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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FDA Approves Seventh Stelara Biosimilar, Steqeyma
FDA Approves Seventh Stelara Biosimilar, Steqeyma
December 18, 2024
Originally approved in 2009, Stelara patents began expiring in 2023, leading to an influx of recent biosimilars.
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FDA Adds Boxed Warning to Veozah Label
FDA Adds Boxed Warning to Veozah Label
December 18, 2024
The boxed warning follows a safety warning the FDA issued in September about the risk of liver injury from the use of Veozah to treat hot flashes.
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PBM Reform is Part of Congress’ End of Year Bill
PBM Reform is Part of Congress’ End of Year Bill
December 17, 2024
A new bill in Congress would require pass-through prices in both Medicare, and Medicaid and require transparency of PBM practices in the commercial space.
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FDA Accepts Biologics License Application for Infant RSV Antibody
FDA Accepts Biologics License Application for Infant RSV Antibody
December 17, 2024
If approved, clesrovimab would be the first and only FDA approved single dose immunization for infants approved in time for next year's RSV season, which lasts from October to April.
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FDA Approves Nemluvio for Atopic Dermatitis
FDA Approves Nemluvio for Atopic Dermatitis
December 16, 2024
This latest approval is the second indication of the monoclonal antibody, Nemluvio. It was first approved in Aug. 2024 to treat patients with prurigo nodularis.
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Introduction of Biosimilars Led to More Rebates on Humira
Introduction of Biosimilars Led to More Rebates on Humira
December 13, 2024
In 2023, there was lower net spending and prices on adalimumab, which was likely because of rebates from AbbVie, Humira’s manufacturer, a new analysis finds.
ICER Identifies 5 Drugs with Unsupported Price Increases
ICER Identifies 5 Drugs with Unsupported Price Increases
ICER Identifies 5 Drugs with Unsupported Price Increases
December 12, 2024
The Institute for Clinical and Economic Review has identified five drugs — Biktarvy, Darzalex, Entresto, Cabometyx, and Xeljanz — with prices increases that are not supported by new clinical evidence, with a total of $815 million in added costs to U.S. payers in 2023.
Optum Rx Switches Up Humira Biosimilar Coverage for 2025
Optum Rx Switches Up Humira Biosimilar Coverage for 2025
Optum Rx Switches Up Humira Biosimilar Coverage for 2025
December 9, 2024
Beginning in January 2025, Optum Rx will remove from several Humira biosimilars from its formulary, including Hyrimoz (adalimumab-adaz), the unbranded Hyrimoz and Cyltezo (adalimumab-adbm).
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ICER: Potential New Pain Medication Offers Small Savings
ICER: Potential New Pain Medication Offers Small Savings
December 9, 2024
The biggest advantage of suzetrigine would be that it helps patients avoid the use of opioids for acute pain. The FDA’s goal date for suzetrigine is Jan. 30, 2025.
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FDA Sets Goal Date for Lymphoma Drug Columvi
FDA Sets Goal Date for Lymphoma Drug Columvi
December 5, 2024
The combination of Columvi, gemcitabine and oxaliplatin is the first CD20xCD3 bispecific antibody to show positive results in a randomized diffuse large B-cell lymphoma phase 3 trial. The FDA’s decision is expected by July 20, 2025.
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FDA Sets Goal Date for Cardiomyopathy Drug, Aficamten
FDA Sets Goal Date for Cardiomyopathy Drug, Aficamten
December 3, 2024
The FDA has accepted a new drug application for aficamten, a new obstructive hypertrophic cardiomyopathy drug. A goal date has been set for Sept. 26, 2025.
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Sixth Stelara Biosimilar, Yesintek, Approved by FDA
Sixth Stelara Biosimilar, Yesintek, Approved by FDA
December 2, 2024
Yesintek is the latest Stelara biosimilar to gain FDA approval and it will be available in February 2025.
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Johnson and Johnson Submits FDA Request for Pediatric Tremfya Approval
Johnson and Johnson Submits FDA Request for Pediatric Tremfya Approval
December 2, 2024
If granted, Tremfya will be approved to treat children ages six and under with severe plaque psoriasis and children ages five and under with juvenile psoriatic arthritis.
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FDA Accepts sNDA ATTR Amyloidosis Drug, Vutrisiran
FDA Accepts sNDA ATTR Amyloidosis Drug, Vutrisiran
November 26, 2024
Vutrisiran is the generic form of previously approved Amvuttra. The FDA’s target date for the treatment of transthyretin amyloidosis with cardiomyopathy is March 23, 2025.
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Biden Proposes Rule to Allow Medicare, Medicaid to Cover Antiobesity Drugs
Biden Proposes Rule to Allow Medicare, Medicaid to Cover Antiobesity Drugs
November 26, 2024
Whether this proposed rule actually has any impact remains to be seen, especially with a new administration led by Donald Trump’s new health appointees.
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FDA Approves New Imatinib Oral Solution
FDA Approves New Imatinib Oral Solution
November 25, 2024
Imkeldi is a new formulation of imatinib approved as a strawberry-flavored, shelf-stable liquid designed to be more appealing to a wider range of patients, pediatric patients included.
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FDA Approves Attruby for Heart Failure Indication
FDA Approves Attruby for Heart Failure Indication
November 25, 2024
Attruby (acoramidis) is a small molecule approved to treat adults with transthyretin amyloid cardiomyopathy. It will have a list price of $18,759 for a month’s supply.
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CVS Caremark Makes Changes in Diabetes Coverage for 2025
CVS Caremark Makes Changes in Diabetes Coverage for 2025
November 25, 2024
CVS Caremark has removed several diabetes drugs favor of newer products and generics, and is even favoring an insulin infusion system developed by a company that was cofounded by Alan Lotvin, a former executive at CVS Health.
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FDA Approves Biliary Tract Cancer Antibody Treatment
FDA Approves Biliary Tract Cancer Antibody Treatment
November 21, 2024
Produced in Chinese hamster ovary cells, Ziihera (zanidatamab-hrii) is the first HER2-targeted bispecific antibody treatment for patients with previously treated, unresectable or metastatic biliary tract cancer.
FDA Clears Phase 2 Trial of Cannabis in PTSD
FDA Clears Phase 2 Trial of Cannabis in PTSD
FDA Clears Phase 2 Trial of Cannabis in PTSD
November 20, 2024
After a three-year negotiation, the FDA has dropped its objection to allowing patients to self-titrate dosing of smoked cannabis. But regulators want to see additional information about the device that will be used for inhalation.
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FDA Approves Bimzelx for Inflammatory Skin Disease
FDA Approves Bimzelx for Inflammatory Skin Disease
November 20, 2024
The FDA has approved UCB's Bimzelx for moderate-to-severe hidradenitis suppurativa, offering a new treatment option for this painful autoimmune skin disease.
Endo Recalls 16 Lots of Clonazepam Due to Mislabeling
Endo Recalls 16 Lots of Clonazepam Due to Mislabeling
Endo Recalls 16 Lots of Clonazepam Due to Mislabeling
November 19, 2024
A total of 17 lots are now part of the recall of Clonazepam because some cartons have the wrong strength on the label.
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FDA Approves First-in-Class Drug for Rare Leukemia
FDA Approves First-in-Class Drug for Rare Leukemia
November 18, 2024
Relapsed or refractory acute leukemia with a KMT2A translocation currently has an overall survival rate of less than one year when treated with frontline therapies.
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FDA Sets Review Date for Resubmitted Reproxalap in Dry Eye Disease
FDA Sets Review Date for Resubmitted Reproxalap in Dry Eye Disease
November 18, 2024
The FDA assigned a Prescription Drug User Fee Act (PDUFA) date of April 2, 2025, for reproxalap for patients with dry eye disease. Reproxalap also is being tested in allergic conjunctivitis.
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