Medicare Part B Most Favored Nation Drug Pricing Model: New Rules, New Lawsuits, New Tweets | Sheppard Mullin Richter & Hampton LLP
[co-author: Ariana Stobaugh*] On September 13, 2020, President Trump issued an Executive Order (the “Executive Order”) directing the Department of Health and Human Services (“HHS”) to issue regulations instituting two most-favored-nations (“MFN”) payment models – one model for prescription drugs covered by Part B of the Medicare program (in general terms, Medicare Part B covers drugs that are administered by infusion or injection in physician offices and hospital outpatient departments, as well as certain drugs furnished by suppliers), and a second model for prescription drugs c...