A $50,000-per-dose threshold for clinician-administered drugs can standardize high-cost identification, while allowing ...

That’s because drug prices and payments are negotiated as part of a package of drugs that are covered by the insurer called a ...

Your health insurance plan includes a list called a formulary -- a directory of the drugs it covers. If you've ever been stunned at how much it cost you to fill a prescription, it’s possible that ...

The digital health market continues to grow exponentially with apps that promote fitness, wellness and the prevention of chronic conditions as well as telehealth solutions and remote monitoring tools.

CVS Caremark will begin offering osteoporosis biosimilars Ospomyv and Stoboclo, as well as generic teriparatide, Bonsity and Tymlos. Like Humira and its biosimilars, Prolia is a specialty drug ...

Prior authorization is a double-edged sword in healthcare — designed to control costs but often delaying care. New CMS rules and insurer commitments aim to streamline the process through electronic ...

With appreciation for feedback from Mark Fendrick, Director of the Value-Based Insurance Design (V-BID) Center at the University of Michigan, and Daneen Seekoni, Vice President of Policy and Advocacy ...

A Medicare Part D formulary is a list of the drugs the plan covers, organized into tiers with different out-of-pocket costs. Many, or all, of the products featured on this page are from our ...

Pharmacy benefit manager Express Scripts is launching a digital health formulary next year: a list of digital health tools, including smartphone apps and software-enabled medical devices, to help ...

Reversing non-formulary status will usually require new data. The message developed in this article is that for products not on a hospital’s formulary, getting on formulary goes beyond what might be ...

Limiting access to non–vitamin K antagonist oral anticoagulants through step therapy and prior authorization may exacerbate current underuse of anticoagulants and increase the risk of stroke in ...