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Supreme Court Upholds Medicare Drug Negotiations, Expands to 40

5/18/2026

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Story summary
  • U.S. Supreme Court rejected appeals on Monday, leaving the Medicare drug-price negotiation program intact.
  • The 2022 Inflation Reduction Act-mandated program, which has cut prices for 25 drugs including Ozempic, Rybelsus and Wegovy, will be expanded by President Donald Trump’s administration, adding 15 more drugs to reach 40.
  • Pharmaceutical firms say reductions should come from regulating insurers and pharmacy-benefit managers and note Congress can end the program, which has no expiration.