CMS names 15 medications for 2028 price negotiation cycle

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CMS will negotiate the prices for Trulicity, Biktarvy and 13 other high-cost medications commonly covered by Medicaid Parts B and D, according to a Jan. 27 news release from the agency. 

The Medicare Drug Price Negotiation Program enacted its first cycle of negotiated drug prices on Jan. 1, 2026, which included four Type 2 diabetes medications. The 2027 cycle includes 15 medications, with Ozempic, Wegovy and Rybelsus topping the list. 

To be eligible for negotiations, drugs must lack generic or biosimilar competition and be on the market for more than 10 years. The 2028 negotiation cycle will be the first time Medicare Part B medications are included, which are drugs administered in a hospital setting such as chemotherapy or anesthesia. 

Here are the 15 medications selected for the 2028 cycle:

DrugCommonly treated conditionsDrug Medicare expenditure from November 2024 to October 2025
Trulicity Type 2 diabetes; Type 2 diabetes and cardiovascular disease or multiple cardiovascular risk factors $4.9 billion
BiktarvyHIV type 1 infection$3.9 billion
OrenciaPsoriatic arthritis; rheumatoid arthritis$2.5 billion
CosentyxPlaque psoriasis; psoriatic arthritis$2.3 billion
ErleadaProstate cancer$1.9 billion
KisqaliBreast cancer$1.6 billion
EntyvioCrohn’s disease; ulcerative colitis$1.5 billion
VerzenioBreast cancer$1.4 billion
Botox; Botox CosmeticChronic migraine; overactive bladder; spasticity; other movement disorders$1.1 billion
LenvimaThyroid cancer; endometrial cancer; liver cancer; kidney cancer$1.1 billion
XolairAsthma; chronic spontaneous urticaria$1.1 billion
RexultiMajor depressive disorder; schizophrenia; agitation associated with dementia due to Alzheimer’s disease$1.1 billion
Xeljanz; Xeljanz extended-releasePsoriatic arthritis; rheumatoid arthritis; ulcerative colitis$1 billion
Anoro ElliptaChronic obstructive pulmonary disease$813 million
CimziaCrohn’s disease; plaque psoriasis; psoriatic arthritis; rheumatoid arthritis$787 million

In a separate move Jan. 27, HHS published a guidance for drug manufacturers with direct-to-consumer programs, which allow cash-paying patients to purchase discounted medications.

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