Radar on Drug Benefits

News Briefs

✦ A new report from UnitedHealth Group-owned OptumRx puts a spotlight on prescription prenatal vitamins — which the PBM counts among an “influx of clinically superfluous brand drugs that carry hefty price tags...
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© 2024 MMIT

Is the Price Right for COVID-19 Treatment Remdesivir?

Since the first studies emerged suggesting Gilead Sciences, Inc.’s remdesivir was a promising treatment for COVID-19, speculation has abounded regarding what price the manufacturer would set for the antiviral drug...
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© 2024 MMIT

CMS Proposes Best Price Waivers for Costly New Therapies

In an effort to boost adoption and lower costs for curative therapies, CMS proposed a new rule that the agency says would allow state Medicaid plans to enter into value-based, outcome-dependent purchasing agreements...
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© 2024 MMIT

Proteus Files for Bankruptcy Protection Amid Digital Pill Dispute

Proteus Digital Health, a startup that develops ingestible sensors that communicate when medicines are taken, on June 16 filed for Chapter 11 bankruptcy protection. The move, which company executives said will pave ...
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Prime Therapeutics Reports Modest Drug Trend Increases

Prime Therapeutics LLC’s 2019 drug trend report showed single-digit increases for its commercial and Medicare Part D lines of business. Medicaid trend increased 10.2%, with utilization of specialty drugs remaining...
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FDA OK’s IL-17As for nr-axSpA, But Few See Changes Ahead With Chart: Current Market Access to Ankylosing Spondylitis Medications

The FDA’s approvals of two interleukin-17A (IL-17A) antagonists to treat active non-radiographic axial spondyloarthritis (nr-axSpA) give providers new options for patients who are intolerant of non-steroidal anti-...
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© 2024 MMIT

News Briefs

✦ Kaiser Permanente is joining Civica Rx – the not-for-profit generic drug company run by health systems and hospitals — as a governing member with a seat on the board of directors. Civica, which was founded i...
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© 2024 MMIT

Blues Plans Sue CVS, Alleging It Overcharged for Generic Drugs

In a move that one attorney says may have a domino effect, Blue Cross Blue Shield plans recently filed suit against CVS Health Corp., claiming that the firm fraudulently overcharged them for generic drugs by “subm...
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MedImpact Hopes to Accelerate Adoption of Pharmacogenomics

With precision medicine an increasingly hot topic in health care, MedImpact is betting that a newly launched program — which reviews every drug prescribed to patients against their genetic profile — will simulta...
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Antibody Drug Conjugates Are Worth Watching, OptumRx Says

In its newest Drug Pipeline Insights Report, OptumRx highlighted recently approved or soon-to-be-approved drugs that might significantly impact payers and patients. In its latest quarterly report, though, the United...
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© 2024 MMIT