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Payer Coverage of Biosimilars Varies by Preference
Payer Coverage of Biosimilars Varies by Preference
Payer Coverage of Biosimilars Varies by Preference
October 31, 2023
A poster from AMCP Nexus quantified tends in biosimilar coverage within Tufts Medical Center, finding that payer coverage of these products has increased but individual preferences among payers still varies.
CarePartners Adds Yuflyma to its Cost Savings Program
CarePartners Adds Yuflyma to its Cost Savings Program
CarePartners Adds Yuflyma to its Cost Savings Program
October 30, 2023
The Humira biosimilar Yuflyma will be available through CarePartners specialty pharmacy business, which has 10 million plan members.
J&J Warns of Risk of Respiratory Depression with Spravato
J&J Warns of Risk of Respiratory Depression with Spravato
J&J Warns of Risk of Respiratory Depression with Spravato
October 27, 2023
Based on reports from post-marketing experience, Spravato’s warnings and precautions section now includes the risk of respiratory depression.
Study Reveals Inconsistent Wait Times for Decisions on Cancer Drug Coverage
Study Reveals Inconsistent Wait Times for Decisions on Cancer Drug Coverage
Study Reveals Inconsistent Wait Times for Decisions on Cancer Drug Coverage
October 27, 2023
The mean lag time between FDA approval and insurance coverage for 89 cancer drugs ranged from 2.3 months to 8.2 months. But cancer drugs approved more recently were more likely to have shorter coverage lags.
Subcutaneous Leqembi Clears More Amyloid than IV Formulation
Subcutaneous Leqembi Clears More Amyloid than IV Formulation
Subcutaneous Leqembi Clears More Amyloid than IV Formulation
October 26, 2023
In new data, 60% of the patients with early stage Alzheimer’s disease and who have low levels of the protein tau achieved cognitive improvement when treated with Leqembi.
FDA Approves First Subcutaneous Infliximab for IBD
FDA Approves First Subcutaneous Infliximab for IBD
FDA Approves First Subcutaneous Infliximab for IBD
October 23, 2023
Zymfentra is a subcutaneous version of infliximab.
Phase 3 Trial Shows Significant Weight Loss with Mounjaro
Phase 3 Trial Shows Significant Weight Loss with Mounjaro
Phase 3 Trial Shows Significant Weight Loss with Mounjaro
October 20, 2023
Patients taking Mounjaro after a lifestyle intervention saw a weight reduction of almost 20%.
KFF: Premiums for Employer-Sponsored Insurance Increased 7% in 2023
KFF: Premiums for Employer-Sponsored Insurance Increased 7% in 2023
KFF: Premiums for Employer-Sponsored Insurance Increased 7% in 2023
October 19, 2023
The increase is close to inflation and wage growth but much steeper than the atypically small increase in 2022.
Questions Remain about Nonprescription Opill
Questions Remain about Nonprescription Opill
Questions Remain about Nonprescription Opill
October 16, 2023
Whether Opill (norgestrel) truly broadens access to daily contraception will depend on Medicaid coverage, requirements under the ACA and pharmacist prescribing.
Study Explores Connection Between Adherence and Viral Suppression in Patients with HIV
Study Explores Connection Between Adherence and Viral Suppression in Patients with HIV
Study Explores Connection Between Adherence and Viral Suppression in Patients with HIV
October 13, 2023
Researchers identified age and insurance type as significant factors in viral suppression in patient with HIV because of their impact on patient adherence.
PBM Ventegra Adds Yuflyma Biosimilar as Preferred Product
PBM Ventegra Adds Yuflyma Biosimilar as Preferred Product
PBM Ventegra Adds Yuflyma Biosimilar as Preferred Product
October 11, 2023
Yuflyma is on Ventegra’s public and private formulary on parity with the reference product Humira.
Court Ruling Takes Aim at Copay Accumulators
Court Ruling Takes Aim at Copay Accumulators
Court Ruling Takes Aim at Copay Accumulators
October 10, 2023
Insurers and PBMs now have to follow a 2020 rule in which accumulator programs can only be applied to brand name drugs that have generic equivalents available.
Express Scripts Lists Inpefa as Preferred on Medicare Formularies
Express Scripts Lists Inpefa as Preferred on Medicare Formularies
Express Scripts Lists Inpefa as Preferred on Medicare Formularies
October 10, 2023
Inpefa is an inhibitor of both SGLT2 and SGLT1, approved to reduce the risk of cardiovascular death and hospitalization for heart failure in adults. The wholesale acquisition cost is $598 per month.
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