Pharmacy Benefit Management

From Specialty Pharmacy News - A recent policy change by UnitedHealthcare (UHC) clarifies who can provide genetic counseling before its members undergo a BRCA test. The decision prompted pushback from the American College of Obstetricians and Gynecologists and the American Congress of Obstetricians and Gynecologists, known collectively as ACOG. The objection, however, may not necessarily be warranted in UHC’s case, although it may be in the case of other insurers’ policies. Read more

From Specialty Pharmacy News - After the FDA approved the first biosimilar, Sandoz Inc.’s Zarxio (filgrastim-sndz), last March, many industry experts believed the experience would help the agency work through any potential issues with approving these drugs. But even though the agency has accepted applications for other drugs seeking to come onto the U.S. market through the 351(k) pathway, it has yet to actually approve any other ones. While many payers are planning their management… Read more

Pharmacy Benefit Management Blog

By Lauren Flynn Kelly - February 9, 2016
From HHS’s multipronged effort to combat opioid abuse, to the somewhat controversial draft prescribing guidelines recently posted by the U.S. Centers for Disease Control and Prevention (CDC), the federal government appears to be tightening its focus on a worsening epidemic. Now, the FDA says it is...
By Angela Maas - January 7, 2016
The FDA recently pointed out that its Center for Drug Evaluation and Research (CDER) approved 45 novel new therapies in 2015, which is more than in any other year. The PCSK9s arguably received the most attention, mainly due to their higher-than-expected annual price tags. But other noteworthy...
By Lauren Flynn Kelly - December 22, 2015
2015 was an unforgettable year for pharmaceuticals as the actions of a few bad actors thrust pricing practices into the spotlight. But drug pricing wasn’t the only hot topic this year, as the following roundup of some of the most widely read Drug Benefit News stories will show. “Pending Catamaran-...

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