Viewpoint

International Reference Pricing Across Medicare and Medicaid

JAMA 10.1001/jama.2026.3536

April 15, 2026 at 11:00 AM EDT

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This Viewpoint discusses 3 US Centers for Medicare & Medicaid Services (CMS) drug pricing models and how a pivot toward international reference pricing could affect consumers, manufacturers, and drug pricing policy.

Corresponding Author: Michael J. DiStefano, PhD, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado Anschutz Medical Campus, 12850 E Montview Blvd, Aurora, CO 80045 (michael.j.distefano@cuanschutz.edu).

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