; and (iv) for which the wholesale acquisition cost (as defined in section 1847A(c)(6)(B)), for a monthly supply does not exceed the monthly specialty-tier cost threshold as determined by the Secretary from time to time. ; and (2) in subsection (c), by adding at the end the following new paragraph: (7) Treatment of cost-sharing for qualifying non-opioid pain management drugs The coverage is provided in accordance with subsection (b)(10). . (b) Conforming amendments to cost-Sharing for low-Income individuals Section 1860D–14(a) of the Social Security Act ( 42 U.S.C. 1395w–114(a) ) is amended— (1) in paragraph (1)(D), in each of the clauses (ii) and (iii), by striking Subject to paragraph (6) and inserting Subject to paragraphs (6) and (7) ; and (2) by adding at the end the following new paragraph: (7) Treatment of cost-sharing or deductible for qualifying non-opioid pain management drugs For plan years beginning on or after January 1, 2025, with respect to a covered part D drug that is a qualifying non-opioid pain management drug (as defined in section 1860D–2(b)(10)(B))— (A) the deductible under section 1860D–2(b)(1) shall not apply; and (B) such drug shall be placed on the lowest cost-sharing tier, if any, for purposes of determining the maximum co-insurance or other cost-sharing for such drug. . 3. Prohibition on the use of step therapy and prior authorization for qualifying non-opioid pain management drugs under medicare part D Section 1860D–4(c) of the Social Security Act ( 42 U.S.C. 1395w–104 ) is amended— (1) by redesignating paragraph (6), as added by section 50354 of division E of the Bipartisan Budget Act of 2018 ( Public Law 115–123 ), as paragraph (7)