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Specialty Drugs Driving Increase in Hospital Pharmacy Spend
Specialty Drugs Driving Increase in Hospital Pharmacy Spend
Specialty Drugs Driving Increase in Hospital Pharmacy Spend
August 23, 2023
Carina Dolan, Pharm.D., talks about the trends that are driving both the acute and non-acute spending in hospitals for the next year.
Blue Shield of California to Work with Prime Therapeutics to Negotiate Drug Prices
Blue Shield of California to Work with Prime Therapeutics to Negotiate Drug Prices
Blue Shield of California to Work with Prime Therapeutics to Negotiate Drug Prices
August 18, 2023
Blue Shield’s new program will unbundle pharmacy services for increased transparency with the goal of saving $500 million annually. The health plan is also teaming up Mark Cuban Cost Plus Drug Company and Amazon Pharmacy.
Shifting Health Plan Policies Impact Access to Specialty Drugs
Shifting Health Plan Policies Impact Access to Specialty Drugs
Shifting Health Plan Policies Impact Access to Specialty Drugs
August 17, 2023
The number of health plans that put in place restrictive policies that go beyond FDA-approved label is increasing, a new Tufts study finds.
 FDA Approves First Drug for Rare Bone Disorder
 FDA Approves First Drug for Rare Bone Disorder
FDA Approves First Drug for Rare Bone Disorder
August 17, 2023
Sohonos was approved to treat children with fibrodysplasia ossificans progressive, an ultra-rare disease that transforms the body’s soft tissue into bone. It has an annual list price of $624,000.
New PBM Launches to Bring a New Model to Pharmacy Benefits
New PBM Launches to Bring a New Model to Pharmacy Benefits
New PBM Launches to Bring a New Model to Pharmacy Benefits
August 16, 2023
LucyRx has $500 million in equity it will use for acquisitions and to build technology and infrastructure. It aims to be a national, full-service alternative to the big three PBMs.
Kaiser Permanente Expects to Save $300 Million Switching to Amjevita
Kaiser Permanente Expects to Save $300 Million Switching to Amjevita
Kaiser Permanente Expects to Save $300 Million Switching to Amjevita
August 14, 2023
Kaiser Permanente has a 95% formulary compliance rate, and this allows the health plan to negotiate with pharmaceutical companies for lower prices.
Study: Amjevita May Not Provide Much of a Discount
Study: Amjevita May Not Provide Much of a Discount
Study: Amjevita May Not Provide Much of a Discount
August 11, 2023
Biosimilars that are interchangeable with Humira could provide more competition on price, a new analysis suggests.
Tufts Evaluation Finds Health Plans Vary in Step Therapy for Camyzos
Tufts Evaluation Finds Health Plans Vary in Step Therapy for Camyzos
Tufts Evaluation Finds Health Plans Vary in Step Therapy for Camyzos
August 10, 2023
Payers’ requirements for the use of Camyzos in patients with obstructive hypertrophic cardiomyopathy are generally consistent with the registration study, but they also imposed restrictions beyond the FDA indication or ICER recommendation.
Medicaid Coverage Increases for Pheburane for Urea Cycle Disorders
Medicaid Coverage Increases for Pheburane for Urea Cycle Disorders
Medicaid Coverage Increases for Pheburane for Urea Cycle Disorders
August 9, 2023
Current treatments urea cycle disorders, which causes ammonia to build up in the blood, have a bitter taste and smell. Pheburane was developed with a special coating that masks the taste of sodium phenylbutyrate. It has a list price of $4,375 per bottle.
Capital Blue Cross Saves by Accessing Manufacturer Coupons
Capital Blue Cross Saves by Accessing Manufacturer Coupons
Capital Blue Cross Saves by Accessing Manufacturer Coupons
August 9, 2023
Capital Blue Cross uses algorithms to help find drug manufacturer coupon programs. It has saved $4.5 million in the first quarter of 2023.
KFF Survey: Consumers Want Insurance to Pay for Weight Loss Drugs
KFF Survey: Consumers Want Insurance to Pay for Weight Loss Drugs
KFF Survey: Consumers Want Insurance to Pay for Weight Loss Drugs
August 8, 2023
Almost half of adults surveyed by KFF would be interested in taking a weight-loss drug, including many who say they only want to lose a little weight.
ASCO Abstract Highlights Growing Comfortability with Trastuzumab Biosimilars
ASCO Abstract Highlights Growing Comfortability with Trastuzumab Biosimilars
August 8, 2023
This abstract at the American Society of Clinical Oncology (ASCO 2023) looked at the growing utilization of trastuzumab biosimilars over time in India.
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