What is the Inflation Reduction Act (IRA)?
The Inflation Reduction Act (IRA), signed into law on August 16, 2022, introduces significant changes across multiple sectors-including health care. A key provision of the law allows Medicare to negotiate drug prices with pharmaceutical manufacturers for the first time.
These changes will directly impact community health center (CHC) pharmacies and their patients. To remain compliant, CHCs must take specific steps. This webpage provides resources for CHC staff to ensure compliance, including information about the Medicare Drug Price Negotiation Program (MDPNP) and the Medicare Transaction Facilitator (MTF). Whether you are a pharmacist, Chief Financial Officer, or Operations Manager, these resources will help guide the operations of your CHC and the pharmacies. If you have any questions, reach out to [email protected].
Medicare Drug Price Negotiation Program (MDPNP) and the Medicare Transaction Facilitator (MTF)
Does your pharmacy bill for Medicare Part D drugs? f so, make sure that they are enrolled in the Medicare Transaction Facilitator (MTF) program in order to receive reimbursement in 2026. Use thiss quick tip sheet or video walkthrough to ensure your pharmacy is in compliance! For more information about the basics of MTF and enrollment, follow along with this tutorial. See below for additional resources:
IRA Resource Sheet
This quick tip sheet gives all the CMS links important for the IRA
Operational Deep Dive Resources
These resources are designed to help CHCs operationalize IRA-related changes in your pharmacy.
- June 2025 IRA Technical Assistance Webinar slides for Entity Owned Pharmacies: This webinar gives an overview of the Inflation Reduction Act and then focuses on how entity-owned pharmacies should think about implementation requirements that are coming in January 2026.
- IRA technical assistance for Entity-Owned Pharmacies Q&A
- November 2024 NACHC office hour slides that go over IRA Medicare Negotiated Drug Analysis and Medicare Prescription Payment Plan (MPPP)
Maximums Fair Price Estimate Tool:
Maximum Fair Price Estimation Tool: This tool helps health centers estimate the impact of new Maximum Fair Price (MFP), that is prices that HHS negotiates with drug manufacturers for certain drugs covered under Medicare Part D and Part B