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AMA Analysis: Lack of Competition Among PBMs in Local Markets
AMA Analysis: Lack of Competition Among PBMs in Local Markets
AMA Analysis: Lack of Competition Among PBMs in Local Markets
October 17, 2022
The lack of competition and the vertical integration of PBMs and insurers can have a negative impact on patients’ access to and cost of prescription drugs, AMA said.
 Trikafta Effective But Costly, Says Prime Therapeutics
 Trikafta Effective But Costly, Says Prime Therapeutics
Trikafta Effective But Costly, Says Prime Therapeutics
October 17, 2022
A real-world study by the PBM shows major benefits from the new cystic fibrosis drug when it comes to hospitalizations and pulmonary exacerbations. But total cost of care of patients tripled because the drug is expensive.
Report: PBMs Provide Uneven Coverage of Biosimilars
Report: PBMs Provide Uneven Coverage of Biosimilars
Report: PBMs Provide Uneven Coverage of Biosimilars
October 14, 2022
The Amgen Biosimilars Trend Report found that competition is lowering prices of biosimilars but the largest PBMs are inconsistent in their management of these products.
FDA Announces Adderall Shortage
FDA Announces Adderall Shortage
FDA Announces Adderall Shortage
October 13, 2022
Until supply is restored, the FDA suggests the use of alternatives such as the extended-release version of amphetamine mixed salts.
Regence Health Plans Save by Switching to Infliximab Biosimilars
Regence Health Plans Save by Switching to Infliximab Biosimilars
Regence Health Plans Save by Switching to Infliximab Biosimilars
October 13, 2022
Regence implemented a preferred infliximab biosimilar strategy and was able to achieve more than 90% adoption.
FDA Accepts BLA for Hemophilia A Gene Therapy
FDA Accepts BLA for Hemophilia A Gene Therapy
FDA Accepts BLA for Hemophilia A Gene Therapy
October 13, 2022
If approved, valoctocogene roxaparvovec would be the first gene therapy in the U.S. for the treatment of severe hemophilia A. A PDUFA action date has been set for March 31, 2023.
CVS Caremark Removes, Adds Products to Formulary
CVS Caremark Removes, Adds Products to Formulary
CVS Caremark Removes, Adds Products to Formulary
October 12, 2022
In total, CVS Caremark has removed 26 products and added 31 products effective Jan. 1, 2023.
Nonprofit Company Begins Application Process for OTC Naloxone
Nonprofit Company Begins Application Process for OTC Naloxone
Nonprofit Company Begins Application Process for OTC Naloxone
October 11, 2022
The submission is expected to be complete by the end of the year, and if approved, could be available in early 2024.
Insurance Access to Digital Therapeutics Continues to Grow
Insurance Access to Digital Therapeutics Continues to Grow
Insurance Access to Digital Therapeutics Continues to Grow
October 10, 2022
Ashley Jenne, managing director, strategy and business development at Evernorth, discusses the evolution of the PBM’s digital health formulary.
EmpiRx Health Lowers Drug Spend in Mental Health
EmpiRx Health Lowers Drug Spend in Mental Health
EmpiRx Health Lowers Drug Spend in Mental Health
October 7, 2022
EmpiRx Health CEO Karthik Ganesh discusses how the PBM was able to decrease mental health drug spending at a time when utilization is increasing.
Eiger Will Not Submit EUA For COVID-19 Treatment
Eiger Will Not Submit EUA For COVID-19 Treatment
Eiger Will Not Submit EUA For COVID-19 Treatment
October 6, 2022
The FDA had indicated that it would not issue an emergency use authorization without additional data for peginterferon lambda to treat patients with mild-to-moderate COVID-19.
OIG: One-third of Accelerated Approvals have Delayed Confirmatory Trials
OIG: One-third of Accelerated Approvals have Delayed Confirmatory Trials
OIG: One-third of Accelerated Approvals have Delayed Confirmatory Trials
October 6, 2022
Medicare and Medicaid spent more than $18 billion on drugs without verified clinical benefit.
 U.S. to Buy up to $10.7 Million of Monkeypox Treatment
 U.S. to Buy up to $10.7 Million of Monkeypox Treatment
U.S. to Buy up to $10.7 Million of Monkeypox Treatment
October 5, 2022
SIGA indicated that $5.1 million of oral Tpoxx is targeted for delivery in 2022.
Humana Updates Medicare Pharmacy Benefits
Humana Updates Medicare Pharmacy Benefits
Humana Updates Medicare Pharmacy Benefits
October 4, 2022
Humana’s 2023 Medicare pharmacy benefits updates include $0 copays, simplified access to prescriptions and Veteran’s focused-plans that add pharmacy benefits.
BioMarin Resubmits BLA for Hemophilia A Gene Therapy
BioMarin Resubmits BLA for Hemophilia A Gene Therapy
BioMarin Resubmits BLA for Hemophilia A Gene Therapy
October 4, 2022
If approved, valoctocogene roxaparvovec would be the first commercially-available gene therapy in the United States for the treatment of severe hemophilia A.
Kroger Health to Terminate Express Scripts Agreement
Kroger Health to Terminate Express Scripts Agreement
Kroger Health to Terminate Express Scripts Agreement
October 3, 2022
The retailer indicated that Express Scripts’ drug pricing model is unstainable for Kroger and its customers.
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