 2004. Its price has increased 253% since then.

The federal government previously announced 10 other drug cost reductions, which will begin in 2026. These include drugs like Imbruvica, reduced by 38%; Stelara, reduced by 66%; and Januvia, reduced by 79%.

Cole Lauterbach contributed to this report.
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Why this story matters

Medicare recipients could see lowered prescription drug costs due to planned price reductions on high-cost medications, following recent government negotiations with pharmaceutical companies. These changes may affect millions of seniors concerned about affording necessary treatments.

Prescription drug costs

High drug prices have been a longstanding concern for older Americans, and the announced reductions could offer financial relief for millions of Medicare beneficiaries requiring vital medications.

Government negotiation

Recent Medicare drug price reductions are the result of government negotiation initiatives established by the Inflation Reduction Act in 2022.

Impact on seniors

Lowering drug prices could ease the burden on seniors, a group that, as noted by AARP, has expressed significant concern about affording prescription medications in the coming years.

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Behind the numbers

Negotiated Medicare drug prices for 15 widely used drugs are set to save $12 billion for the program and $685 million in out-of-pocket costs for enrollees in 2027 with price reductions ranging from 38% to 85%.

Community reaction

Groups like AARP have expressed approval, stating the savings will offer real relief to seniors while pharmaceutical industry representatives and some analysts caution about impacts on innovation and uncertainties about patient cost savings.

Oppo research

Pharmaceutical industry representatives like PhRMA criticize government price setting, arguing it could reduce research investment and hinder innovation, and have challenged the negotiation program in court.

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Bias comparison

  • Media outlets on the left frame Medicare drug price reductions as a success of a "Biden-Era Law" that Trump "attacked," highlighting "price cuts" with positive framing.
  • Media outlets in the center adopt a more cautious tone, using "shaves" and noting the program will "test cost savings promise," while also providing specific figures like 36% off spending and $685 million enrollee savings, which are de-emphasized elsewhere.
  • Media outlets on the right use strong verbs like "slashes" and attributes the "pivotal move" to "President Donald Trump’s push," often de-emphasizing the Inflation Reduction Act's role.

Media landscape

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Key points from the Left

  • The Centers for Medicare and Medicaid Services announced lower prices on 15 prescription drugs under Medicare, including Ozempic, effective in 2027 as part of a negotiation program established by the Inflation Reduction Act signed by President Joe Biden in 2022.
  • The price cuts are projected to save Medicare enrollees $685 million in out-of-pocket costs, according to the Centers for Medicare and Medicaid Services.
  • Stacie Dusetzina, a health policy professor, stated that these negotiated prices aim to provide long-term relief for taxpayers and beneficiaries.

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Key points from the Center

  • On Tuesday, the Centers for Medicare and Medicaid Services announced lower prices on 15 costly prescription drugs under Medicare, including Ozempic and Wegovy, with cuts taking effect in 2027.
  • Created under the Inflation Reduction Act, the negotiation program cuts prices following last year’s deals on 10 prescription drugs amid affordability concerns.
  • The negotiated list shows steep cuts for several high-cost medicines, including Ozempic, Rybelsus and Wegovy at $274 for a 30-day supply, down from the $959 list price, and the 15 drugs accounted for $42.5 billion, or 15%, of Medicare Part D spending in 2024.
  • CMS said the discounts will save taxpayers $12 billion and reduce Medicare enrollees’ out-of-pocket costs by $685 million in 2027.
  • The announcement contrasts with President Donald Trump’s voluntary deal approach, as Trump recently announced a Novo Nordisk deal with a $250 price while drugmakers have unsuccessfully challenged the statutory program.

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Key points from the Right

  • The U.S. expects to announce lower prices for 15 of Medicare's costliest drugs this week, which impacts 67 million older and disabled Americans, according to the U.S. Government.
  • Medicare plans to announce lower prices for 15 costly drugs, including Ozempic, which was previously $428 a month, according to an analysis published in the Journal of Managed Care and Specialty Pharmacy.
  • Sean Sullivan from the University of Washington stated that the public announcement will lead other payers to request similar prices from drug manufacturers.
  • Medicare's next round of drug price negotiations will begin in February 2026, targeting 15 additional prescription and hospital-administered medicines.

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