What is the role of the government in setting drug prices?
In Nebraska, the government plays an important role in setting drug prices across the pharmaceutical industry. The Medicaid program, which is funded jointly by the federal government and the states, is the largest purchaser of prescription drugs in the US. As such, the state and federal governments negotiate with drug manufacturers to set the prices they will pay for each drug under the Medicaid program. The prices that are negotiated are then used as a benchmark by private insurers in setting the prices they will charge for those same drugs. Further, the government also sets the maximum prices on drugs that are sold through the Medicare Part D prescription drug benefit program. This program is funded by the federal government and provides prescription drug benefits to those over age 65 and certain disabled individuals. The government sets a maximum price that Medicare will pay for each drug under this program, and these prices are often much lower than prices paid by private insurers. In addition, the Federal Trade Commission (FTC) is charged with developing policies to promote competitive pricing of prescription drugs and to protect consumers from price gouging, or when drug companies charge too much for a drug. The FTC monitors drug pricing trends and takes legal action when drug prices are shown to be excessive. Overall, the government plays a large role in setting the prices that consumers pay for prescription drugs. The Medicaid and Medicare programs provide a benchmark for pricing for private insurers, while the FTC aims to promote competitive pricing and protect consumers from unfair practices.
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