Understanding How the Pricing of Biosimilars Affects Government Drug Payor Programs

Craig Bleifer
Partner
Akin Gump Strauss Hauer & Feld LLP

Samantha D. Marshall
Counsel
Hogan Lovells LLP
Congress passed legislation providing a pathway for biosimilars over a decade ago, and the widespread adoption of biosimilars has been slower than many policymakers would have liked. As a result, biosimilars enjoy many distinct and preferential treatments under the various government programs.
Points of discussion will include:
- Understanding how biosimilars are treated and impacted under each of the government pricing programs
- Medicare
- Medicaid
- PHS 340B
- Identifying the impact biosimilars play in the Medicare Drug Price Negotiation process
- Evaluating why have stakeholders are hesitant to use available biosimilars
- Assessing the various measures currently in place at the federal and state level to encourage the movement to biosimilars
- Forecasting the future of biosimilars and its impact on the government pricing programs