Formulary Watch |

All News - Page 20

Drugs to Watch: Gene Therapies
Drugs to Watch: Gene Therapies
Drugs to Watch: Gene Therapies
September 14, 2023
Cell and gene therapies can be used for patients with cancer and serious diseases who have limited or no treatment options — but at a cost.
Dr. Benjamin Rome Discusses Ways to Address High Drug Prices
Dr. Benjamin Rome Discusses Ways to Address High Drug Prices
Dr. Benjamin Rome Discusses Ways to Address High Drug Prices
September 13, 2023
Addressing drug affordability and accessibility will involve tackling the interrelated problems of high prices and problematic pharmacy benefit manager practices, says Benjamin N. Rome, M.D., with Brigham and Women’s Hospital in Boston.
GAO: Rebates Resulted in Medicare Patients Paying More for Drugs Than Plans
GAO: Rebates Resulted in Medicare Patients Paying More for Drugs Than Plans
GAO: Rebates Resulted in Medicare Patients Paying More for Drugs Than Plans
September 12, 2023
In total, Medicare beneficiaries paid $21 billion for 100 drugs that receive the most rebates, while health plans paid $5.3 billion after rebates.
New House Bill Focuses on Healthcare Price Transparency
New House Bill Focuses on Healthcare Price Transparency
New House Bill Focuses on Healthcare Price Transparency
September 11, 2023
This House bill combines aspects of previously submitted bills — specifically on transparency related to prices on hospital services, laboratory tests, healthcare coverage and PBMs — into one package.
Scripius Removes Dupixent from Formulary
Scripius Removes Dupixent from Formulary
Scripius Removes Dupixent from Formulary
September 7, 2023
The decision by Scripius (previously Select Health Prescriptions) was made based on the cost of Dupixent, as well as because of an increased demand to use Dupixent for mild atopic dermatitis when the primary patient population is those with moderate to severe disease.
Long-term Study Shows Gardasil 9 Effective Against HPV-Related Cancers
Long-term Study Shows Gardasil 9 Effective Against HPV-Related Cancers
September 7, 2023
In a 10-year, follow-up study in patients vaccinated with Gardasil 9, no cases of HPV-related cancers or genital warts were seen.
State Medicaid Programs Look to Value-Based Contracts for Gene Therapies
State Medicaid Programs Look to Value-Based Contracts for Gene Therapies
State Medicaid Programs Look to Value-Based Contracts for Gene Therapies
September 1, 2023
Magellan Rx Management has begun providing a multi-state solution in which they negotiate with drug manufacturers for value-based contracts for high-cost gene and cell therapies.
New Analysis Suggests Current Rebates Will Influence Medicare Savings for Negotiated Drugs
New Analysis Suggests Current Rebates Will Influence Medicare Savings for Negotiated Drugs
New Analysis Suggests Current Rebates Will Influence Medicare Savings for Negotiated Drugs
September 1, 2023
For most drugs, the statutory minimum discounts under the Inflation Reduction Act will not be enough to achieve the savings projected by the Congressional Budget Office.
BCBS of Massachusetts to Cover OTC Narcan Nasal Spray
BCBS of Massachusetts to Cover OTC Narcan Nasal Spray
BCBS of Massachusetts to Cover OTC Narcan Nasal Spray
August 30, 2023
Nonprescription Narcan will be available beginning in September in pharmacies and grocery stores, as well as online retailers and have a suggested cost of $44.99.
Legal Challenges Likely for Drugs Listed for Medicare Price Negotiation
Legal Challenges Likely for Drugs Listed for Medicare Price Negotiation
Legal Challenges Likely for Drugs Listed for Medicare Price Negotiation
August 29, 2023
Experts expect more lawsuits challenging CMS’s authority to negotiate drug prices for Medicare Part D.
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.
© 2025 MJH Life Sciences

All rights reserved.