Formulary Watch |

Formulary Watch covers formularies, pharmacy benefit management companies, drug approvals, and other matters related to medications, their prices and insurance coverage.

Editorial Contact: Denise Myshko: dmyshko@mjhlifesciences.com

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Novo Nordisk Teams with Form Health, 9amHealth for Obesity Care
Novo Nordisk Teams with Form Health, 9amHealth for Obesity Care
August 27, 2025
In separate announcements, Form Health and 9amHealth said they would provide patients seeking support for obesity care with nutrition and lifestyle support, as well as prescriptions for medications.
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Lilly’s Oral GLP-1 Meets Endpoints in Phase 3 Trial
Lilly’s Oral GLP-1 Meets Endpoints in Phase 3 Trial
August 26, 2025
Orforglipron will be submitted to global regulatory authorities for the treatment of obesity or for weight loss by the end of 2025, with diabetes submissions to follow in 2026.
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Employers: Cancer, GLP-1 Drugs and Mental Health Driving Healthcare Costs
Employers: Cancer, GLP-1 Drugs and Mental Health Driving Healthcare Costs
August 25, 2025
A new Business Group on Health survey finds that nearly a quarter of all employer healthcare spending (24%) went to pharmacy expenses in 2024, and employers forecast an 11% to 12% increase in pharmacy costs heading into 2026.
FDA Approves First in Class Therapy for Hereditary Angioedema
FDA Approves First in Class Therapy for Hereditary Angioedema
FDA Approves First in Class Therapy for Hereditary Angioedema
August 21, 2025
Dawnzera (donidalorsen) will be available in a few days with a list price of $57,462 per dose
MedImpact To Offer Unbranded Ustekinumab-aekn Biosimilar
MedImpact To Offer Unbranded Ustekinumab-aekn Biosimilar
MedImpact To Offer Unbranded Ustekinumab-aekn Biosimilar
August 21, 2025
The biosimilar will be available to any licensed specialty pharmacy in the United States at a 95% discount from Stelara, starting January 1, 2026.
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FDA Set Review Date for Imcivree for Rare Form of Obesity
FDA Set Review Date for Imcivree for Rare Form of Obesity
August 21, 2025
The FDA has granted priority review of the sNDA and assigned a goal date of Dec. 20, 2025, for Imcivree to treat patients with acquired hypothalamic obesity, which is caused by an abnormality of the hypothalamus.
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Medicare Patients Face Higher Drug Costs Despite $2,000 Spending Cap
Medicare Patients Face Higher Drug Costs Despite $2,000 Spending Cap
August 19, 2025
A new study finds Medicare beneficiaries are facing higher deductibles and cost-sharing requirements following changes implemented by health plans as a result of the Inflation Reduction Act.
FDA Approves Tonmya for Adult Fibromyalgia
FDA Approves Tonmya for Adult Fibromyalgia
FDA Approves Tonmya for Adult Fibromyalgia
August 18, 2025
Tonmya is the first new fibromyalgia treatment approved by the FDA in more than 15 years, providing symptom relief for at least 30% of patients when compared to placebo, according to clinical trial results.
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FDA Grants Accelerated Approval of Wegovy to Treat Liver Disease
FDA Grants Accelerated Approval of Wegovy to Treat Liver Disease
August 18, 2025
Wegovy is the first GLP-1 drug approved to treat adults with metabolic dysfunction-associated steatohepatitis (MASH). An ongoing study aims to confirm the benefits.
FDA Approves Recurrent Respiratory Papillomatosis Treatment, Papzimeos
FDA Approves Recurrent Respiratory Papillomatosis Treatment, Papzimeos
FDA Approves Recurrent Respiratory Papillomatosis Treatment, Papzimeos
August 15, 2025
Papzimeos is the first and only FDA-approved treatment for adults with recurrent respiratory papillomatosis (RRP), with ongoing clinical studies showing symptom relief for up to two years.
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Medicare Plans Face Higher Liability From Cap on Out-of-Pocket Drug Costs
Medicare Plans Face Higher Liability From Cap on Out-of-Pocket Drug Costs
August 14, 2025
To help Medicare plans better manage members with high drug expenses, Prime Therapeutics has launched an AI-driven tool to help plans identify members likely to experience increases in pharmacy costs.
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Employers Project 10% Rise in Healthcare Costs for 2026
Employers Project 10% Rise in Healthcare Costs for 2026
August 14, 2025
Managing specialty and cancer drugs, as well as the GLP-1 therapies, tops the list of priorities this year and next, according to a survey by the International Foundation of Employee Benefit Plans.
Medication Prior Authorization Biggest Daily Challenge for 1 in 5 Prescribers, Survey Says
Medication Prior Authorization Biggest Daily Challenge for 1 in 5 Prescribers, Survey Says
Medication Prior Authorization Biggest Daily Challenge for 1 in 5 Prescribers, Survey Says
August 12, 2025
Pharmacists and prescribers express ongoing concern about medication prior authorization struggles, but most are willing to adopt new technologies to ease the burden, according to a recent Surescripts survey.
FDA Approves First Treatment for Chronic Inflammatory Lung Condition
FDA Approves First Treatment for Chronic Inflammatory Lung Condition
FDA Approves First Treatment for Chronic Inflammatory Lung Condition
August 12, 2025
Brinsupri is the first approved therapy to address the underlying inflammatory process of non-cystic fibrosis bronchiectasis (NCFB).
FDA Approves Ajovy for Childhood Migraine Prevention
FDA Approves Ajovy for Childhood Migraine Prevention
FDA Approves Ajovy for Childhood Migraine Prevention
August 7, 2025
Teva's Ajovy gains FDA approval for pediatric migraine prevention, offering hope for children aged 6-17 with this debilitating condition.
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FDA Grants Accelerated Approval For Targeted Drug for Rare Brain Tumor
FDA Grants Accelerated Approval For Targeted Drug for Rare Brain Tumor
August 7, 2025
Modeyso is the first drug to treat patients with diffuse midline glioma with an H3 K27M mutation, an ultra-rare and aggressive brain tumor.
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Valneva Updates Safety Label of Chikungunya Virus Vaccine
Valneva Updates Safety Label of Chikungunya Virus Vaccine
August 7, 2025
Ixchiq now has a warning about its use among elderly people with multiple underlying health conditions after postmarketing reports indicated there is a risk of neurologic and cardiac events in people over the age of 60.
FDA Approves Presbyopia Treatment, VIZZ
FDA Approves Presbyopia Treatment, VIZZ
FDA Approves Presbyopia Treatment, VIZZ
August 1, 2025
The FDA has approved VIZZ, a once-daily, preservative-free eye drop that improves near vision in adults with presbyopia for up to 10 hours.
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Sarepta to Resume Shipping Elevidys For Ambulatory Duchenne Patients
Sarepta to Resume Shipping Elevidys For Ambulatory Duchenne Patients
July 29, 2025
Sarepta continues to work with regulators to complete the safety label update for Elevidys, and they are discussing an approach for risk mitigation for non-ambulatory patients.
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PBM-Offered Genomics Testing Could Reshape Prescribing of Medications
PBM-Offered Genomics Testing Could Reshape Prescribing of Medications
July 25, 2025
Two PBMs, True Rx Health Strategies and Capital Rx, are using pharmacogenomics — how a person’s DNA affects their response to medications — to reduce the trial-and-error of prescribing medications, saving employers and patients time and money.
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PBM Reform Could Save Almost $100 Billion in U.S. Drug Spending
PBM Reform Could Save Almost $100 Billion in U.S. Drug Spending
July 24, 2025
Health policy researcher Geoffrey Joyce argues that only delinking compensation from the list price of a drug will lower drug spending.
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FDA Extends Review of Blenrep Combinations in Multiple Myeloma
FDA Extends Review of Blenrep Combinations in Multiple Myeloma
July 24, 2025
Last week, an FDA advisory committee against the risk-benefit profile of Blenrep in combination with other therapies. Regulators and reviewers were concerned about the ocular side effects and dosing and tolerability. The new action date is Oct. 23, 2025.
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Sarepta to Pause Shipments of the Gene Therapy Elevidys
Sarepta to Pause Shipments of the Gene Therapy Elevidys
July 22, 2025
Sarepta officials said the temporary halt in shipments was done to maintain a productive working relationship with regulators while they address a safety labeling update about the risk of acute liver disease related to Elevidys.
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J&J Submits NDA for Icotrokinra, a New Type of Therapy for Plaque Psoriasis
J&J Submits NDA for Icotrokinra, a New Type of Therapy for Plaque Psoriasis
July 21, 2025
Icotrokinra is a first-in-class targeted oral peptide that blocks interleukin (IL) 23 and its receptor, which plays a key role in the inflammatory response in plaque psoriasis.
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