Federal judge declines to block Medicare drug price negotiations


A pharmacist holds a bottle of the drug Eliquis, made by Pfizer Pharmaceuticals, at a pharmacy in Provo, Utah, January 9, 2020.

George Frey | Reuters

A federal judge on Friday declined to block the Biden administration from implementing Medicare drug price negotiations, upholding for now a controversial process that aims to make costly medications more affordable for older Americans.

Judge Michael Newman of the Southern District of Ohio issued a ruling denying a preliminary injunction sought by the Chamber of Commerce, one of the largest lobbying groups in the country, which aimed to block the price talks before Oct. 1.

That date is the deadline for manufacturers of the first 10 drugs selected for negotiations to agree to participate in the talks.

The ruling from Newman is a blow to the pharmaceutical industry, which views the process as a threat to its revenue growth, profits and drug innovation.

The Chamber, which represents some companies in the industry, and drugmakers like Merck and Johnson & Johnson filed at least eight separate lawsuits in recent months seeking to declare the negotiations unconstitutional. The Chamber of Commerce’s lawsuit was the only one that sought a preliminary order.

President Joe Biden’s Inflation Reduction Act, which passed in a party-line vote last year, gave Medicare the power to directly hash out drug prices with manufacturers for the first time in the federal program’s nearly 60-year history

Medicare covers roughly 66 million people in the U.S., according to health policy research organization KFF.

The drug price talks are expected to save the insurance program an estimated $98.5 billion over a decade, according to the Congressional Budget Office. The Biden administration announced in August that the talks will reduce costs for 9 million seniors using the first 10 drugs, but it is unclear how much. The reduced prices for those initial medications won’t go into effect until January 2026.

The treatments are among the top 50 with the highest spending for Medicare Part D, which covers prescription medications that seniors fill at retail pharmacies.

That includes blood thinners from

Bristol-Myers Squibb and J&J, and diabetes drugs from Merck and AstraZeneca. It also includes a blood cancer drug from AbbVie, one of the companies represented by the Chamber of Commerce. Michael Newman, U.S. District Court Judge Ohio

Source: U.S. District Court

The Chamber’s lawsuit argues that the program violates drugmakers’ due process rights under the Fifth Amendment by giving the government the power to effectively dictate prices for their medicines.

The Chamber said an appeals court established a precedent that when the government sets prices, it must provide procedural safeguards to ensure a company receives a reasonable rate and fair return on investment. It

stems from the 2001 case Michigan Bell Telephone Co. v. Engler, according to the Chamber. The Medicare negotiations do not provide these safeguards and impose price caps that are well below a drug’s market value, the Chamber argued.

“There is a very, very high risk, maybe a guarantee, but certainly a very, very high risk, that this regime will result in prices that are unfair,” Jeffrey Bucholtz, an attorney for the Chamber, told judge Newman during a hearing earlier this month.

He added that drugmakers either must agree to the

price the government sets, or face an excise tax of up to 1,900% of U.S. sales of the drug. But lawyers for the DOJ said during the hearing that the program was far from compulsory. The DOJ’s lawyers said that the program was not mandatory. Netter stated that manufacturers can decide whether or not they wish to remain in the program at the current terms. If they don’t want to participate, it is their choice. The other lawsuits are scattered around federal courts in the U.S.