{"abstract":"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.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2026/10/02/2026-20281.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"513","title":42}],"citation":"91 FR 62936","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective on November 30, 2026.","disposition_notes":null,"docket_ids":["CMS-5545-F"],"dockets":[{"supporting_documents":[],"agency_name":"CMS","documents":[{"comment_count":0,"comment_start_date":"2026-10-02","updated_at":"2026-10-02T08:59:09.671-04:00","comment_url":"https://www.regulations.gov/commenton/CMS_FRDOC_0001-4462","allow_late_comments":false,"id":"CMS_FRDOC_0001-4462","comment_end_date":null,"regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS_FRDOC_0001","title":"Recently Posted CMS Rules and Notices."}],"document_number":"2026-20281","effective_on":"2026-11-30","end_page":63116,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2026/10/02/2026-20281.xml","html_url":"https://www.federalregister.gov/documents/2026/10/02/2026-20281/global-benchmark-for-efficient-drug-pricing-globe-model","images":{"ER02OC26.020":{"large":"https://img.federalregister.gov/ER02OC26.020/ER02OC26.020_large.png","medium":"https://img.federalregister.gov/ER02OC26.020/ER02OC26.020_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.020/ER02OC26.020_original_size.png"},"ER02OC26.003":{"large":"https://img.federalregister.gov/ER02OC26.003/ER02OC26.003_large.png","medium":"https://img.federalregister.gov/ER02OC26.003/ER02OC26.003_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.003/ER02OC26.003_original_size.png"},"ER02OC26.014":{"large":"https://img.federalregister.gov/ER02OC26.014/ER02OC26.014_large.png","medium":"https://img.federalregister.gov/ER02OC26.014/ER02OC26.014_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.014/ER02OC26.014_original_size.png"},"ER02OC26.004":{"large":"https://img.federalregister.gov/ER02OC26.004/ER02OC26.004_large.png","medium":"https://img.federalregister.gov/ER02OC26.004/ER02OC26.004_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.004/ER02OC26.004_original_size.png"},"ER02OC26.015":{"large":"https://img.federalregister.gov/ER02OC26.015/ER02OC26.015_large.png","medium":"https://img.federalregister.gov/ER02OC26.015/ER02OC26.015_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.015/ER02OC26.015_original_size.png"},"ER02OC26.005":{"large":"https://img.federalregister.gov/ER02OC26.005/ER02OC26.005_large.png","medium":"https://img.federalregister.gov/ER02OC26.005/ER02OC26.005_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.005/ER02OC26.005_original_size.png"},"ER02OC26.016":{"large":"https://img.federalregister.gov/ER02OC26.016/ER02OC26.016_large.png","medium":"https://img.federalregister.gov/ER02OC26.016/ER02OC26.016_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.016/ER02OC26.016_original_size.png"},"ER02OC26.006":{"large":"https://img.federalregister.gov/ER02OC26.006/ER02OC26.006_large.png","medium":"https://img.federalregister.gov/ER02OC26.006/ER02OC26.006_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.006/ER02OC26.006_original_size.png"},"ER02OC26.017":{"large":"https://img.federalregister.gov/ER02OC26.017/ER02OC26.017_large.png","medium":"https://img.federalregister.gov/ER02OC26.017/ER02OC26.017_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.017/ER02OC26.017_original_size.png"},"ER02OC26.010":{"large":"https://img.federalregister.gov/ER02OC26.010/ER02OC26.010_large.png","medium":"https://img.federalregister.gov/ER02OC26.010/ER02OC26.010_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.010/ER02OC26.010_original_size.png"},"ER02OC26.000":{"large":"https://img.federalregister.gov/ER02OC26.000/ER02OC26.000_large.png","medium":"https://img.federalregister.gov/ER02OC26.000/ER02OC26.000_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.000/ER02OC26.000_original_size.png"},"ER02OC26.011":{"large":"https://img.federalregister.gov/ER02OC26.011/ER02OC26.011_large.png","medium":"https://img.federalregister.gov/ER02OC26.011/ER02OC26.011_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.011/ER02OC26.011_original_size.png"},"ER02OC26.001":{"large":"https://img.federalregister.gov/ER02OC26.001/ER02OC26.001_large.png","medium":"https://img.federalregister.gov/ER02OC26.001/ER02OC26.001_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.001/ER02OC26.001_original_size.png"},"ER02OC26.012":{"large":"https://img.federalregister.gov/ER02OC26.012/ER02OC26.012_large.png","medium":"https://img.federalregister.gov/ER02OC26.012/ER02OC26.012_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.012/ER02OC26.012_original_size.png"},"ER02OC26.002":{"large":"https://img.federalregister.gov/ER02OC26.002/ER02OC26.002_large.png","medium":"https://img.federalregister.gov/ER02OC26.002/ER02OC26.002_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.002/ER02OC26.002_original_size.png"},"ER02OC26.013":{"large":"https://img.federalregister.gov/ER02OC26.013/ER02OC26.013_large.png","medium":"https://img.federalregister.gov/ER02OC26.013/ER02OC26.013_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.013/ER02OC26.013_original_size.png"},"ER02OC26.007":{"large":"https://img.federalregister.gov/ER02OC26.007/ER02OC26.007_large.png","medium":"https://img.federalregister.gov/ER02OC26.007/ER02OC26.007_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.007/ER02OC26.007_original_size.png"},"ER02OC26.018":{"large":"https://img.federalregister.gov/ER02OC26.018/ER02OC26.018_large.png","medium":"https://img.federalregister.gov/ER02OC26.018/ER02OC26.018_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.018/ER02OC26.018_original_size.png"},"ER02OC26.008":{"large":"https://img.federalregister.gov/ER02OC26.008/ER02OC26.008_large.png","medium":"https://img.federalregister.gov/ER02OC26.008/ER02OC26.008_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.008/ER02OC26.008_original_size.png"},"ER02OC26.019":{"large":"https://img.federalregister.gov/ER02OC26.019/ER02OC26.019_large.png","medium":"https://img.federalregister.gov/ER02OC26.019/ER02OC26.019_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.019/ER02OC26.019_original_size.png"},"ER02OC26.009":{"large":"https://img.federalregister.gov/ER02OC26.009/ER02OC26.009_large.png","medium":"https://img.federalregister.gov/ER02OC26.009/ER02OC26.009_medium.png","original_size":"https://img.federalregister.gov/ER02OC26.009/ER02OC26.009_original_size.png"}},"images_metadata":{"ER02OC26.020":{"large":{"identifier":"ER02OC26.020","content_type":"image/png","size":8169,"width":823,"sha":"2191b6031e47ee92e5ffb80a748f5b4e","url":"https://img.federalregister.gov/ER02OC26.020/ER02OC26.020_large.png","height":78},"medium":{"identifier":"ER02OC26.020","content_type":"image/png","size":4723,"width":571,"sha":"9898c965a2de9b6dfef222bc90477112","url":"https://img.federalregister.gov/ER02OC26.020/ER02OC26.020_medium.png","height":54},"original_size":{"identifier":"ER02OC26.020","content_type":"image/png","size":20144,"width":4333,"sha":"23826111068c59e4cad70dfd6491f3d6","url":"https://img.federalregister.gov/ER02OC26.020/ER02OC26.020_original_size.png","height":410}},"ER02OC26.003":{"large":{"identifier":"ER02OC26.003","content_type":"image/png","size":82134,"width":822,"sha":"2e3c2b8b0ac12c0b5f5e731ec202815a","url":"https://img.federalregister.gov/ER02OC26.003/ER02OC26.003_large.png","height":883},"medium":{"identifier":"ER02OC26.003","content_type":"image/png","size":37934,"width":517,"sha":"b0ffc7af1cd55721a1293406dad02eec","url":"https://img.federalregister.gov/ER02OC26.003/ER02OC26.003_medium.png","height":555},"original_size":{"identifier":"ER02OC26.003","content_type":"image/png","size":162692,"width":3898,"sha":"686ea1747bfea558468b6fa7964b024e","url":"https://img.federalregister.gov/ER02OC26.003/ER02OC26.003_original_size.png","height":4185}},"ER02OC26.014":{"large":{"identifier":"ER02OC26.014","content_type":"image/png","size":13395,"width":823,"sha":"691ba448470daa89ec8d41fde385c1d4","url":"https://img.federalregister.gov/ER02OC26.014/ER02OC26.014_large.png","height":165},"medium":{"identifier":"ER02OC26.014","content_type":"image/png","size":6829,"width":517,"sha":"5b65112f5d178bb9945f3fb37301a957","url":"https://img.federalregister.gov/ER02OC26.014/ER02OC26.014_medium.png","height":104},"original_size":{"identifier":"ER02OC26.014","content_type":"image/png","size":29253,"width":3901,"sha":"1ab750a4901070c603dca9ce7ef1ec14","url":"https://img.federalregister.gov/ER02OC26.014/ER02OC26.014_original_size.png","height":782}},"ER02OC26.004":{"large":{"identifier":"ER02OC26.004","content_type":"image/png","size":48962,"width":823,"sha":"753c8a4cab69bf2db55b7ed6a1ec731c","url":"https://img.federalregister.gov/ER02OC26.004/ER02OC26.004_large.png","height":744},"medium":{"identifier":"ER02OC26.004","content_type":"image/png","size":25842,"width":514,"sha":"d174c9692d09c554a764b62953f6a694","url":"https://img.federalregister.gov/ER02OC26.004/ER02OC26.004_medium.png","height":465},"original_size":{"identifier":"ER02OC26.004","content_type":"image/png","size":83801,"width":3892,"sha":"e5b6ae908d86d919efa51f61f25869c6","url":"https://img.federalregister.gov/ER02OC26.004/ER02OC26.004_original_size.png","height":3520}},"ER02OC26.015":{"large":{"identifier":"ER02OC26.015","content_type":"image/png","size":18131,"width":823,"sha":"31c550a13d0afdeb7f546990dfcd698c","url":"https://img.federalregister.gov/ER02OC26.015/ER02OC26.015_large.png","height":186},"medium":{"identifier":"ER02OC26.015","content_type":"image/png","size":9107,"width":517,"sha":"0c1e054606635162e4432754e757226d","url":"https://img.federalregister.gov/ER02OC26.015/ER02OC26.015_medium.png","height":117},"original_size":{"identifier":"ER02OC26.015","content_type":"image/png","size":37464,"width":3901,"sha":"52b0750e850e72f9cf22e099e513742c","url":"https://img.federalregister.gov/ER02OC26.015/ER02OC26.015_original_size.png","height":880}},"ER02OC26.005":{"large":{"identifier":"ER02OC26.005","content_type":"image/png","size":41699,"width":823,"sha":"a951cc28b810d45535f8bf2fea8888b2","url":"https://img.federalregister.gov/ER02OC26.005/ER02OC26.005_large.png","height":297},"medium":{"identifier":"ER02OC26.005","content_type":"image/png","size":23299,"width":574,"sha":"807342116756c6cd86a60e46037a3d91","url":"https://img.federalregister.gov/ER02OC26.005/ER02OC26.005_medium.png","height":207},"original_size":{"identifier":"ER02OC26.005","content_type":"image/png","size":106122,"width":4333,"sha":"0af9a16979dffc1e3997ec624752b70f","url":"https://img.federalregister.gov/ER02OC26.005/ER02OC26.005_original_size.png","height":1563}},"ER02OC26.016":{"large":{"identifier":"ER02OC26.016","content_type":"image/png","size":14126,"width":823,"sha":"c30894f6c47e805ffb609a1e0078a3ce","url":"https://img.federalregister.gov/ER02OC26.016/ER02OC26.016_large.png","height":189},"medium":{"identifier":"ER02OC26.016","content_type":"image/png","size":6125,"width":517,"sha":"14c20a4054eaababbbd3f9a0b1833eef","url":"https://img.federalregister.gov/ER02OC26.016/ER02OC26.016_medium.png","height":119},"original_size":{"identifier":"ER02OC26.016","content_type":"image/png","size":29210,"width":3901,"sha":"83a482ebe3364817f19d465f5eff25a9","url":"https://img.federalregister.gov/ER02OC26.016/ER02OC26.016_original_size.png","height":897}},"ER02OC26.006":{"large":{"identifier":"ER02OC26.006","content_type":"image/png","size":32240,"width":822,"sha":"62771b93a702867ad9fc93cff1c2ae93","url":"https://img.federalregister.gov/ER02OC26.006/ER02OC26.006_large.png","height":506},"medium":{"identifier":"ER02OC26.006","content_type":"image/png","size":18976,"width":573,"sha":"c4139096e5f3129aba0c5282c739d259","url":"https://img.federalregister.gov/ER02OC26.006/ER02OC26.006_medium.png","height":353},"original_size":{"identifier":"ER02OC26.006","content_type":"image/png","size":167094,"width":4333,"sha":"c66bbecab78e50f5b6e37908be654c84","url":"https://img.federalregister.gov/ER02OC26.006/ER02OC26.006_original_size.png","height":2668}},"ER02OC26.017":{"large":{"identifier":"ER02OC26.017","content_type":"image/png","size":25440,"width":823,"sha":"75138082fc633949fc206a1638b2e15c","url":"https://img.federalregister.gov/ER02OC26.017/ER02OC26.017_large.png","height":319},"medium":{"identifier":"ER02OC26.017","content_type":"image/png","size":14667,"width":574,"sha":"2989801b9aad614a815d2b024311355c","url":"https://img.federalregister.gov/ER02OC26.017/ER02OC26.017_medium.png","height":223},"original_size":{"identifier":"ER02OC26.017","content_type":"image/png","size":66583,"width":4333,"sha":"1dfbef3c576bcb549ee4af23f9d41293","url":"https://img.federalregister.gov/ER02OC26.017/ER02OC26.017_original_size.png","height":1680}},"ER02OC26.010":{"large":{"identifier":"ER02OC26.010","content_type":"image/png","size":47061,"width":823,"sha":"5a479bd7384a4cee5914edbccb45a307","url":"https://img.federalregister.gov/ER02OC26.010/ER02OC26.010_large.png","height":459},"medium":{"identifier":"ER02OC26.010","content_type":"image/png","size":20965,"width":517,"sha":"ecb7c9be492a069494b6a04b0031218a","url":"https://img.federalregister.gov/ER02OC26.010/ER02OC26.010_medium.png","height":288},"original_size":{"identifier":"ER02OC26.010","content_type":"image/png","size":214111,"width":3900,"sha":"b243973b0da8b118cc28cb5d68f7e8f1","url":"https://img.federalregister.gov/ER02OC26.010/ER02OC26.010_original_size.png","height":2174}},"ER02OC26.000":{"large":{"identifier":"ER02OC26.000","content_type":"image/png","size":39016,"width":822,"sha":"31d54449a5dc054956a58aca64124118","url":"https://img.federalregister.gov/ER02OC26.000/ER02OC26.000_large.png","height":592},"medium":{"identifier":"ER02OC26.000","content_type":"image/png","size":21687,"width":574,"sha":"78cc71041d2c0d587acc148388e3c992","url":"https://img.federalregister.gov/ER02OC26.000/ER02OC26.000_medium.png","height":413},"original_size":{"identifier":"ER02OC26.000","content_type":"image/png","size":103655,"width":4333,"sha":"1659f5f87fe9bc5eb6c9e4b56f529e85","url":"https://img.federalregister.gov/ER02OC26.000/ER02OC26.000_original_size.png","height":3120}},"ER02OC26.011":{"large":{"identifier":"ER02OC26.011","content_type":"image/png","size":9828,"width":823,"sha":"49cd0dea0ed1c477933843b263db3e06","url":"https://img.federalregister.gov/ER02OC26.011/ER02OC26.011_large.png","height":132},"medium":{"identifier":"ER02OC26.011","content_type":"image/png","size":5636,"width":574,"sha":"f6ef69c459c10d1755170642daa23022","url":"https://img.federalregister.gov/ER02OC26.011/ER02OC26.011_medium.png","height":92},"original_size":{"identifier":"ER02OC26.011","content_type":"image/png","size":25764,"width":4333,"sha":"4a10ebf9c1687bb42784e7fc8ad79213","url":"https://img.federalregister.gov/ER02OC26.011/ER02OC26.011_original_size.png","height":697}},"ER02OC26.001":{"large":{"identifier":"ER02OC26.001","content_type":"image/png","size":22153,"width":823,"sha":"c2fdfe434b8ae58c9b52488783cf9955","url":"https://img.federalregister.gov/ER02OC26.001/ER02OC26.001_large.png","height":278},"medium":{"identifier":"ER02OC26.001","content_type":"image/png","size":14085,"width":574,"sha":"1ddab5929e500c15b226dba4defe46ec","url":"https://img.federalregister.gov/ER02OC26.001/ER02OC26.001_medium.png","height":194},"original_size":{"identifier":"ER02OC26.001","content_type":"image/png","size":58529,"width":4333,"sha":"f34e618371f71132eac0599dacefe9ad","url":"https://img.federalregister.gov/ER02OC26.001/ER02OC26.001_original_size.png","height":1465}},"ER02OC26.012":{"large":{"identifier":"ER02OC26.012","content_type":"image/png","size":7860,"width":821,"sha":"a6c22417840f759251577589233a80be","url":"https://img.federalregister.gov/ER02OC26.012/ER02OC26.012_large.png","height":101},"medium":{"identifier":"ER02OC26.012","content_type":"image/png","size":4786,"width":566,"sha":"a46499711550462419c722f5d02b3efc","url":"https://img.federalregister.gov/ER02OC26.012/ER02OC26.012_medium.png","height":70},"original_size":{"identifier":"ER02OC26.012","content_type":"image/png","size":19181,"width":4278,"sha":"7176f096a86a6da4921bb309684abc7a","url":"https://img.federalregister.gov/ER02OC26.012/ER02OC26.012_original_size.png","height":526}},"ER02OC26.002":{"large":{"identifier":"ER02OC26.002","content_type":"image/png","size":22168,"width":821,"sha":"70cbbfd1b81101ed968deac2f57347bc","url":"https://img.federalregister.gov/ER02OC26.002/ER02OC26.002_large.png","height":267},"medium":{"identifier":"ER02OC26.002","content_type":"image/png","size":11566,"width":517,"sha":"2c22f3330d0bfa85fcd02b0352be716f","url":"https://img.federalregister.gov/ER02OC26.002/ER02OC26.002_medium.png","height":168},"original_size":{"identifier":"ER02OC26.002","content_type":"image/png","size":51456,"width":3899,"sha":"c02fe2877d9e51fd670a79b6e922fa2a","url":"https://img.federalregister.gov/ER02OC26.002/ER02OC26.002_original_size.png","height":1268}},"ER02OC26.013":{"large":{"identifier":"ER02OC26.013","content_type":"image/png","size":11098,"width":821,"sha":"bba6973db98d26354b8443ad3ed05083","url":"https://img.federalregister.gov/ER02OC26.013/ER02OC26.013_large.png","height":112},"medium":{"identifier":"ER02OC26.013","content_type":"image/png","size":5271,"width":498,"sha":"d33f11500a6a4d86b135af58dc17905a","url":"https://img.federalregister.gov/ER02OC26.013/ER02OC26.013_medium.png","height":68},"original_size":{"identifier":"ER02OC26.013","content_type":"image/png","size":22090,"width":3790,"sha":"9d5543c0b5abc14b951f692d46c2261a","url":"https://img.federalregister.gov/ER02OC26.013/ER02OC26.013_original_size.png","height":517}},"ER02OC26.007":{"large":{"identifier":"ER02OC26.007","content_type":"image/png","size":51434,"width":822,"sha":"6ca897032f6e3649f832e273b2770897","url":"https://img.federalregister.gov/ER02OC26.007/ER02OC26.007_large.png","height":506},"medium":{"identifier":"ER02OC26.007","content_type":"image/png","size":25728,"width":574,"sha":"ae887a53a61d3206ba28c58868c84295","url":"https://img.federalregister.gov/ER02OC26.007/ER02OC26.007_medium.png","height":353},"original_size":{"identifier":"ER02OC26.007","content_type":"image/png","size":238527,"width":4333,"sha":"ac268a2fc8cd29cea3bf3b8796e919bc","url":"https://img.federalregister.gov/ER02OC26.007/ER02OC26.007_original_size.png","height":2666}},"ER02OC26.018":{"large":{"identifier":"ER02OC26.018","content_type":"image/png","size":21140,"width":823,"sha":"3ed6751698b1655082660d94578c0ddd","url":"https://img.federalregister.gov/ER02OC26.018/ER02OC26.018_large.png","height":222},"medium":{"identifier":"ER02OC26.018","content_type":"image/png","size":11231,"width":574,"sha":"5ad4bba373e409b86dafa8a63593c2f3","url":"https://img.federalregister.gov/ER02OC26.018/ER02OC26.018_medium.png","height":155},"original_size":{"identifier":"ER02OC26.018","content_type":"image/png","size":48254,"width":4333,"sha":"c3601444b8b73d3d5e17c13478749e88","url":"https://img.federalregister.gov/ER02OC26.018/ER02OC26.018_original_size.png","height":1171}},"ER02OC26.008":{"large":{"identifier":"ER02OC26.008","content_type":"image/png","size":67392,"width":822,"sha":"40e87155ca0086b29b4549c979ccfca2","url":"https://img.federalregister.gov/ER02OC26.008/ER02OC26.008_large.png","height":640},"medium":{"identifier":"ER02OC26.008","content_type":"image/png","size":37747,"width":541,"sha":"412883b8443ee139d474db3353798d8c","url":"https://img.federalregister.gov/ER02OC26.008/ER02OC26.008_medium.png","height":421},"original_size":{"identifier":"ER02OC26.008","content_type":"image/png","size":155851,"width":4082,"sha":"78e5e589170415df5920c7e83554a6a5","url":"https://img.federalregister.gov/ER02OC26.008/ER02OC26.008_original_size.png","height":3179}},"ER02OC26.019":{"large":{"identifier":"ER02OC26.019","content_type":"image/png","size":17944,"width":823,"sha":"bab6c74e30f5e50834377658751acb37","url":"https://img.federalregister.gov/ER02OC26.019/ER02OC26.019_large.png","height":220},"medium":{"identifier":"ER02OC26.019","content_type":"image/png","size":8182,"width":486,"sha":"394ed3b33d607d0b5c07edcb09b87b93","url":"https://img.federalregister.gov/ER02OC26.019/ER02OC26.019_medium.png","height":130},"original_size":{"identifier":"ER02OC26.019","content_type":"image/png","size":33210,"width":3674,"sha":"2fa07467528528563253b4149a63161e","url":"https://img.federalregister.gov/ER02OC26.019/ER02OC26.019_original_size.png","height":982}},"ER02OC26.009":{"large":{"identifier":"ER02OC26.009","content_type":"image/png","size":69880,"width":823,"sha":"1b181da99a94d3d3025f3815087cad45","url":"https://img.federalregister.gov/ER02OC26.009/ER02OC26.009_large.png","height":576},"medium":{"identifier":"ER02OC26.009","content_type":"image/png","size":26333,"width":517,"sha":"9e65c82f450f88b92df0e32bbcdbae16","url":"https://img.federalregister.gov/ER02OC26.009/ER02OC26.009_medium.png","height":362},"original_size":{"identifier":"ER02OC26.009","content_type":"image/png","size":245137,"width":3901,"sha":"de5ac2c27099d8949b53497ab51d0426","url":"https://img.federalregister.gov/ER02OC26.009/ER02OC26.009_original_size.png","height":2732}}},"json_url":"https://www.federalregister.gov/api/v1/documents/2026-20281?publication_date=2026-10-02","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2026-10-02/2026-20281/mods.xml","not_received_for_publication":null,"page_length":181,"page_views":{"count":865,"last_updated":"2026-10-03 10:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-10-02/pdf/2026-20281.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-20281.pdf?1790799310","publication_date":"2026-10-02","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2026/10/02/2026-20281.txt","regulation_id_number_info":{"0938-AV66":{"issue":"202504","html_url":"https://www.federalregister.gov/regulations/0938-AV66/center-for-medicare-and-medicaid-innovation-payment-models-cms-5545-","title":"Center for Medicare & Medicaid Innovation Payment Models (CMS-5545)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=202504&RIN=0938-AV66&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0938-AV66"],"regulations_dot_gov_info":{"supporting_documents":[],"comments_count":0,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS_FRDOC_0001","supporting_documents_count":0,"docket_id":"CMS_FRDOC_0001","document_id":"CMS_FRDOC_0001-4462","regulation_id_number":null,"title":"Recently Posted CMS Rules and Notices.","checked_regulationsdotgov_at":"2026-10-03T14:55:03Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":62936,"subtype":null,"title":"Global Benchmark for Efficient Drug Pricing (GLOBE) Model","toc_doc":"Global Benchmark for Efficient Drug Pricing Model","toc_subject":null,"topics":["Administrative practice and procedure","Health facilities","Medicare","Reporting and recordkeeping requirements"],"type":"Rule","volume":91}