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Do Commercial Payers Rely on ICER Assessments During Specialty Drug Coverage Deliberations?

The Institute for Clinical and Economic Review (ICER) releases value assessment reports that determine cost-effectiveness ratios (CERs) for new and existing therapeutics. A newly published study in the Journal of Managed Care + Specialty Pharmacy, examines whether and how commercial insurance plans […]

more info 02/28/2023View Related Articles
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Eli Lilly Catches Up with Mounjaro Shortage

Eli Lilly announced it caught up on backorders for its obesity drug Mounjaro, drawing the end near for a shortage that’s persisted since last December. Some patients may still have to wait for the drug, but delays will likely drop to one to two days. The drug is still on the US Food and Drug […]

more info 02/23/2023View Related Articles
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Four Projections for Value-Based Drug Pricing Landscape in 2030

Panel speakers at the Abarca Forward pharmacy conference discussed their outlooks for value-based drug pricing models by the end of the decade, coming up with four main predictions going .  The first prediction, from Lyfegen’s CEO Girisha Fernando, is that the healthcare industry will have largely […]

more info 02/20/2023View Related Articles
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In Search of a Better Specialty Pharmacy Experience for People with Chronic Illness

People living with chronic illness often have to jump through hoops to get the specialty medicines they need, with many expected to justify their prescriptions to payers and pharmacy benefit managers (PBMs) on a monthly basis. A new Med City News article covers how medically integrated dispensing […]

more info 02/09/2023View Related Articles
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Improving Specialty Pharmacy IT to Improve Patient Outcomes

Health information technology (IT) has rapidly advanced over the past few decades, changing the specialty pharmacy industry. However, key inefficiencies remain that, if addressed, could help patients experience better health outcomes. In a new Pharmacy Times article, learn about these inefficiencies […]

more info 02/09/2023View Related Articles
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Amazon Launches RxPass Service for $5 Generic Drugs

Amazon has announced the launch of its RxPass service, a subscription-based prescription drug service that will ship certain generic medications to patients for $50 a month. The program includes over 50 generics and is integrated into existing Amazon Prime subscriptions. Drugs can be delivered […]

more info 01/25/2023View Related Articles
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Optum Rx Launches Tool to Match Patients with Cheapest Generic Drug Prices

The massive pharmacy benefit manager (PBM) Optum Rx has launched its Price Edge tool that promises to lower generic prescription drug prices to patients. Price Edge scans through prices and pairs patients with the most affordable generic that matches their prescription. Purchases will apply to […]

more info 01/24/2023View Related Articles
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FDA Makes Abortion Pill More Accessible Nationwide

In response to crackdowns on abortion rights in the US after Roe v. Wade was overturned, the Food and Drug Administration has changed risk evaluation and mitigation strategy (REMS) policies regarding Mifeprex, an abortion pill, that will increase patient access. The drug was formerly only available […]

more info 01/09/2023View Related Articles
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Managed Healthcare Executive Top PBM Articles of 2022

Managed Healthcare Executive has covered pharmacy benefit managers (PBMs) extensively over the past year, as the industry and its practices face increasing scrutiny. In a new compilation, the Managed Healthcare Executive staff share their most viewed articles about PBMs in 2022. The first is about […]

more info 12/29/2022View Related Articles
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Custom Health Announces Medication Adherence Pilot with L.A. Care Plan

Custom Health has announced a partnership with L.A. Care Plan to help promote better health outcomes through medication adherence, which hovers around 50% in the US. This imperils health outcomes, which the partnership intends to address with an in-home drug dispensing device alongside remote access […]

more info 12/28/2022View Related Articles
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