The Centers for Medicare and Medicaid Services ("CMS") recently released three documents addressing payments for biosimilars under Medicare Parts B and D and Medicaid. The Part D memorandum discusses the application of formulary review policies, the low-income subsidy, catastrophic cost-sharing rules, and the coverage gap discount program for biosimilars. The Part B publication states CMS will incorporate licensed biosimilars into the average sales price payment methodology. Under the Medicaid Drug Rebate program, biosimilars are considered single-source drugs for reimbursement purposes.

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