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 <subject>Comparative analysis</subject>
 <subject>Cost analysis</subject>
 <subject>Drugs</subject>
 <subject>Financial analysis</subject>
 <subject>Health care programs</subject>
 <subject>Medicaid</subject>
 <subject>Medicare</subject>
 <subject>Pharmaceutical industry</subject>
 <subject>Prescription drugs</subject>
 <subject>Prices and pricing</subject>
 <subject>Rebates</subject>
 <subject>Medicare Part D</subject>
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<titleInfo>
 <title>Prescription Drugs: An Overview of Approaches to Negotiate Drug Prices Used by Other Countries and U.S. Private Payers and Federal Programs</title>
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<abstract>Rising prescription drug spending has led the United States and
other countries to seek ways to negotiate lower prices with drug 
manufacturers. Currently, the Medicare Part D benefit, which	 
offers outpatient prescription drug benefits to beneficiaries	 
including elderly and certain disabled people, comprises	 
competing prescription drug plans overseen by the Centers for	 
Medicare &amp; Medicaid Services. The Medicare Prescription Drug,	 
Improvement, and Modernization Act of 2003 prohibits the	 
Secretary of Health and Human Services from interfering with	 
price negotiations between Part D plan sponsors and drug	 
manufacturers and pharmacies. Some Members of Congress have	 
proposed amending the statute to allow the Secretary of Health	 
and Human Services to negotiate directly with drug manufacturers 
on behalf of Part D beneficiaries. GAO was asked to describe how 
prescription drug prices are negotiated. This testimony provides 
an overview of such efforts (1) by governments in other 	 
countries; (2) by U.S. private payers, such as employer-based	 
health plans; and (3) by federal programs other than Medicare	 
Part D. This testimony is based on previous GAO reports from 2002
through 2006 on federal programs that purchase or cover 	 
prescription drugs and other relevant literature from		 
congressional agencies and federal or international		 
organizations.</abstract>
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<identifier type="preferred citation">GAO-07-358T</identifier>
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<note>Testimony</note>
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<subject>
 <topic>Comparative analysis</topic>
 <topic>Cost analysis</topic>
 <topic>Drugs</topic>
 <topic>Financial analysis</topic>
 <topic>Health care programs</topic>
 <topic>Medicaid</topic>
 <topic>Medicare</topic>
 <topic>Pharmaceutical industry</topic>
 <topic>Prescription drugs</topic>
 <topic>Prices and pricing</topic>
 <topic>Rebates</topic>
 <topic>Medicare Part D</topic>
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  <partNumber>Volume 117 Page 2066</partNumber>
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