Medicare like all Federal Plans I.e FEP etc negotiate their own prices. The government exempts pts under these plans from pharma buy downs via voucher coupon etc.
There was a day when the VA DOD Federal Employee Plan Medicare etc negotiated the lowest price for ancillary medical services like drug costs. Now they are on there own with neither the best coverage and unable to participate in the Pharma Pt Copay buy down Programs
We are hurting ourselves with disingenuous information and the inability to compete will send these pharma companies packing across the pond. FYI China Mexico and Brazil are hot geographic targets for the Pharma Industry right now