Updated
Updated · The Washington Post · Sep 14
Nineteen States Apply for Medicaid Drug Pilot as 7 Sign Onto Trump’s MFN Pricing Model
Updated
Updated · The Washington Post · Sep 14

Nineteen States Apply for Medicaid Drug Pilot as 7 Sign Onto Trump’s MFN Pricing Model

3 articles · Updated · The Washington Post · Sep 14

Summary

  • Nineteen states applied to the Trump administration’s GENEROUS Medicaid drug-pricing pilot by last week’s deadline, and seven — Alaska, Arkansas, Colorado, Indiana, Massachusetts, Oregon and Pennsylvania — have already signed participation agreements.
  • The voluntary model lets states review CMS-negotiated most-favored-nation prices tied to wealthy-country benchmarks, then choose drug-by-drug whether to join while keeping existing rebate deals when those are cheaper.
  • States say applying carried little downside because it unlocked pricing details before any final commitment, though confidentiality agreements now obscure how much savings participating states may actually realize.
  • The pilot’s appeal is uncertain because Medicaid already cuts gross drug spending by an average 53% through rebates, yet a July JAMA study found 82 major brand-name drugs were cheaper abroad and projected billions in savings across 47 states and Washington, D.C.
  • CMS still has to reveal overall drugmaker participation, and states have until Sept. 30 to finalize agreements; analysts say Gilead, Novo, Eli Lilly, Johnson & Johnson and AbbVie face the biggest Medicaid MFN pressure from the fourth quarter of 2026.

Insights

How might global pharmaceutical markets adjust their prices if the US successfully enforces Most-Favored-Nation pricing across Medicaid programs?
Will the GENEROUS pilot's strict utilization rules ultimately restrict patient access to vital medications despite promising billions in savings?