Understanding How the Pricing of Biosimilars Affects Government Drug Payor Programs

March 20, 2024 4:00pm

Craig Bleifer
Partner
Akin Gump Strauss Hauer & Feld LLP

Samantha D. Marshall
Counsel
Hogan Lovells LLP

Congress passed legislation providing a pathway for biosimilars over a decade ago, and the widespread adoption of biosimilars has been slower than many policymakers would have liked. As a result, biosimilars enjoy many distinct and preferential treatments under the various government programs.

Points of discussion will include:

  • Understanding how biosimilars are treated and impacted under each of the government pricing programs
    • Medicare
    • Medicaid
    • PHS 340B
  • Identifying the impact biosimilars play in the Medicare Drug Price Negotiation process
  • Evaluating why have stakeholders are hesitant to use available biosimilars
  • Assessing the various measures currently in place at the federal and state level to encourage the movement to biosimilars
    • Forecasting the future of biosimilars and its impact on the government pricing programs