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TREAS/IRS RIN: 1545-BQ92 Publication ID: Spring 2025 
Title: Sec. 5000D Excise Tax 
Abstract:

This regulatory action prescribes rules related to the tax imposed by 26 U.S.C. 5000D. Section 5000D(a) imposes a tax on the sale of a designated drug by the manufacturer, producer, or importer of such drug during a day described in section 5000D(b). The section 5000D tax arises in relation to milestones of a prescription drug price negotiation program administered by the Centers for Medicare and Medicaid Services (CMS) (the Program). See sections 119198 of the Social Security Act (SSA). Under the Program, CMS selects a small number of single-source drugs for price negotiation, SSA section 1192(a); authorized generics (meaning, roughly, drugs made under licensing agreements) are treated as single-source drugs, SSA section 1192(e)(2)(A).

 
Agency: Department of the Treasury(TREAS)  Priority: Substantive, Nonsignificant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: Undetermined  Unfunded Mandates: Undetermined 
EO 14192 Designation: Not subject to, not significant 
CFR Citation: 26 CFR 47.5000D-0 through -4   
Legal Authority: 26 U.S.C. 5000D    26 U.S.C. 7805   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  01/02/2025  90 FR 31   
Final Rule  05/00/2026 
Additional Information: REG-115560-23 Drafting attorney: James Williford III, (202) 317-3225 Reviewing attorney: Michael Beker, (202) 317-5258 Treasury attorney: Vivek Chandrasekhar, (202) 622-1082 and Elisabeth Shellan (202) 622-1727 CC:ECE: B3
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: None 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
James S. Williford
Senior Technician Reviewer
Department of the Treasury
Internal Revenue Service
1111 Constitution Avenue NW, Room 5316,
Washington, DC 20224
Phone:202 317-3225
Email: james.w.williford@irscounsel.treas.gov