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STAT+: Tennessee officials find Express Scripts violated law governing commercial pharmacy claims

STAT

In an unusual move, an audit of commercial health plans by Tennessee officials found that Express Scripts, one of the largest pharmacy benefit managers in the United States, violated state laws in its dealings with pharmacies, according to newly released documents.

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Deucravacitinib Shows Joint, Skin Symptom Improvements in Psoriatic Arthritis

Drug Topics

The study cohort included 670 patients who were diagnosed with PsA of at least a 3 month duration and have active plaque psoriatic skin lesions or a documented medical history of plaque psoriasis. READ MORE: Significant Knowledge Gap Exists in Patient Awareness of Psoriatic Disease The study found that 54.2%

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Significant Knowledge Gap Exists in Patient Awareness of Psoriatic Disease

Drug Topics

This led researchers to explore a specific region of the world in order to better document patients’ understanding of the disease. The prevalence of psoriasis in the Gulf countries is not well-documented; however, recent studies suggested that psoriasis affects 0.5%-5.3%

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Obesity Medication Use Remains Low Among Children | ADA 2025

Drug Topics

image credit: syahrir / stock.adobe.com While data shows that obesity has been on the rise among children in recent history, the overall complications spurred on by childhood obesity have been well documented. 1 “Guidelines recommend treating obesity with medications and lifestyle changes.”

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Piloting the PQA Specialty Pharmacy Turnaround Time Quality Measure

PQA

The use of specialty medicine has grown rapidly in recent decades, fueling parallel growth in the number of specialty pharmacies that serve patients who are prescribed specialty medications. Results of this work were published in the Journal of Managed Care & Specialty Pharmacy in October 2022.

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Does Blue Cross Blue Shield cover Zepbound?

The Checkup by Singlecare

When Zepbound is covered, prior authorization is usually required, and the patient may need to meet clinical requirements such as a BMI of 30 or more or a BMI of 27 or more with a comorbid condition like hypertension or Type 2 diabetes, and documented weight management efforts like a low-calorie diet and increased physical activity.

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Does Blue Cross Blue Shield cover Mounjaro?

The Checkup by Singlecare

Some specialty pharmacies will create their own version of Mounjaro, known as compounded tirzepatide. You can also log in to your health insurance portal to access policy documents. The two you want to look for are the drug list (also called a formulary, pharmacy benefits document, or PDL) and the summary of benefits.