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Capital Rx Partners with Virta Health for Diabetes, Obesity Patient Support
Capital Rx Partners with Virta Health for Diabetes, Obesity Patient Support
Capital Rx Partners with Virta Health for Diabetes, Obesity Patient Support
July 24, 2023
Sara Izadi, Pharm.D., of Capital Rx, talks about Rx Reverse, an integrated clinical program designed to help members reverse diabetes and fight obesity.
Analysis: PBMs Block Access to Lantus Biosimilars
Analysis: PBMs Block Access to Lantus Biosimilars
Analysis: PBMs Block Access to Lantus Biosimilars
July 20, 2023
An analysis by Biosimilars Council has found that the reference product Lantus accounts for 54% of new prescriptions and is 78% of total market volume but demand for the unbranded interchangeable insulin glargine is increasing.
ICER and Nonprofit to Develop Framework to Assess Digital Health Tools
ICER and Nonprofit to Develop Framework to Assess Digital Health Tools
ICER and Nonprofit to Develop Framework to Assess Digital Health Tools
July 19, 2023
The newly formed Peterson Health Technology Institute was launched with $50 million to analyze clinical benefits and economic impact of new health technologies.
FDA Clears First Monoclonal Antibody for RSV in Infants
FDA Clears First Monoclonal Antibody for RSV in Infants
FDA Clears First Monoclonal Antibody for RSV in Infants
July 18, 2023
Beyfortus will be available ahead of the upcoming 2023-2024 RSV season. A price has not yet been set.
HHS: Payers Must Cover COVID-19 Vaccines When Government Payment Ends
HHS: Payers Must Cover COVID-19 Vaccines When Government Payment Ends
HHS: Payers Must Cover COVID-19 Vaccines When Government Payment Ends
July 18, 2023
Most private health insurance plans are required to cover vaccines for COVID-19 without patient cost-sharing.
FDA Decision on Donanemab for Alzheimer’s Expected by End of Year
FDA Decision on Donanemab for Alzheimer’s Expected by End of Year
FDA Decision on Donanemab for Alzheimer’s Expected by End of Year
July 17, 2023
Donanemab slowed cognitive decline by about 35% for patients at the earliest stages of Alzheimer’s disease.
ICER: Sickle Cell Gene Therapies Could be Cost-Effective
ICER: Sickle Cell Gene Therapies Could be Cost-Effective
ICER: Sickle Cell Gene Therapies Could be Cost-Effective
July 17, 2023
In the short term, two gene therapies now under review at the FDA — lovo-cel and exa-cel — can reduce the frequency of painful crises in patients with severe sickle cell disease.
Medicare Part D Spending on Top 10 Drugs Reaches $48 billion
Medicare Part D Spending on Top 10 Drugs Reaches $48 billion
Medicare Part D Spending on Top 10 Drugs Reaches $48 billion
July 14, 2023
KFF analysis has found that 10 drugs account for 22% of all Medicare Part D spending in 2021.
 Real-World Study Finds Low Patient Adherence for Weight Loss Drugs
 Real-World Study Finds Low Patient Adherence for Weight Loss Drugs
Real-World Study Finds Low Patient Adherence for Weight Loss Drugs
July 14, 2023
Prime Therapeutics’ analysis of claims data suggests patients require support to ensure continued use and lifestyle modification.
FDA Approves First Nonprescription Oral Contraceptive
FDA Approves First Nonprescription Oral Contraceptive
FDA Approves First Nonprescription Oral Contraceptive
July 13, 2023
Opill will be available in stores and online in the first quarter of 2024.
Navitus Commercial Clients Saw Slower Drug Cost Trend in 2022
Navitus Commercial Clients Saw Slower Drug Cost Trend in 2022
Navitus Commercial Clients Saw Slower Drug Cost Trend in 2022
July 12, 2023
About half of Navitus’ commercial clients saw a drug spend decrease compared with 2021.
New Jersey Governor Signs PBM, Drug Price Legislation
New Jersey Governor Signs PBM, Drug Price Legislation
New Jersey Governor Signs PBM, Drug Price Legislation
July 11, 2023
Governor Phil Murphy has signed three pieces of legislation that would require PBMs to use prescription drug rebates to lower premiums and out-of-pocket costs for consumers and prevent the practice of spread pricing.
CMS Expands Leqembi Coverage After FDA’s Full Approval
CMS Expands Leqembi Coverage After FDA’s Full Approval
CMS Expands Leqembi Coverage After FDA’s Full Approval
July 7, 2023
Medicare will cover Alzheimer’s drugs with full approval, including Leqembi — if the physician and patient participate in a real-world registry trial to gather additional data.
Prime Therapeutics Names Mostafa Kamal President and CEO
Prime Therapeutics Names Mostafa Kamal President and CEO
Prime Therapeutics Names Mostafa Kamal President and CEO
July 6, 2023
The Magellan Rx Management CEO is replacing Ken Paulus, who has held the top job at Prime since May 2019.
8 Humira Biosimilars now Available, but Formulary Questions Remain
8 Humira Biosimilars now Available, but Formulary Questions Remain
8 Humira Biosimilars now Available, but Formulary Questions Remain
July 5, 2023
Most of the Humira biosimilars are available with two pricing options. Of the larger PBMs, only Optum Rx so far has weighed in on a coverage decision.
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