The Inflation Reduction Act aims to lower drug costs — but here’s how Big Pharma could get around it

The Inflation Reduction Act has provisions to lower drug costs, but it's possible that pharma companies could get around them, and keep drug prices high.

The Inflation Reduction Act is set to lower drug prices for millions of people in the U.S. — but experts fear pharmaceutical companies could exploit loopholes in the bill, ultimately keeping prescription costs high for many.

The law takes aim at insulin costs, caps out-of-pocket spending for Medicare beneficiaries, and allows the federal government to negotiate prices on the costliest prescription drugs. It also will require drugmakers to pay a rebate to Medicare if they raise prices too sharply.

These provisions won’t be implemented all at once.  Instead, they’ll go into effect gradually over the next several years, beginning with insulin price caps and rebates in 2023, out-of-pocket caps in 2025, and finally drug negotiations in 2026.

Because of the four-year gap before the law is fully implemented, policy and legal experts fear that pharmaceutical companies may have ample time to go on the offense and — if they don’t try to get the law thrown out in court — figure out ways to sidestep provisions that affect their ability to maintain their high profits.

The tactics may ultimately threaten the law’s ability to lower drug costs for consumers. A recent Kaiser Family Foundation survey found about 8 in 10 adults say the cost of prescription drugs is unreasonable.

https://www.nbcnews.com/health/health-news/inflation-reduction-act-aims-lower-drug-costs-s-big-pharma-get-rcna48341


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