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
From Drug Benefit News - A new survey report from the Pharmacy Benefit Management Institute (PBMI) finds that the use of pharmacy deductibles and annual out-of-pocket limits is rapidly rising among employers. Read more
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