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Medicare’s Spending on Ozempic and Other GLP-1s Rises Steeply
Medicare’s Spending on Ozempic and Other GLP-1s Rises Steeply
March 27, 2024
Ozempic and Rybelsus could become a target for Medicare price negotiation because of high spending and additional approved uses of the GLP-1 therapies.
 FDA Approves Merck’s Drug for Pulmonary Arterial Hypertension
 FDA Approves Merck’s Drug for Pulmonary Arterial Hypertension
FDA Approves Merck’s Drug for Pulmonary Arterial Hypertension
March 26, 2024
Sotatercept — now with the brand name Winrevair — will be available through specialty pharmacies by the end of April. The price of Winrevair is $14,000 per vial.
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CMS Estimates Savings for Patients from Medicare Inflation Rebates
CMS Estimates Savings for Patients from Medicare Inflation Rebates
March 26, 2024
Medicare Part B beneficiaries may save between $1 and $3,575 per average dose for the 41 drugs whose prices have risen higher than inflation.
Medicaid, Medicare Part D to Provide Coverage of Wegovy, But Not for Weight Loss
Medicaid, Medicare Part D to Provide Coverage of Wegovy, But Not for Weight Loss
Medicaid, Medicare Part D to Provide Coverage of Wegovy, But Not for Weight Loss
March 22, 2024
Medicare and Medicaid will cover Wegovy for its recently approved indication to reduce the risk of cardiovascular death, heart attack and stroke in adults with cardiovascular disease and obesity.
GSK Caps Respiratory Medications at $35 a Month
GSK Caps Respiratory Medications at $35 a Month
GSK Caps Respiratory Medications at $35 a Month
March 21, 2024
This follows AstraZeneca’s and Boehringer Ingelheim’s announcements to also cap their asthma chronic obstructive pulmonary disease drugs at $35.
FDA Approves Drug that Treats Hypertension in a New Way
FDA Approves Drug that Treats Hypertension in a New Way
FDA Approves Drug that Treats Hypertension in a New Way
March 21, 2024
Tryvio, an oral drug for those with uncontrolled hypertension, will be available in the second half of 2024. The list price has not yet to be determined.
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New Gene Therapy for Rare MDL to Cost $4.25 Million
New Gene Therapy for Rare MDL to Cost $4.25 Million
March 20, 2024
Lenmeldy is the first approved gene therapy to treat children with juvenile metachromatic leukodystrophy, a life-threatening inherited disease of the body’s metabolic system.
Celltrion Launches Zymfentra, a Subcutaneous Form of Infliximab
Celltrion Launches Zymfentra, a Subcutaneous Form of Infliximab
Celltrion Launches Zymfentra, a Subcutaneous Form of Infliximab
March 20, 2024
Zymfentra, with a price of $6,181.08 for two shots over four weeks, is approved as maintenance therapy for adults with ulcerative colitis and Crohn’s disease.
FDA Approves Iclusig for New Patients with Aggressive Leukemia
FDA Approves Iclusig for New Patients with Aggressive Leukemia
FDA Approves Iclusig for New Patients with Aggressive Leukemia
March 19, 2024
The accelerated approval of Iclusig for patients with acute lymphoblastic leukemia and with the Philadelphia chromosome was based on a surrogate endpoint. Iclusig has a list price of $20,831 for 30 tablets.
Payers Question CMS’ Ability to Get Discounts Though Drug Price Negotiation
Payers Question CMS’ Ability to Get Discounts Though Drug Price Negotiation
Payers Question CMS’ Ability to Get Discounts Though Drug Price Negotiation
March 19, 2024
In a recent survey, payers said the Inflation Reduction Act will help lower patients’ out-of-pocket costs, but they were concerned about Medicare’s drug price negotiation and the IRA’s impact on formulary management.
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FDA Approves Rezdiffra, First Drug for NASH
FDA Approves Rezdiffra, First Drug for NASH
March 15, 2024
Madrigal Pharmaceuticals is pricing Rezdiffra (resmetirom) at wholesale acquisition price of $47,400 per year.
FDA Approves Livmarli for Second Liver Disease Indication
FDA Approves Livmarli for Second Liver Disease Indication
FDA Approves Livmarli for Second Liver Disease Indication
March 14, 2024
Livmarli is now approved to treat the itching associated two different rare liver diseases: progressive familial intrahepatic cholestasis and Alagille syndrome.
Prime Therapeutics and Capital Rx Create Technology Alliance
Prime Therapeutics and Capital Rx Create Technology Alliance
Prime Therapeutics and Capital Rx Create Technology Alliance
March 13, 2024
The new collaboration gives Prime access to Capital Rx’s secure claims system JUDI, which Capital Rx leaders say was developed with enhanced security protocols.
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Michigan is First Medicaid Program to Offer Lyfgenia for Sickle Cell
Michigan is First Medicaid Program to Offer Lyfgenia for Sickle Cell
March 11, 2024
Michigan’s state Medicaid agency has signed an outcomes-based agreement for Lyfgenia patients with sickle cell disease. The agreement provides payers with risk sharing tied to vaso-occlusive events-related hospitalizations
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