{
 "edition": "2026-11",
 "merkleRoot": "006ab9a329709cbe7f56a0e1a7c4a02f897655cdfecf9ca34d199690095adcb6",
 "partD": {
  "source": "https://www.cms.gov/files/document/2027-announcement.pdf",
  "announcementDate": "2026-04-06",
  "table": "Table V-2",
  "page": 95,
  "pdfSha256": "8bb37a0969062c57600f5cea9a0f2f281ee1377d91444afc36554f58ad0d8504",
  "years": {
   "2026": {
    "deductibleUsd": 615,
    "outOfPocketThresholdUsd": 2100,
    "quote": "Deductible $615 $700 Out-of-Pocket Threshold $2,100 $2,400"
   },
   "2027": {
    "deductibleUsd": 700,
    "outOfPocketThresholdUsd": 2400,
    "quote": "Deductible $615 $700 Out-of-Pocket Threshold $2,100 $2,400"
   }
  },
  "cmsFootnote13": "the 2027 parameters reflect additional plan coverage required for covered insulin products and ACIP-recommended adult vaccines (sections 1860D-2(b)(9) and (b)(8))"
 },
 "negotiatedPricesChangingJan2027": [
  {
   "drug": "ELIQUIS; ELIQUIS SPRINKLE",
   "ingredient": "APIXABAN",
   "priceBeforeUsd": 231,
   "priceBeforeEffective": "2026-01-01",
   "priceFromJan1_2027Usd": 237.25,
   "changeUsd": 6.25,
   "changePct": 2.7,
   "cmsUpdateLabels": [
    "Inflation"
   ]
  },
  {
   "drug": "ENBREL",
   "ingredient": "ETANERCEPT",
   "priceBeforeUsd": 2355,
   "priceBeforeEffective": "2026-01-01",
   "priceFromJan1_2027Usd": 2418.7,
   "changeUsd": 63.7,
   "changePct": 2.7,
   "cmsUpdateLabels": [
    "Inflation"
   ]
  },
  {
   "drug": "ENTRESTO; ENTRESTO SPRINKLE",
   "ingredient": "VALSARTAN / SACUBITRILAT",
   "priceBeforeUsd": 295,
   "priceBeforeEffective": "2026-06-01",
   "priceFromJan1_2027Usd": 302.98,
   "changeUsd": 7.98,
   "changePct": 2.7,
   "cmsUpdateLabels": [
    "Deselect"
   ]
  },
  {
   "drug": "FARXIGA",
   "ingredient": "DAPAGLIFLOZIN",
   "priceBeforeUsd": 178.5,
   "priceBeforeEffective": "2026-01-01",
   "priceFromJan1_2027Usd": 183.33,
   "changeUsd": 4.83,
   "changePct": 2.7,
   "cmsUpdateLabels": [
    "Inflation"
   ]
  },
  {
   "drug": "IMBRUVICA",
   "ingredient": "IBRUTINIB",
   "priceBeforeUsd": 9319,
   "priceBeforeEffective": "2026-01-01",
   "priceFromJan1_2027Usd": 9571.07,
   "changeUsd": 252.07,
   "changePct": 2.7,
   "cmsUpdateLabels": [
    "Inflation"
   ]
  },
  {
   "drug": "JANUVIA",
   "ingredient": "SITAGLIPTIN",
   "priceBeforeUsd": 113,
   "priceBeforeEffective": "2026-01-01",
   "priceFromJan1_2027Usd": 116.06,
   "changeUsd": 3.06,
   "changePct": 2.7,
   "cmsUpdateLabels": [
    "Inflation"
   ]
  },
  {
   "drug": "JARDIANCE",
   "ingredient": "EMPAGLIFLOZIN",
   "priceBeforeUsd": 197,
   "priceBeforeEffective": "2026-01-01",
   "priceFromJan1_2027Usd": 202.33,
   "changeUsd": 5.33,
   "changePct": 2.7,
   "cmsUpdateLabels": [
    "Inflation"
   ]
  },
  {
   "drug": "NOVOLOG; NOVOLOG FLEXPEN; NOVOLOG PENFILL; FIASP; FIASP FLEXTOUCH; FIASP PENFILL",
   "ingredient": "INSULIN ASPART, HUMAN",
   "priceBeforeUsd": 119,
   "priceBeforeEffective": "2026-01-01",
   "priceFromJan1_2027Usd": 122.22,
   "changeUsd": 3.22,
   "changePct": 2.7,
   "cmsUpdateLabels": [
    "Deselect"
   ]
  },
  {
   "drug": "STELARA",
   "ingredient": "USTEKINUMAB",
   "priceBeforeUsd": 4695,
   "priceBeforeEffective": "2026-01-01",
   "priceFromJan1_2027Usd": 4822,
   "changeUsd": 127,
   "changePct": 2.7,
   "cmsUpdateLabels": [
    "Deselect"
   ]
  },
  {
   "drug": "XARELTO",
   "ingredient": "RIVAROXABAN",
   "priceBeforeUsd": 197,
   "priceBeforeEffective": "2026-01-01",
   "priceFromJan1_2027Usd": 202.33,
   "changeUsd": 5.33,
   "changePct": 2.7,
   "cmsUpdateLabels": [
    "Deselect"
   ]
  }
 ],
 "negotiatedPricesStarting2027": [
  {
   "drug": "AUSTEDO; AUSTEDO XR",
   "ingredient": "DEUTETRABENAZINE",
   "price30DaySupplyUsdMin": 4093,
   "price30DaySupplyUsdMax": 4093,
   "effective": "2027-01-01"
  },
  {
   "drug": "BREO ELLIPTA",
   "ingredient": "FLUTICASONE; VILANTEROL",
   "price30DaySupplyUsdMin": 67,
   "price30DaySupplyUsdMax": 67,
   "effective": "2027-01-01"
  },
  {
   "drug": "CALQUENCE",
   "ingredient": "ACALABRUTINIB",
   "price30DaySupplyUsdMin": 8600,
   "price30DaySupplyUsdMax": 8600,
   "effective": "2027-01-01"
  },
  {
   "drug": "IBRANCE",
   "ingredient": "PALBOCICLIB",
   "price30DaySupplyUsdMin": 7871,
   "price30DaySupplyUsdMax": 7871,
   "effective": "2027-01-01"
  },
  {
   "drug": "JANUMET; JANUMET XR",
   "ingredient": "METFORMIN; SITAGLIPTIN",
   "price30DaySupplyUsdMin": 80,
   "price30DaySupplyUsdMax": 80,
   "effective": "2027-01-01"
  },
  {
   "drug": "LINZESS",
   "ingredient": "LINACLOTIDE",
   "price30DaySupplyUsdMin": 136,
   "price30DaySupplyUsdMax": 136,
   "effective": "2027-01-01"
  },
  {
   "drug": "OFEV",
   "ingredient": "NINTEDANIB",
   "price30DaySupplyUsdMin": 6350,
   "price30DaySupplyUsdMax": 6350,
   "effective": "2027-01-01"
  },
  {
   "drug": "OTEZLA; OTEZLA XR",
   "ingredient": "APREMILAST",
   "price30DaySupplyUsdMin": 1650,
   "price30DaySupplyUsdMax": 1650,
   "effective": "2027-01-01"
  },
  {
   "drug": "OZEMPIC; RYBELSUS; WEGOVY",
   "ingredient": "SEMAGLUTIDE",
   "price30DaySupplyUsdMin": 274,
   "price30DaySupplyUsdMax": 274,
   "effective": "2027-01-01"
  },
  {
   "drug": "POMALYST",
   "ingredient": "POMALIDOMIDE",
   "price30DaySupplyUsdMin": 8650,
   "price30DaySupplyUsdMax": 8650,
   "effective": "2027-01-01"
  },
  {
   "drug": "TRADJENTA",
   "ingredient": "LINAGLIPTIN",
   "price30DaySupplyUsdMin": 78,
   "price30DaySupplyUsdMax": 78,
   "effective": "2027-01-01"
  },
  {
   "drug": "TRELEGY ELLIPTA",
   "ingredient": "FLUTICASONE; UMECLIDINIUM; VILANTEROL",
   "price30DaySupplyUsdMin": 175,
   "price30DaySupplyUsdMax": 175,
   "effective": "2027-01-01"
  },
  {
   "drug": "VRAYLAR",
   "ingredient": "CARIPRAZINE",
   "price30DaySupplyUsdMin": 770,
   "price30DaySupplyUsdMax": 770,
   "effective": "2027-01-01"
  },
  {
   "drug": "XIFAXAN",
   "ingredient": "RIFAXIMIN",
   "price30DaySupplyUsdMin": 1000,
   "price30DaySupplyUsdMax": 1000,
   "effective": "2027-01-01"
  },
  {
   "drug": "XTANDI",
   "ingredient": "ENZALUTAMIDE",
   "price30DaySupplyUsdMin": 7004,
   "price30DaySupplyUsdMax": 7004,
   "effective": "2027-01-01"
  }
 ],
 "selectedFor2028": [
  {
   "drug": "ANORO ELLIPTA",
   "ingredient": "UMECLIDINIUM; VILANTEROL",
   "effective": "2028-01-01",
   "price": null
  },
  {
   "drug": "BIKTARVY",
   "ingredient": "BICTEGRAVIR; EMTRICITABINE; TENOFOVIR ANHYDROUS",
   "effective": "2028-01-01",
   "price": null
  },
  {
   "drug": "CIMZIA",
   "ingredient": "CERTOLIZUMAB PEGOL",
   "effective": "2028-01-01",
   "price": null
  },
  {
   "drug": "COSENTYX",
   "ingredient": "SECUKINUMAB",
   "effective": "2028-01-01",
   "price": null
  },
  {
   "drug": "ENTYVIO",
   "ingredient": "VEDOLIZUMAB",
   "effective": "2028-01-01",
   "price": null
  },
  {
   "drug": "ERLEADA",
   "ingredient": "APALUTAMIDE",
   "effective": "2028-01-01",
   "price": null
  },
  {
   "drug": "KISQALI",
   "ingredient": "RIBOCICLIB",
   "effective": "2028-01-01",
   "price": null
  },
  {
   "drug": "LENVIMA",
   "ingredient": "LENVATINIB",
   "effective": "2028-01-01",
   "price": null
  },
  {
   "drug": "ORENCIA",
   "ingredient": "ABATACEPT",
   "effective": "2028-01-01",
   "price": null
  },
  {
   "drug": "REXULTI",
   "ingredient": "BREXPIPRAZOLE",
   "effective": "2028-01-01",
   "price": null
  },
  {
   "drug": "TRULICITY",
   "ingredient": "DULAGLUTIDE",
   "effective": "2028-01-01",
   "price": null
  },
  {
   "drug": "VERZENIO",
   "ingredient": "ABEMACICLIB",
   "effective": "2028-01-01",
   "price": null
  },
  {
   "drug": "XELJANZ; XELJANZ XR",
   "ingredient": "TOFACITINIB",
   "effective": "2028-01-01",
   "price": null
  },
  {
   "drug": "XOLAIR",
   "ingredient": "OMALIZUMAB",
   "effective": "2028-01-01",
   "price": null
  }
 ],
 "pricesSource": "https://www.cms.gov/initiatives/medicare-prescription-drug-affordability/overview/medicare-drug-price-negotiation-program/selected-drugs-negotiated-prices",
 "pricesReadOn": "2026-11-06",
 "note": "The threshold is a benefit parameter, not a prediction of anyone's cost. A negotiated price is the price CMS lists, not what a patient pays. Differences are OmniRx arithmetic on two CMS prices.",
 "licence": "CC BY 4.0 for the OmniRx compilation"
}