Mon.Jan 30, 2023

article thumbnail

COVID-19 Vaccine Prices Set to Surge

Drug Topics

Pfizer Inc. and Moderna Inc. have indicated that they are going to price their shots at between $110 and $130. The shots should still be free to individuals because of rules barring out-of-pocket costs for such vaccinations.

Vaccines 200
article thumbnail

STAT+: Medicare Advantage insurers to repay billions under final federal audit rule

STAT

The federal government will audit Medicare Advantage insurers aggressively under a rule finalized Monday, which is expected to result in billions of dollars in overpayments going back toward Medicare’s trust fund and patients over the next decade. However, federal officials watered down one of the auditing policies by giving insurers seven years of immunity from having the samples of their diagnosis coding errors extrapolated to their broader Medicare Advantage membership.

Insurance 145
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

States Move to Ban Accumulators

Drug Topics

Sixteen states have banned a pharmacy benefit management practice that involves not counting the value of drug copay assistance from manufacturers toward patient deductibles.

187
187
article thumbnail

STAT+: ‘Everybody has blood on their hands’: A decade-long battle over Medicare Advantage audits is coming to a head

STAT

The federal government and health insurance companies have been clashing for more than a decade over how Medicare Advantage plans should be audited and how the well-documented overpayments to those plans should be clawed back. That fight is about to hit an inflection point this week, when Medicare makes a final determination about how aggressively it will probe the industry.

article thumbnail

Position Your Pharmacy for Expansion

Speaker: Chris Antypas and Josh Halladay

Access to limited distribution drugs and payer contracts are key to pharmacy expansion. But how do you prepare your operations to take the next step? Meaningful data: Collect and share clinical data regarding outcomes, utilization, and more Reporting: Limited distribution models require efficient tracking and reporting systems Workflows: Align workflows with specific pharma and payer contractual requirements For in-depth, expert insights on pharmacy expansion, watch this webinar from Inovalon.

article thumbnail

FDA Approves Orserdu for Metastatic Breast Cancer

Drug Topics

Elacestrant, now with the brand name Orserdu, is an oral selective estrogen receptor degrader (SERD), which works by blocking the effects of estrogen on hormone receptor-positive breast cancer cells.

FDA 186
article thumbnail

STAT+: No more ‘playing God’: How the longevity field is trying to recast its work as serious science

STAT

SAN FRANCISCO — “Why is it in popular culture, if you want to live forever, you are evil and you want to kill babies on the side?” says Martin Borch Jensen. It’s fast approaching 10 p.m. on the first night of the J.P. Morgan Healthcare Conference , and among a couple stragglers at a dinner for longevity CEOs, scientists, and investors, the conversation has turned from the practical or merely social to the philosophical.

115
115

More Trending

article thumbnail

STAT+: Pharma wins a key round in a court battle with hospitals over a drug discount program

STAT

In a victory for the pharmaceutical industry, a federal appeals court ruled drug companies have the right to limit discounts to hospitals that rely on numerous contract pharmacies as they participate in a U.S. government drug discount program. The decision was made in response to lawsuits that were originally filed by three large drugmakers — Sanofi, Novo Nordisk, and AstraZeneca — that the federal government was unlawfully interpreting key provisions in the controversial 340B drug

Hospitals 112
article thumbnail

Industry Voices—5 steps to develop an effective 'always-on' patient communication strategy

Fierce Healthcare

Industry Voices—5 steps to develop an effective 'always-on' patient communication strategy hlandi Mon, 01/30/2023 - 18:17

article thumbnail

STAT+: FDA may not always require post-approval trials to be enrolled before accelerated approvals

STAT

WASHINGTON — A Food and Drug Administration official on Monday gave more clues for how the agency plans to wield new authority to make drug companies enroll post-market clinical trials before granting speedy drug approvals.  That new power is part of reforms to the FDA’s accelerated approval path that Congress recently passed. Accelerated approvals allow the agency to provide fast access to drugs for serious and life-threatening diseases by approving them based on test results

FDA 111
article thumbnail

Medicare Advantage plans lose out in final RADV audit rule that ditches fee-for-service adjuster

Fierce Healthcare

Medicare Advantage plans lose out in final RADV audit rule that ditches fee-for-service adjuster rking Mon, 01/30/2023 - 15:36

119
119
article thumbnail

What the FDA's New Dosage Guidance Means for the Future of Clinical Research

Speaker: Dr. Ben Locwin - Biopharmaceutical Executive & Healthcare Futurist

What will the future hold for clinical research? A recent draft from the FDA provides valuable insight. In "Optimizing the Dosage of Human Prescription Drugs and Biological Products for the Treatment of Oncologic Diseases," the FDA notes that "targeted therapies demonstrate different dose-response relationships compared to cytotoxic chemotherapy, such that doses below the Maximum Tolerated Dose (MTD) may have similar efficacy to the MTD but with fewer toxicities.

article thumbnail

Opinion: As it turns 40, the Orphan Drug Act for rare diseases needs a refresh

STAT

This month marks the 40th anniversary of the Orphan Drug Act. Since it was signed into law in 1983, the FDA has approved more than 1,100 treatments for rare diseases. The act also created an industry that didn’t exist in the United States before its enactment, enabling the formation of companies to develop and commercialize therapies for rare diseases.

FDA 104
article thumbnail

In the coming years more retail pharmacy brands will adopt technology to gain a competitive edge

Drug Store News

Investments in pharmacy technology and innovation will be a key differentiator for U.S. drug stores wishing to gain an edge over the competition.

111
111
article thumbnail

Can you live without a thyroid?

The Checkup by Singlecare

Your thyroid is a small, butterfly-shaped endocrine gland that sits on top of the trachea, near the bottom of the neck. The thyroid is like the gas pedal to your body: It’s responsible for bodily processes, including metabolism, growth, and brain development. When functioning normally, the thyroid releases a steady amount of thyroid hormones—triiodothyronine (T3) and thyroxine (T4)—into the bloodstream.

Dosage 98
article thumbnail

President Biden to end Covid-19 emergencies on May 11

STAT

WASHINGTON — President Joe Biden informed Congress on Monday that he will end the twin national emergencies for addressing Covid-19 on May 11, as most of the world has returned closer to normalcy nearly three years after they were first declared. The move to end the national emergency and public health emergency declarations would formally restructure the federal coronavirus response to treat the virus as an endemic threat to public health that can be managed through agencies’ norm

98
article thumbnail

5 Reasons to Upgrade Your Pharmacy Management Software

Are you still using workarounds to manage your daily operations? To achieve peak performance, it's time to explore other options for specialty and infusion pharmacy software. Streamline pharmacy operations and improve clinical performance with automated processing, real-time data exchange, and electronic decision support. Download this helpful infographic to: Drive efficiency and patient adherence from referral receipt to delivery and ongoing care – all with our Pharmacy Cloud.

article thumbnail

Gut Health & My Favorite Probiotic

The Luxe Pharmacist

As many of you know I’ve been on a bit of a health kick since the end of October, so I’m not necessarily creating new resolutions for 2023 when it comes to health. Instead, this year is about continuing my commitment to physical and mental wellness. As a whole this involves obviously many different aspects of my life and daily habits but today I wanted to talk about one area in particular, gut health.

article thumbnail

WHO extends public health emergency over Covid but signals end could come soon

STAT

The World Health Organization announced Monday that the Covid-19 pandemic remains a public health emergency, but signaled strongly that it believes it may be able to lift that designation in coming months. The decision to extend the pandemic’s status as a public health emergency of international concern, or PHEIC, was made on the advice of a committee of outside experts who met Friday to deliberate on the issue.

98
article thumbnail

IQVIA reports global market for medicines to rise to $1.9 trillion by 2027

Drug Store News

The underlying growth rate will be driven by new drug launches and wider use of recently launched brands despite efforts by payers to constrain their budgets, and the impact of lower-cost options.

96
article thumbnail

Opinion: Death by missing data: Uncollected racial and ethnic pandemic data will drive inequities for decades to come

STAT

At every stage of the Covid-19 pandemic, national reporting of racial and ethnic disparities in Covid-19 testing, diagnosis, disease severity, treatment, and vaccination by clinicians, public health organizations, and the media has been marred by frustrating data deficiencies. How bad has the problem been? Far beyond bad.

article thumbnail

Commonwealth Fund: US has lower life expectancy but spends most on health compared to other countries

Fierce Healthcare

Commonwealth Fund: US has lower life expectancy but spends most on health compared to other countries rking Mon, 01/30/2023 - 13:32

111
111
article thumbnail

STAT+: U.K. lawmakers urge Pfizer not to raise the price of its Covid-19 vaccine

STAT

Several U.K. lawmakers have asked Pfizer not to raise the price of its Covid-19 vaccine, citing concerns such a move could strain the U.K. National Health Service and public finances. In a letter to Pfizer chief executive officer Albert Bourla, the lawmakers noted the company plans to raise the price of its shot to $110 to $130 a dose in the U.S. and they asked him to confirm during an upcoming call with Wall Street analysts and investors that Pfizer will not take the same step in the U.K.

article thumbnail

White House plans to end COVID emergency declarations on May 11

Fierce Healthcare

White House plans to end COVID emergency declarations on May 11 hlandi Mon, 01/30/2023 - 22:10

124
124
article thumbnail

STAT+: Gene therapy can transform life for people with hemophilia. But some patients don’t want it.

STAT

Given everything he’s been through, Bobby Wiseman says he should have been dead instead of celebrating the birth of his first grandchild several days ago. Wiseman, 51, who lives near Sacramento, was diagnosed as an infant with hemophilia, the rare genetic disease that prevents blood from clotting. He tested positive for HIV and hepatitis C when he was 11 after catching the viruses from contaminated blood-clotting products.

article thumbnail

CVS Health launches Community Equity Alliance to improve health outcomes in underserved communities

Drug Store News

​​​​​​​Collaborations with Meharry Medical College, Sinai Chicago and Wayne State University will expand access to community health workers and care.

97
article thumbnail

STAT+: FDA names former Oracle executive as new digital health leader

STAT

The Food and Drug Administration has installed Troy Tazbaz, most recently a senior vice president at Oracle, as its new head of digital health. Tazbaz will be the new director of the Digital Health Center of Excellence, according to an update to his LinkedIn profile Monday morning. He’ll take over for Brendan O’Leary, who has been acting director since February.

FDA 95
article thumbnail

Gatorade rolls out 1st energy drink line

Drug Store News

Fast Twitch beverages contain 200 mg of caffeine and were developed in consultation with the NFL and sports performance experts, the company said.

98
article thumbnail

STAT+: Pharmalittle: Pfizer is scolded by U.K. industry group over CEO’s remarks on vaccination; Amgen to lay off 300 U.S. employees

STAT

Good morning, everyone, and welcome to another working week. We hope the weekend respite was relaxing and invigorating, because that oh-so-familiar routine of online calls, meetings, and deadlines has predictably returned. But what can you do? The world, such as it is, continues to spin. So we will try giving it a nudge in a better direction with a cup of stimulation.

article thumbnail

Clinical research in UK could be ‘permanently diminished’, suggests House of Lords

Outsourcing Pharma

The UKâs House of Lords Science and Technology Committee reported the findings from an inquiry into the state of clinical research in the country.

101
101
article thumbnail

FDA approves first BTK inhibitor for lymphoma

European Pharmaceutical Review

Jaypirca (pirtobrutinib) has been approved by the US Food and Drug Administration (FDA), making it the first and only FDA-approved non-covalent (reversible) Bruton’s tyrosine kinase (BTK) inhibitor. It is indicated for adults with relapsed or refractory mantle cell lymphoma (MCL) after at least two lines of systemic therapy, including a BTK inhibitor.

FDA 87
article thumbnail

Tia Mowry launches hair care line

Drug Store News

4U by Tia, a new haircare brand founded by actress and entrepreneur Tia Mowry, is landing exclusively at Walmart.

111
111
article thumbnail

Patients are using social media — clinical trial experts can learn from that

PharmaVoice

Why an alliance of industry leaders is exploring the potential of social media as a treasure trove of real-world patient experience insights.

98
article thumbnail

Spalding Clinical and FDA research dangers of drug-opioid combinations

Outsourcing Pharma

The clinical trial was set up to investigate whether combining opioids with common psychotropic drugs would increase risk of respiratory depression.

FDA 98
article thumbnail

Tech startup Paradigm lands $203M to get more patients into clinical research, accelerate drug trials

Fierce Healthcare

Tech startup Paradigm lands $203M to get more patients into clinical research, accelerate drug trials hlandi Mon, 01/30/2023 - 11:51

98
article thumbnail

Clairol addresses common hair woes with 3 new products

Drug Store News

The new launches include Root Touch Up Color + Volume 2-in-1 Spray, Natural Instincts Bold and Blonde It Up Crystal Glow Toners.

98
article thumbnail

Hospitals faced 'worst financial year since the start of the pandemic' in 2022, Kaufman Hall data show

Fierce Healthcare

Hospitals faced 'worst financial year since the start of the pandemic' in 2022, Kaufman Hall data show dmuoio Mon, 01/30/2023 - 14:44