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EmpiRx Health to Scale Its Value-Driven Pharmacy Program
EmpiRx Health to Scale Its Value-Driven Pharmacy Program
EmpiRx Health to Scale Its Value-Driven Pharmacy Program
August 28, 2023
Using AI-powered population health analytics, EmpiRx’s model aims to drive better health and financial outcomes with clinical-based pharmacy care.
Switching to Long-Acting Injectable Paliperidone is Not Cost-Effective in Stable Schizophrenia
Switching to Long-Acting Injectable Paliperidone is Not Cost-Effective in Stable Schizophrenia
Switching to Long-Acting Injectable Paliperidone is Not Cost-Effective in Stable Schizophrenia
August 25, 2023
Long-acting injection formulations of paliperidone improve health outcomes in adults with schizophrenia but that might not be enough to offset their substantial costs, new study finds.
Humira Biosimilar Hadlima Making Coverage Inroads on Formularies
Humira Biosimilar Hadlima Making Coverage Inroads on Formularies
Humira Biosimilar Hadlima Making Coverage Inroads on Formularies
August 24, 2023
Both commercial and Medicaid plans have added Hadlima to their formularies. Hadlima in both high- and low-concentrations has a price that is 85% off Humira.
Specialty Drugs Driving Increase in Hospital Pharmacy Spend
Specialty Drugs Driving Increase in Hospital Pharmacy Spend
Specialty Drugs Driving Increase in Hospital Pharmacy Spend
August 23, 2023
Carina Dolan, Pharm.D., talks about the trends that are driving both the acute and non-acute spending in hospitals for the next year.
Blue Shield of California to Work with Prime Therapeutics to Negotiate Drug Prices
Blue Shield of California to Work with Prime Therapeutics to Negotiate Drug Prices
Blue Shield of California to Work with Prime Therapeutics to Negotiate Drug Prices
August 18, 2023
Blue Shield’s new program will unbundle pharmacy services for increased transparency with the goal of saving $500 million annually. The health plan is also teaming up Mark Cuban Cost Plus Drug Company and Amazon Pharmacy.
Shifting Health Plan Policies Impact Access to Specialty Drugs
Shifting Health Plan Policies Impact Access to Specialty Drugs
Shifting Health Plan Policies Impact Access to Specialty Drugs
August 17, 2023
The number of health plans that put in place restrictive policies that go beyond FDA-approved label is increasing, a new Tufts study finds.
 FDA Approves First Drug for Rare Bone Disorder
 FDA Approves First Drug for Rare Bone Disorder
FDA Approves First Drug for Rare Bone Disorder
August 17, 2023
Sohonos was approved to treat children with fibrodysplasia ossificans progressive, an ultra-rare disease that transforms the body’s soft tissue into bone. It has an annual list price of $624,000.
New PBM Launches to Bring a New Model to Pharmacy Benefits
New PBM Launches to Bring a New Model to Pharmacy Benefits
New PBM Launches to Bring a New Model to Pharmacy Benefits
August 16, 2023
LucyRx has $500 million in equity it will use for acquisitions and to build technology and infrastructure. It aims to be a national, full-service alternative to the big three PBMs.
Kaiser Permanente Expects to Save $300 Million Switching to Amjevita
Kaiser Permanente Expects to Save $300 Million Switching to Amjevita
Kaiser Permanente Expects to Save $300 Million Switching to Amjevita
August 14, 2023
Kaiser Permanente has a 95% formulary compliance rate, and this allows the health plan to negotiate with pharmaceutical companies for lower prices.
Study: Amjevita May Not Provide Much of a Discount
Study: Amjevita May Not Provide Much of a Discount
Study: Amjevita May Not Provide Much of a Discount
August 11, 2023
Biosimilars that are interchangeable with Humira could provide more competition on price, a new analysis suggests.
Tufts Evaluation Finds Health Plans Vary in Step Therapy for Camyzos
Tufts Evaluation Finds Health Plans Vary in Step Therapy for Camyzos
Tufts Evaluation Finds Health Plans Vary in Step Therapy for Camyzos
August 10, 2023
Payers’ requirements for the use of Camyzos in patients with obstructive hypertrophic cardiomyopathy are generally consistent with the registration study, but they also imposed restrictions beyond the FDA indication or ICER recommendation.
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