What Are CMS' Part B Rebatable Drugs for 2026?

We’ve got the Centers for Medicare & Medicaid Services’ (CMS) most recent list of Medicare Part B drugs your clients may pay reduced coinsurance for from July through September 2026!

CMS publishes the Medicare Part B rebatable drugs quarterly. Keep reading to see the latest Part B rebate guidance.

Inflation-Adjusted Coinsurances for Medicare Part B Drugs

As a reminder, Medicare Part B generally covers drugs provided in doctors’ offices and hospital outpatient departments. Part B drugs may qualify for price adjustments as a result of the Medicare Prescription Drug Inflation Rebate provision in the Inflation Reduction Act (IRA).

The provision states that drug manufacturers who increase the prices of their drugs faster than the rate of inflation must reimburse Medicare for the difference. The reimbursement comes in the form of a rebate, hence the name “Part B rebatable drugs.”

CMS then passes the savings back to Medicare enrollees through inflation-adjusted Part B coinsurances.

Rebatable Part B Drugs with Reduced Coinsurance for 2026

The July 2026 ASP Pricing File identifies 107 Part B prescription drugs that may have lower beneficiary coinsurance rates for July, August, and September due to their prices increasing faster than inflation.

Note: CMS releases information on inflation-adjusted coinsurances via their quarterly Average Sales Price (ASP) public files. Occasionally, CMS updates these after they release them, before the changes go into effect.

Q3 2026 Part B Rebatable Drugs

DrugInflation-Adjusted Coinsurance
Percentage (Normally 20%)
Inj., omadacycline, 1 mg19.524
Inj., eravacycline, 1 mg18.331
Inj., velmanase alfa-tycv 1 mg18.829
Inj., remdesivir, 1 mg16.980
Inj., amiodarone (nexterone)13.162
Inj., rezafungin, 1 mg19.465
Inj., abilify maintena, 1 mg19.716
Peng benzathine/procaine inj.15.338
Penicillin g benzathine inj.11.593
Inj., brixadi, 7 days or less19.842
Inj., brixadi, more than 7 day19.842
Inj., burosumab-twza 1 m17.876
Inj., ruconest19.885
C-1 esterase, berinert18.038
Canakinumab inj.18.336
Inj., ceftolozane tazobactam16.442
Inj., cefiderocol, 10 mg19.627
Inj., cefepime hcl (baxter)7.794
Inj., cefepime hcl (b braun)10.488
Collagenase, clost hist inj.17.278
Inj., imetelstat, 1 mg19.269
Denosumab inj.17.326
Digoxin immune fab (ovine)19.070
Inj., cipaglucosidase, 5 mg19.304
Inj., sutimlimab-jome, 10 mg19.482
Inj., tofersen intrathec 1 mg19.475
Elosulfase alfa, inj.19.467
Inj., elranatamab-bcmm, 1 mg19.956
Inj., eflapegrastim-xnst 0.1mg17.914
Galsulfase inj.19.458
Inj., cuvitru, 100 mg19.472
Hizentra inj.18.769
Inj., panzyga, 500 mg19.247
Hemin, 1 mg18.358
Dalteparin sodium4.433
Ibuprofen inj.19.049
Leuprolide acetate /3.75 mg17.659
Inj., leu acet lutr dpt 7.5 mg13.461
Inj., meropenem (b. braun)10.909
Ziconotide inj.19.949
Naltrexone, depot form18.883
Inj., ublituximab-xiiy, 1 mg19.911
Inj., ocrelizumab 1mg hya-ocsq19.376
Inj., oritavancin19.897
Palifermin inj.15.381
Inj., pasireotide long acting14.170
Pegloticase inj.18.356
Inj., romiplostim 1 microgram17.617
Sargramostim, inj.19.708
Inj., siltuximab17.418
Inj., eptinezumab-jjmr 1 mg18.389
Inj., talquetamab-tgvs 0.25 mg18.661
Inj., tedizolid phosphate18.929
Tenecteplase inj.15.419
Inj., romosozumab-aqqg 1 mg18.176
Testosterone undecanoate 1mg18.133
Triamcinolone a inj. prs-free5.038
Inj., triptorelin xr 3.75 mg19.817
Antithrombin iii inj.19.715
Inj., jivi 1 iu18.913
Inj., kovaltry, 1 i.u.19.832
Tacrol envarsusexrel oral19.609
Lymphocyte immune globulin10.587
Antithymocyte globuln rabbit19.878
Mycophenol (myhibbin) 100 mg19.156
Oral netupitant, palonosetro16.599
Inj., aspara, rylaze, 0.1 mg18.645
Inj., avelumab, 10 mg19.686
Inj., atezolizumb 5mg hya-tqjs19.545
Inj., belinostat, 10 mg19.287
Inj., blinatumomab17.586
Brentuximab vedotin inj.16.848
Inj., carfilzomib, 1 mg16.698
Inj., amivantamab-vmjw18.374
Inj., elahere, 1 mg19.874
Daratumumab, hyaluronidase19.675
Inj., daratumumab 10 mg19.429
Inj., daunorubicin, cytarabine18.482
Inj., enfort vedo-ejfv 0.25 mg19.716
Ixabepilone inj.19.945
Inj. isatuximab-irfc 10 mg19.096
Pegaspargase inj.18.061
Pentostatin inj.18.167
Inj., tagraxofusp-erzs 10 mcg19.755
Inj., tisotu vedotin-tftv, 1 mg18.702
Inj., tebentafusp-tebn, 1 mcg19.624
Inj., nivolumab 2 mg hyaluron19.717
Inj., pemetrexed (sandoz) 10 mg5.653
Inj., nivol relatlimab 3 mg/1 mg19.778
Obinutuzumab inj.18.966
Panitumumab inj.17.551
Inj., pertuzumab, 1 mg19.560
Inj., polatuzumab vedotin 1 mg19.666
Inj., epcoritamab-bysp 0.16 mg19.740
Inj., talimogene laherparepvec18.172
Inj., trabectedin 0.1 mg19.642
Inj., margetuximab-cmkb, 5 mg18.851
Inj., ado-trastuzumab emt 1 mg19.469
Inj., fam-trastu deru-nxki 1 mg18.374
Inj., teclistamab cqyv 0.5 mg19.043
Inj., zenocutuzumab-zbco 1 mg19.707
Axicabtagene ciloleucel car+17.480
Tisagenlecleucel car-pos t17.295
Brexucabtagene car pos t19.275
Lisocabtagene mara car pos t17.881
Idecabtagene vicleucel car18.655
Ciltacabtagene car-pos t18.406

Source: CMS.gov

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For more info on the Medicare Prescription Drug Rebate Program, visit CMS.gov/inflation-reduction-act-and-medicare/inflation-rebates-medicare.

Not affiliated with or endorsed by Medicare or any government agency.

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