CVS Caremark Switches Up Biosimilar Coverage in 2024
November 20th 2023New biosimilars have been added and others removed from CVS Caremark’s standard formulary. One notable change is with the Humira biosimilars. The PBM has removed Amjevita and now prefers Hyrimoz and an unbranded biosimilar.
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Gene Therapy Shows Potential for Diabetic Macular Edema | AAO 2023
November 4th 2023In a late breaking session, a one-time gene therapy was found in a phase 2 trial to provide sustained release of dexamethasone in patients with diabetic macular edema and retinal vein occlusion. The trial is ongoing.
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Medicare Payments for Retinal Procedures are Down | AAO 2023
November 3rd 2023Innovations have allowed retinal procedures to be completed more rapidly with better patient outcomes. One speaker at AAO argues, however, that reimbursement should also consider the complexity of the procedure and not just the time it to takes to complete.
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ICER Found Plans Provided Fair Access, But Greater Transparency of Policies is Needed
November 3rd 2023The Institute for Clinical and Economic Review’s fair access report found that it was difficult to determine how well policies translate into real-world access and affordability for patients.
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ICER: Greater Transparency of Coverage Policies Needed
November 3rd 2023The Institute for Clinical and Economic Review’s fair access report found that for the drugs assessed, formularies provided fair access, but it was difficult to determine how well that translates into real-world access and affordability for patients.
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Elevidys Misses Primary Endpoint, but Shows Evidence of Modifying the Course of Duchenne
October 31st 2023Sarepta Therapeutics plans to submit an application for full approval of Elevidys to treat all ages of patients with Duchenne muscular dystrophy. Company officials said the FDA is open to evaluating the application based on the totality of the evidence.
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