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The Alternatives to PAIN Act amends Medicare Part D to reduce cost barriers for non-opioid pain management drugs. Beginning in 2025, qualifying non-opioid pain medications would be exempt from deductibles and placed on the lowest cost-sharing tier. The bill also prohibits Medicare Part D plans from requiring step therapy (including mandatory opioid use first) or prior authorization for these drugs. The legislation aims to expand access to non-opioid alternatives while preserving physicians' authority to prescribe opioids when medically appropriate.
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