Advanced Considerations: How the IRA, Tariffs, and the Private Market Relate to Big Four Pricing

Catherine Starks
Partner
Sidley Austin LLP
Broader policy and market forces—including new legislation, PBM negotiations, and private sector pricing trends—can have significant downstream effects on Non-FAMP and FCP. This session will explore how these evolving external factors influence VA pricing compliance, market access, and commercial strategy.
- Analyzing the impact of policy changes and legislation, including the Inflation Reduction Act (IRA), on pharmaceutical pricing
- How federal price negotiations under IRA affect brand lifecycles and market prices
- PBM market consolidation and vertical integration—implications for FSS pricing
- How PBM rebates and formulary positioning affect manufacturer discounts and Non-FAMP calculations
- How commercial rebate structures influence FSS pricing compliance
- Assessing the impact of tariffs and trade policies on manufacturer pricing strategies
- Understanding the ripple effect of private market dynamics on federal pricing compliance
- How commercial insurer negotiations impact federal pricing benchmarks
- The role of biosimilars, generics, and competitive pricing strategies in VA FSS pricing