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Final ruleTakes effect Nov. 30, 2026

Global Benchmark for Efficient Drug Pricing (GLOBE) Model

Built by the Tribune's code from the Federal Register. No AI wrote this page. Published in the Federal Register Oct. 2, 2026. Document 2026-20281. Updated Nov. 5, 2026.

What it does

This final rule implements the Global Benchmark for Efficient Drug Pricing Model (GLOBE Model), a new mandatory Medicare payment model under section 1115A of the Social Security Act. The GLOBE Model will test whether a payment model that uses an alternative method for calculating Medicare Part B drug inflation rebate amounts for certain separately payable Medicare Part B drugs and biological products reduces costs for Original Medicare (OM) beneficiaries and the Medicare program while preserving quality of care. The term OM has the same meaning as Medicare fee-for-service and the traditional Medicare program.

The Centers for Medicare & Medicaid Services's summary, as published in the Federal Register.

What changed in the regulation

1 part of Title 42 of the Code of Federal Regulations:

42 CFR 513

Compared with

The Centers for Medicare & Medicaid Services has published 24 final rules in 2026 so far, compared with 12 in all of 2025.

Counted by the Tribune from Federal Register records since Jan. 1, 2025.

Before this

1 earlier Federal Register document under regulation identifier 0938-AV66 since Jan. 1, 2025.

What happens next and when

These regulations are effective on November 30, 2026.

The agency's dates, word for word.

Document number2026-20281
ActionFinal rule.
AgenciesHealth and Human Services Department; Centers for Medicare & Medicaid Services
PublishedOct. 2, 2026
Effective dateNov. 30, 2026
Regulation identifier (RIN)0938-AV66
DocketCMS-2025-1889
Significant (marked in the Federal Register)Yes

Source: the Federal Register (public domain). The document in the Federal Register