Health Care

States move to use ‘maximum fair prices’ to cap drug costs

A bill passed in Virginia would bypass traditional review boards to quickly lower prices on costly medications.
Bottles of medicine ride on a belt at a mail-in pharmacy warehouse in Florence, N.J., July 10, 2018. (AP Photo/Julio Cortez, File)

Virginia is set to become the first state to piggyback on new Medicare drug price negotiations to automatically cap payments for some of the country’s most expensive medications, sidestepping a lengthy review process that has stalled similar efforts in other states for years. 

Lawmakers in at least three other states — Illinois, Louisiana and Rhode Island — are pursuing similar legislation, part of a growing trend to extend newly negotiated “maximum fair prices” for certain drugs under Medicare to consumers outside the federal program. 

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