Clinical

Denise Myshko is your editorial contact for the Formulary Watch. She joined Formulary Watch as editor is June 2021 from Oncology Live. Prior to that, she was managing editor of PharmaVOICE, a trade publication in the pharmaceutical industry. Email: dmyshko@mjhlifesciences.com

Articles

The Inflation Reduction Act’s cap on annual out-of-pocket spending and changes to coverage gaps could save Medicare patients more than $1,000 on heart failure medications.

Study: Heart Failure Patients Could Save with Inflation Reduction Act 


The Association for Accessible Medicines’ report indicates plans, especially those in Medicare, are slower to prefer first generics.


AAM Report: PBMs, Health Plans Delay Adoption of Generics

Amazon Prime members can access generic medications from an eligible list with free delivery for an additional $5 a month.

Amazon Launches Subscription-Based Med Service

Price Edge compares direct-to-consumer pricing with insurance pricing for generic drugs. It is an optional product being offered to plans.

Optum Rx Launches Price Comparison Tool

Dea Belazi of AscellaHealth talks about the challenges payers will face as they confront the high costs associated with specialty drugs. 

Specialty Pharmacy Trends to Watch in 2023

Annual savings from biosimilars could be more $100 billion by 2026, according to IQVIA’s latest Global Use of Medicines report.



Global Savings from Biosimilars Could Reach $383 by 2027

Patient advocates discussed the difficulties that formulary policies and lack of transparency place on those with chronic disease at an ICER sponsored webinar.

Why Patients Want a Patient-First Pharmacy Benefit 

The Inflation Reduction Act’s cap on out-of-pocket costs for insulin is likely to improve outcomes for almost half of Medicare’s insulin users.

Study: Medicare Patients to Benefit from $35 Insulin Cap

While ICER found that overall major payer coverage policies are in line with the organization’s fair access criteria, many payers do not provide adequate transparency into clinical coverage criteria.

ICER Review Leads to Formulary Changes

A new membership program, SmartRx, offers consumers savings on prescriptions, as well as office visits, eye care, vaccines and pet meds.

Drug Coverage