&gt; Generally speaking, the US government demands most favored pricing and gets it. No way we would pay more than France.<p>I though the US government, except for the VA, was &quot;not permitted to negotiate prices of drugs with the drug companies&quot; due to Medicare Part D. (Quoting <a href="https:&#x2F;&#x2F;en.wikipedia.org&#x2F;wiki&#x2F;Medicare_Part_D#Criticisms" rel="nofollow">https:&#x2F;&#x2F;en.wikipedia.org&#x2F;wiki&#x2F;Medicare_Part_D#Criticisms</a> .) Was that prohibition removed?<p>If it&#x27;s still there, then wouldn&#x27;t that prevent the US government from demanding most favored pricing, as that would be a negotiation.