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12/17/2020
CMS Most Favored Nation Fee Schedule Halted
According to Modern Healthcare, a federal judge in Maryland ruled on Wednesday, Dec. 23rd, that the Trump administration would have to delay implementation to a demonstration to tie Medicare outpatient drug payment to drug prices in foreign countries. The demonstration, called the Most Favored Nation pricing was supposed to start on January 1, but U.S. District Judge Catherine Blake issued a temporary restraining order on the policy for 14 days. The ruling comes from a lawsuit filed by the Pharmaceutical Research and Manufacturers of America, Association of Community Cancer Centers, the Global Colon Cancer Center Association and National Infusion Center Association to stop the policy
MFN Pricing Released
The MFN Model Drug HCPCS Codes List and MFN Model Drug Pricing File will be updated on a quarterly basis.
- January 2021 MFN Model Drug HCPCS Codes List (XLS)
- January 2021 MFN Model Drug Pricing File (XLS)
- MFN Model: Billing Information Slides (PDF)
For more information: https://innovation.cms.gov/innovation-models/most-favored-nation-model
For questions regarding the MFN Model, please email:MFN@cms.hhs.gov.
