For example, the Inflation Reduction Act (“IRA”) passed by Congress authorizes the Secretary of the Department of HHS to negotiate prices directly with participating manufacturers for selected medicines covered by Medicare even if these medicines are protected by an existing patent. For small molecule medicines, the process begins seven years after initial approval by the FDA. While we do not believe that the IRA or its effects will impact our ability to obtain patents in the near future, we cannot be certain whether it will affect our patent strategy in the long run.
All entries for: Respiratory Diseases
March 3, 2026
Prime Medicine
Neutral Outlook
Cambridge, MA
201-500 employees
Although the effects of the IRA on our business and the healthcare industry in general is not yet known, we are taking into consideration the potential impact of the IRA on our development and commercialization activities.
Disease Area: Hematology, Immune Diseases, Oncology, Rare Diseases, Respiratory Diseases
Drug Type: Biologic
March 2, 2026
Apogee Therapeutics
Neutral Outlook
Waltham, MA
201-500 employees
For example, the IRA, among other things, extends enhanced subsidies for individuals purchasing health insurance coverage in ACA marketplaces through plan year 2025. The IRA also eliminates the “donut hole” under the Medicare Part D program beginning in 2025 by significantly lowering the beneficiary maximum out-of-pocket cost and creating a new manufacturer discount program.
Disease Area: Gastrointestinal, Immune Diseases, Respiratory Diseases
Drug Type: Biologic
March 2, 2026
Zymeworks
Neutral Outlook
Middletown, DE
201-500 employees
In the United States, the pharmaceutical industry has been a particular focus of these efforts and has been significantly affected by major legislative initiatives. For example, in August 2022, Congress passed the Inflation Reduction Act of 2022, which includes prescription drug provisions that have significant implications for the pharmaceutical industry and Medicare beneficiaries, including allowing the federal government to negotiate a maximum fair price for certain high-priced single-source Medicare drugs, imposing penalties and excise tax for manufacturers that fail to comply with the drug price negotiation requirements, requiring inflation rebates for all Medicare Part B and Part D drugs, with limited exceptions, if their drug prices increase faster than inflation, and redesigning Medicare Part D to reduce out-of-pocket prescription drug costs for beneficiaries, among other changes. Only high-expenditure single-source drugs that have been approved for at least seven years (11 years for single-source biologics) can qualify for negotiation, with the negotiated price taking effect two years after the selection year.
Disease Area: Hematology, Immune Diseases, Oncology, Respiratory Diseases
Drug Type: Biologic
March 2, 2026
Sionna Therapeutics
Neutral Outlook
Waltham, MA
1-50 employees
As another example, the Inflation Reduction Act of 2022 (“IRA”) includes a number of changes intended to address rising prescription drug prices in Medicare Parts B and D. These changes, which have varying implementation dates, include caps on Medicare Part D out-of-pocket costs for beneficiaries, Medicare Part B and Part D drug price inflation rebates, a new Medicare Part D manufacturer discount drug program (replacing the ACA Medicare Part D coverage gap discount program) and a drug price negotiation program for certain high spend Medicare Part B and D drugs (with the first set of negotiated prices having gone into effect January 1, 2026). The focus on health care reform, including reform of drug pricing and payment, has continued in the wake of the IRA.
Disease Area: Rare Diseases, Respiratory Diseases
Drug Type: Small Molecule
February 26, 2026
Pulmatrix Inc.
Neutral Outlook
Framingham, MA
1-50 employees
It is uncertain how the drug pricing provisions imposed by the IRA, or results on any related litigation, will impact the broader pharmaceutical industry or our business.
Disease Area: Multiple, Neurological Diseases, Respiratory Diseases
Drug Type: Biologic, Small Molecule
February 26, 2026
Kymera Therapeutics
Neutral Outlook
Watertown, MA
201-500 employees
The effect of IRA on our business and the pharmaceutical industry in general is not yet known.
Disease Area: Dermatology, Gastrointestinal, Immune Diseases, Oncology, Respiratory Diseases
Drug Type: Small Molecule
February 25, 2026
Innoviva Inc
Negative Outlook
Burlingame, CA
51-200 employees
The cumulative impact of federal and state healthcare reform measures, including the IRA and potential future reforms, may reduce coverage, reimbursement levels, or pricing flexibility for our current or future products.
Disease Area: Infectious Diseases, Respiratory Diseases
Drug Type: Biologic, Small Molecule
February 24, 2026
United Therapeutics Corp
Neutral Outlook
Silver Spring, MD
1,001-5,000 employees
While the impact of the IRA on the pharmaceutical industry cannot yet be fully determined, it is likely to be significant.
Disease Area: Cardiology, Rare Diseases, Respiratory Diseases
Drug Type: Biologic, Small Molecule
February 19, 2026
Insmed INC
Neutral Outlook
Bridgewater, NJ
1,001-5,000 employees
We cannot predict other potential implications the IRA provisions will have on our business or the pricing of our product candidates, if approved.
Disease Area: Chronic Disease, Immune Diseases, Neurological Diseases, Other, Respiratory Diseases
Drug Type: Biologic, Small Molecule