RADAR on Drug Benefits

News Briefs

✦ Walgreens Boots Alliance Inc. will spend $970 million to acquire a 71% stake in Shields Health Solutions, a specialty pharmacy company. Shields contracts with health systems and hospitals to build and operate on...

Will Rx Startup Targeting Cash-Paying Patients Succeed?

A new startup, DiRx, has entered the prescription-drug-delivery fray, and will target un- and underinsured consumers with low-cost, generic maintenance medications. Experts say that the market is worth pursuing, but...

PhRMA Takes Aim at Medicare Price Negotiation as HHS Digs In

Policies aimed at slowing price growth in the most expensive drug categories could result in slightly fewer drugs coming to market, according to an analysis of the issue prepared by the Congressional Budget Office (...

More Anal Cancer Drugs Are Coming Despite Incyte Stumble

This summer, Incyte Corp. hit a roadblock in the company’s quest to have its drug retifanlimab become the first FDA-approved treatment of its kind for patients with the most common type of anal cancer. Retifanl...

Study Examines Pandemic’s Effect on Cancer Diagnoses

Risk of a COVID-19 infection and problems with hospital capacity led to a substantial decline in new cancer cases diagnosed early in the pandemic. Though medical practices reopened after early lockdowns, the number ...

Experts Mull How Life Sciences Firms Can Prep for ‘New Normal’

The COVID-19 pandemic has dramatically altered health care delivery patterns. Hospitals have had to exhaust their resources caring for COVID patients, while other important health care services, like cancer screenin...

News Briefs

✦ Consulting and actuarial firm Milliman, Inc. said on Sept. 7 that it has acquired SkySail Rx, a pharmacy benefit technology firm. SkySail specializes in leveraging data to support pharmacy benefit pricing and co...

New Guidance Puts PBM Transparency Lawsuit in Limbo

Mere days after the top PBM trade group filed suit against a regulation requiring PBMs to report historical net prices of prescription drugs, the Biden administration issued guidance that effectively says that provi...

Will N.J. Reverse Auction Savings Travel to Other States?

Colorado, Louisiana, New Hampshire and Minnesota have joined New Jersey in requiring PBMs to participate in a reverse auction bidding process to administer the pharmacy benefit for their state employee health plans ...

Prime Sees Major Spike in Telemedicine-Based Rx Fraud

Prime Therapeutics LLC saw telemedicine schemes contribute to a 60% year-over-year increase in reported false claims from 2020 to 2021. The Blue Cross Blue Shield affiliate-owned PBM, which is in its second full yea...