When HHS unveiled a proposed rule in late January aimed at eliminating drug rebates in Medicare Part D and Medicaid managed care, the proposal was met with mixed responses (RSP 2/19, p. 1). If implemented, it potentially could result in a significant change not only to those markets but to commercial payers as well. But a recently released score from the Congressional Budget Office (CBO) calls into question whether the administration chooses to move forward with the proposal in its current form.
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