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How the Government Pays 40 Percent More for Prescription Drugs Than Medicare Should

Why does the federal government, the largest purchaser of prescription drugs in the United States, end up paying higher prices than many private insurers and even patients without insurance? In this episode of The Fiscal Policy Podcast, Lucas and Luna unpack the bizarre structure of the 'best price' rule in Medicaid, the unintended consequences of the 340B drug discount program, and how a quirk in federal law actually prevents the government from negotiating the lowest possible prices. With a specific focus on insulin and Gleevec, they explain how drugmakers exploit these rules and…

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