arrow_back Back to App

Improved Access to Non-Opioid Pain Management Drugs in Medicare

New rules will make it easier for seniors and Medicare beneficiaries to access non-opioid pain management drugs. This means lower out-of-pocket costs and no prior approval needed for these medications, aiming to combat opioid addiction.
Key points
No deductible for qualifying non-opioid pain management drugs under Medicare Part D starting January 1, 2026.
Non-opioid pain drugs will be placed on the lowest cost-sharing tier, reducing patient expenses.
Prohibition of 'step therapy' (requiring opioid use first) and prior authorization for non-opioid pain medications.
article Official text account_balance Process page
Introduced
Citizen Poll
No votes cast
Additional Information
Print number: 119_HR_1227
Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1]
Process start date: 2025-02-12