pharmaceuticals, medical supplies, and medically necessary assistive equipment shall be negotiated annually by the Program. (b) Prescription drug formulary (1) In general The Program shall establish a prescription drug formulary system, which shall encourage best-practices in prescribing and discourage the use of ineffective, dangerous, or excessively costly medications when better alternatives are available. (2) Promotion of use of generics The formulary shall promote the use of generic medications but allow the use of brand-name and off-formulary medications. (3) Formulary updates and petition rights The formulary shall be updated frequently and clinicians and patients may petition their region or the Director to add new pharmaceuticals or to remove ineffective or dangerous medications from the formulary. 206. Consultation in establishing reimbursement levels Reimbursement levels under this subtitle shall be set after close consultation with regional and State Directors and after the annual meeting of National Board of Universal Quality and Access. B Funding 211. Overview: funding the Medicare For All Program (a) In general The Medicare For All Program is to be funded as provided in subsection (c)(1). (b) Medicare For All Trust Fund There shall be established a Medicare For All Trust Fund in which funds provided under this section are deposited and from which expenditures under this Act are made. (c) Funding (1) In general There are appropriated to the Medicare For All Trust Fund amounts sufficient to carry out this Act from the following sources: (A) Existing sources of Federal Government revenues for health care. (B) Increasing personal income taxes on the top 5 percent income earners. (C) Instituting a modest and progressive excise tax on payroll and self-employment income. (D) Instituting a modest tax on unearned income. (E) Instituting a small tax on stock and bond transactions. (2) System savings as a source of financing Funding otherwise required for the Program is reduced as a result of— (A) vastly