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ARTICLE | Politics, Policy & Law

Trump administration finalizing Medicare Part D MFN rule

CMS sent Part D rule for White House review Thursday

October 3, 2025 11:07 PM UTC

The second shoe has dropped in the Trump administration’s effort to use CMS demonstration projects to impose “most favored nation” (MFN) pricing on Medicare drugs.

On Thursday, CMS submitted a proposed rule to the White House Office of Management and Budget (OMB) for review that would create the Guarding U.S. Medicare Against Rising Drug Costs (GUARD) Model, a mandatory Medicare Part D demonstration to be implemented by the Center for Medicare and Medicaid Innovation (CMMI)...