Safety-net hospitals and clinics that buy outpatient drugs at a federal discount would, for a narrow set of medicines, start paying full price upfront and waiting for a rebate instead, under a pilot the Health Resources and Services Administration is moving forward.
The agency issued the notice regarding the rebate model pilot on July 31 and published it in the Federal Register on August 3. Manufacturers must submit rebate plans to HRSA by August 24, with approvals expected by September 24 and the pilot scheduled to begin January 1, 2027.
