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 Biocon’s Avastin Biosimilar
FDA Approves Biocon’s Avastin Biosimilar
April 10, 2025
Jobevne is the fifth Avastin biosimilar, which are recombinant humanized monoclonal antibodies used to treat several different types of cancer.
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Payers Consider Policy Options for Access to GLP-1 Obesity Medications
Payers Consider Policy Options for Access to GLP-1 Obesity Medications
April 9, 2025
A new paper by the Institute for Clinical and Economic Review (ICER) looks at the cost-effectiveness versus affordability issue of obesity medications such as Wegovy and Zepbound.
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FDA Announces Goal Date for Resubmitted Bevacizumab to Treat Wet AMD
FDA Announces Goal Date for Resubmitted Bevacizumab to Treat Wet AMD
April 9, 2025
The FDA has set a goal date of Aug. 27, 2025. If approved, the therapy would be branded as Lytenava and be the first ophthalmic formulation of bevacizumab.
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Bkemv and Epysqli, Two Biosimilars of Soliris, are Now Available
Bkemv and Epysqli, Two Biosimilars of Soliris, are Now Available
April 8, 2025
Bkemv is being offered at 10% off Soliris, and Epysqli is offered at 30% below Soliris. Both biosimilars treat several of the same rare immune diseases as Soliris.
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FDA Approves Uplizna for Chronic Inflammatory Condition IgG4-RD
FDA Approves Uplizna for Chronic Inflammatory Condition IgG4-RD
April 7, 2025
Uplizna is the first approved treatment for immunoglobulin G4-related disease (IgG4-RD), a chronic inflammatory condition that can affect multiple organs. It has a price of $140,248.50 per dose.
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FDA Grants Accelerated Approval to Vanrafia for IgAN, a Rare Kidney Disease
FDA Grants Accelerated Approval to Vanrafia for IgAN, a Rare Kidney Disease
April 3, 2025
Vanrafia reduces proteinuria in adults with primary immunoglobulin A nephropathy (IgAN). It has a wholesale acquisition cost of $162,500 annually.
FDA Approves Two More Denosumab Biosimilars, Conexxence and Bomyntra
FDA Approves Two More Denosumab Biosimilars, Conexxence and Bomyntra
FDA Approves Two More Denosumab Biosimilars, Conexxence and Bomyntra
March 27, 2025
The fourth pair of denosumab biosimilars, Conexxence and Bomyntra, are expected to launch in the United States in mid 2025, as a result of a global settlement with Amgen, according to a company news release.
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FDA Approves First Drug for Excess Hunger in Prader-Willi Syndrome
FDA Approves First Drug for Excess Hunger in Prader-Willi Syndrome
March 27, 2025
Vykat XR will be available in April to treat the intense hunger that is a hallmark of the rare genetic disease Prader-Willi syndrome. The price is based on a patient’s weight, and the average patient in the clinical trials would have had an average annual cost of $466,200 for the first year.
FDA Approves UTI Antibiotic, Blujepa
FDA Approves UTI Antibiotic, Blujepa
FDA Approves UTI Antibiotic, Blujepa
March 26, 2025
Blujepa is the first in a new class of oral antibiotics in 30 years. It is expected to launch in the second half of 2025 in the United States.
FDA Approves Cabometyx to Treat Advanced Pancreatic Cancer
FDA Approves Cabometyx to Treat Advanced Pancreatic Cancer
FDA Approves Cabometyx to Treat Advanced Pancreatic Cancer
March 26, 2025
Neuroendocrine tumors that start in the pancreas tend to be more aggressive and have a poor prognosis.
Novo Nordisk Extends Lowered Wegovy Price to Retail Pharmacies
Novo Nordisk Extends Lowered Wegovy Price to Retail Pharmacies
Novo Nordisk Extends Lowered Wegovy Price to Retail Pharmacies
March 24, 2025
Wegovy is also available through NovoCare Pharmacy, which directly ship all dose strengths at a cost of $499 per month for cash-paying patients.
FDA Approves Amvuttra for ATTR-CM in Extended Label
FDA Approves Amvuttra for ATTR-CM in Extended Label
FDA Approves Amvuttra for ATTR-CM in Extended Label
March 21, 2025
This expanded indication for Amvuttra makes it the first and only FDA-approved treatment for transthyretin amyloidosis with cardiomyopathy (ATTR-CM) and the polyneuropathy of hereditary transthyretin-mediated amyloidosis (hATTR-PN) in adults.
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FDA Approves Tremyfa to Treat Active Crohn’s Disease
FDA Approves Tremyfa to Treat Active Crohn’s Disease
March 21, 2025
Tremfya is also approved to treat patients with plaque psoriasis, active psoriatic arthritis and ulcerative colitis and is available as both a subcutaneous and intravenous induction option.
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Optum Rx Changes How Pharmacies Are Reimbursed
Optum Rx Changes How Pharmacies Are Reimbursed
March 20, 2025
Optum Rx's new cost-based program uses an internal algorithm that leverages multiple available industry data sources, such as NADAC and PAC, to inform reimbursement.
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Optum Rx Ends Reauthorization for Many Chronic Disease Drugs
Optum Rx Ends Reauthorization for Many Chronic Disease Drugs
March 19, 2025
Optum Rx has eliminated reauthorization for almost 70 drugs for chronic diseases, about 10% of its overall pharmacy prior authorizations.
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FDA Grants Priority Review to Kerendia in Heart Failure
FDA Grants Priority Review to Kerendia in Heart Failure
March 17, 2025
Regulators are expected to make a decision in the third quarter of 2025 on Kerendia to treat patients with heart failure with a left ventricular ejection fraction (LVEF) of ≥40%.
Stelara Biosimilar Steqeyma Launches at 85% Discount
Stelara Biosimilar Steqeyma Launches at 85% Discount
Stelara Biosimilar Steqeyma Launches at 85% Discount
March 13, 2025
Steqeyma is one of seven Stelara biosimilars that have been approved by the FDA.
Navitus to Offer Unbranded Stelara Biosimilar, Remove Stelara from Formulary
Navitus to Offer Unbranded Stelara Biosimilar, Remove Stelara from Formulary
Navitus to Offer Unbranded Stelara Biosimilar, Remove Stelara from Formulary
March 13, 2025
Lumicera Health Services, Navitus’ specialty pharmacy, has made a deal with Teva to offer an unbranded biosimilar that they estimate will save $112,000 and $336,000 per patient per year. Navitus will remove Stelara from formulary on July 1, 2025.
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New PBM Reform Bill Would End Spread Pricing at Medicaid Pharmacies
New PBM Reform Bill Would End Spread Pricing at Medicaid Pharmacies
March 12, 2025
The new bill would also require state Medicaid programs to report National Average Drug Acquisition Costs (NADAC) as a way to increase transparency in drug pricing.
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FDA Approves First Generics of Xarelto
FDA Approves First Generics of Xarelto
March 12, 2025
Two companies have received approved for a generic of the 2.5 mg tablet of anticoagulant rivaroxaban, which is used to reduce the risk of stroke and deep vein thrombosis.
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FDA Approves First Biosimilar of Xolair
FDA Approves First Biosimilar of Xolair
March 10, 2025
Celltrion’s Omlyclo is interchangeable with Xolair to treat the same conditions: asthma, chronic rhinosinusitis, food allergy and chronic spontaneous urticaria.
FDA Approves Neffy 1 mg Nasal Spray for Pediatric Patients
FDA Approves Neffy 1 mg Nasal Spray for Pediatric Patients
FDA Approves Neffy 1 mg Nasal Spray for Pediatric Patients
March 6, 2025
Neffy 1 mg is now approved by the FDA to treat pediatric patients who weigh 33 to 65 lbs. Neffy was first FDA-approved as a 2 mg dose in August 2024 for the emergency treatment of anaphylaxis in children and adults weighing at least 66 lbs.
Novo Nordisk Lowers Wegovy Price for Cash-Paying Patients
Novo Nordisk Lowers Wegovy Price for Cash-Paying Patients
Novo Nordisk Lowers Wegovy Price for Cash-Paying Patients
March 5, 2025
NovoCare Pharmacy will provide all dose strengths of Wegovy at a reduced cost of $499 per month for cash-paying patients without insurance.
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FDA Accepts Amneal’s BLA for Two Denosumab Biosimilars
FDA Accepts Amneal’s BLA for Two Denosumab Biosimilars
March 4, 2025
The FDA has accepted Amneal’s biologics licensing application for two biosimilars referencing Prolia and Xgeva.
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