arrow_back Back to App

Easier Access to Non-Opioid Pain Management Drugs in Medicare

New rules will make it easier for seniors and low-income individuals to access non-opioid pain management drugs through the Medicare program. This means lower costs and no need for prior approval for these medications, potentially helping 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 management drugs will be placed on the lowest cost-sharing tier in Medicare Part D, reducing patient costs.
Prohibition of step therapy (requiring opioid use first) and prior authorization for non-opioid pain management drugs in Medicare Part D.
article Official text account_balance Process page
Introduced
Citizen Poll
No votes cast
Additional Information
Print number: 119_S_475
Sponsor: Sen. Tillis, Thomas [R-NC]
Process start date: 2025-02-06