Inflation Reduction Act: Resources and Advocacy
The Inflation Reduction Act, signed in August 2022, includes provisions that impact community pharmacy.
For inquiries/issues related to the IRA or the Medicare Drug Price Negotiation Program, members can contact [email protected].
Please see below for additional resources on the Inflation Reduction Act.
Webinars
340B-rrr: Feeling the Chill of the IRA
As the Inflation Reduction Act continues to reshape drug pricing and reimbursement, the 340B program finds itself in the middle of a policy snowstorm. This timely session explores how the IRA's provisions—especially around Medicare price negotiations and manufacturer rebates—are impacting covered entities and contract pharmacies. Join us for a brisk walk through the latest developments, featuring insights from leading industry experts and a representative from a covered entity who will share real-world perspectives from the front lines. Whether you're navigating compliance, managing operations, or advocating for program sustainability, this session will help you stay ahead of the freeze.
Update as of January 2, 2026: Pharmacies should know that the 340B Rebate Model Pilot Program (the Pilot), previously set to be in effect January 1, 2026 and that NCPA previously reported on and covered in this webinar, is currently paused. The information in this webinar pertaining to the Pilot is still relevant, but will not go into effect until a later time. NCPA will keep its members posted on developments.
NCPA Resources
- NCPA member summary on CMS’ CY 2026 Medicare Part D/MA final rule (April 2025)
- NCPA Medicare Drug Price Negotiation Program talking points (November 2024)
- NCPA member summary on CMS’ guidance on the Medicare Drug Price Negotiation Program (October 2024)
- NCPA member summary on CMS’ guidance on the Medicare Prescription Payment Plan (MPPP)/”co-pay smoothing” (July 2024)
Centers for Medicare and Medicaid Services (CMS) Resources
- Pharmacy and Dispensing Entities Resources
- Implementation Timeline
- Inflation Reduction Act and Medicare
- Medicare Drug Price Negotiation
- Fact Sheet: Medicare Drug Price Negotiation Program: Negotiated Prices for Initial Price Applicability Year 2026
- Fact Sheet: Medicare Drug Price Negotiation Program: Selected Drugs for Initial Price Applicability Year 2027
- Fact Sheet: Medicare Drug Price Negotiation Program: Selected Drugs for Initial Price Applicability Year 2028
Studies
- Avalere study showing the Medicare Drug Price Negotiation program’s significant impact on beneficiaries, independent pharmacies (March 2025)
- 3 Axis Advisors study showing financial impact of the Medicare Drug Price Negotiation program on independent pharmacies (January 2025)
NCPA Comments
- NCPA letter to CMS re: ongoing concerns with Medicare Drug Price Negotiation Program (with NCPA survey results (February 2026)
- NCPA letter to CMS re: ongoing concerns with Medicare Drug Price Negotiation Program (with NCPA survey results) (September 2025)
- NCPA comments to CMS on its draft guidance for IPAY 2028 and Manufacturer Effectuation of the MFP for 2026, 2027, and 2028 for the Medicare Drug Price Negotiation Program (June 2025)
- NCPA/ASCP joint recommendations to manufacturers, PhRMA and BIO on how to effectuate Medicare’s Maximum Fair Price (MFP) for pharmacies with material cash flow concerns (June 2025)
- NCPA comments to CMS on Medicare Drug Price Negotiation program draft forms (May 2025)