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In an interview, Cherokee Layson-Wolf, PharmD, BCACP, FAPhA, professor of practice, sciences, and health outcomes research at the University of Maryland, explored the evolving landscape of vaccine recommendations, emphasizing the critical role pharmacists play in guiding patients through complex medical information.
In an interview on vaccine recommendations, health care professionals expressed growing concerns about the changing landscape of medical information dissemination. In an interview on vaccine recommendations, health care professionals expressed growing concerns about the changing landscape of medical information dissemination.
The shift away from thimerosal may increase the use of single-dose syringes, impacting vaccination practices in various healthcare settings. ACIP's recommendations are increasingly significant for pharmacies, influencing vaccination planning, billing, and patient care activities.
June 13, 2025 Share Copy Link Share on X Share on Linkedin Share on Facebook GSK’s vaccine leverages GMMA technology. GSK has licensed altSonflex1-2-3, its Shigella vaccine candidate, to Bharat Biotech for continued development and distribution in low and middle-income nations. Credit: viewimage/Shutterstock.
Using real-world data to support vaccine outreach and education Buy Reports Newsletters PT News GSK’s world-first gonorrhoea vaccine launched in England The immunisation programme aims to reduce rising gonorrhoea rates and address antibiotic-resistant strains. GSK’s 4CMenB is not a newly approved vaccine.
The Department of Health – Abu Dhabi (DoH) and Sanofi have signed a memorandum of understanding (MoU) to bolster vaccine development by leveraging local health-tech ecosystems and research infrastructure. Credit: Department of Health Abu Dhabi. Give your business an edge with our leading industry insights.
They look at the list and they prioritize who they want to take on and who they don't want to take on based on their insurance plan and their drugs. That's dependent upon their insurance plan and the medications they use. Reimbursements are a lot better in vaccines than it is in just filling scripts.
PBMs are more powerful and influential than ever as they become extensions of major health insurers, acquire independent pharmacies, and create new business lines to funnel prescriptions through. Today, the 3 largest PBMs control 80% of the prescription drug market, smothering the competition that is needed to keep oversteps in check.
Most MTM platforms use health plan adjudication data, allowing pharmacists to see any medication billed through the patient’s insurance, even if it was not filled at their pharmacy. Newsletter Stay informed on drug updates, treatment guidelines, and pharmacy practice trends—subscribe to Pharmacy Times for weekly clinical insights.
These third-party administrators act as intermediaries between drug manufacturers, pharmacies, and insurance companies. These deserts reduce access to critical health care services, such as vaccinations, health screenings, and point-of-care testing. Additionally, the role of pharmacy benefit managers (PBMs) cannot be overlooked.
Kevin Cleveland, PharmD, professor at Idaho State University, explores the potential impacts of changes to the Advisory Committee on Immunization Practices (ACIP), highlighting concerns about shifting medical guidance and vaccine recommendations. Cleveland: So I'll start as a provider.
The most common concerns include the following 1,3-5 : • Cost and insurance barriers: Affordability remains a major barrier, as patients have difficulty accessing CGMs due to high out-of-pocket costs or limited insurance coverage. PLOS Digit Health. 2022;1(10):e0000104. doi:10.1371/journal.pdig.0000104 Subscribe Now!
3 Her program focuses on an appointment-based model and has a cash-based payment model, although they are able to bill some insurances for the visit. 2018.203609 Newsletter Stay informed on drug updates, treatment guidelines, and pharmacy practice trends—subscribe to Pharmacy Times for weekly clinical insights. Am J Public Health.
Key best practices include maintaining up-to-date insuranceinformation, implementing pre-adjudication edits in dispensing software, and working closely with RCM experts who understand the intricate pharmacy reimbursement landscape.
Christopher Ho, PharmD, BCPS, manager of pharmacy telehealth team at Northwell Health, pointed out that many patients with HFpEF are older and lack commercial insurance, making it harder to access branded therapies. Behind the scenes of TOPCAT – bending to inform. The emerging epidemic of heart failure with preserved ejection fraction.
Additional considerations for selection between oral cephalosporin agents include differences in bioavailability and absorption, specific site of infection and the ability of drug to concentrate at that site, local resistance patterns, insurance coverage, available formulations, and cost to the patient. Arthritis Care Res ( Hoboken ).
1 For these reasons, the authors conducted this study to evaluate the clinical success and patient outcomes following the mandatory conversion from Humira to a biosimilar because of insurance-related restrictions. Hyrimoz — adalimumab-adaz. Accessed June 26, 2025. Subscribe Now!
Kennedy Jr signed to adopt the CDC's Advisory Committee on Immunization Practices (ACIP) recommendations to remove mercury-based thimerosal from all influenza vaccines distributed in the United States. Kennedy, Jr, endorses ACIP's decision to eliminate thimerosal from US influenza vaccines, prioritizing public health and safety.
Because] insurance and cost barriers can be difficult for patients, pharmacists can help patients navigate copayment programs and the prior authorization process.” In addition to efficacy and safety, the investigators aim to provide valuable information on functional capacity and survival in this open-label extension. Subscribe Now!
Pharmacists are pivotal in patient counseling, therapy selection, and navigating insurance challenges, ensuring comprehensive diabetes management. She also noted the insurance considerations, including involvement with formularies and prior authorization, that come into play when making these decisions.
This change mirrored a January 2025 FDA safety alert and label update that urged providers to consider genetic testing, inform patients of the risks, and discuss available options. Real-World Evidence, Emerging Therapies, and Demonstrating Value Technological advances are accelerating this progress. Accessed July 21, 2025. link] Roses AD.
Second, it does not address the core issues of higher prices, such as the use of rebates by insurers. Because Ned Said: New Technology Helps Prevent Opioid Overdose Newsletter Stay informed on drug updates, treatment guidelines, and pharmacy practice trends—subscribe to Pharmacy Times for weekly clinical insights. Subscribe Now!
Treatment selection is influenced by insurance, cost, and patient-specific factors due to the lack of direct RCT comparisons. 7 Based on a lack of head-to-head randomized clinical trials (RCTs), selection of the most appropriate VMAT2 inhibitor is routinely related to insurance approval, affordability, and patient-specific characteristics.
Drug tracking data, purchasing information, and usage trends can all be meaningfully applied to build models that generate actionable insights that enhance efficiency, ensure that therapies are available when and where they are needed, enable smarter inventory control, and improve predictive analytics.
And we also manage drug–drug interactions, verify vaccines are up to date, educate care teams on premedications to prevent infusion-related reactions. We connect patients with [teplizumab] compass navigators to help with insurance approvals in a copay program, logistics, and patient education. You can find that online. Subscribe Now!
How will RFK Jr’s American dream for vaccines play out? Subscribe Visit our Privacy Policy for more information about our services, how we may use, process and share your personal data, including information of your rights in respect of your personal data and how you can unsubscribe from future marketing communications.
That means that pharmacists in the twilight of their career have, at some point, filled a prescription, engaged in drug utilization review, filed insurance claims, and counseled per the Omnibus Budget Reconciliation Act of 1990 regulations for many of the products now found in front of the counter. Am J Health Syst Pharm. 2024;81(14):583-598.
Goldman and Isaacs emphasize the importance of identifying at-risk patients through various health care touchpoints, including doctor's offices and pharmacies, and advocate for routine glucagon prescription and insurance coverage. But I also think everyone should have a ready-to-use cover on their insurance. Subscribe Now!
Getting this passed would mean broadening coverage within CMS, and then, hopefully, private insurers would follow suit. CMS leads the way when it comes to new therapies and approval, so hopefully, this means broadening access to both private and government-based insurers. Subscribe Now!
Pharmacy Times: How do you approach dose adjustments or discontinuation of rilonacept therapy, and what information or insights from the pharmacist team are valuable in making these decisions? Sean Krohn : We sometimes receive inquiries from patients, as well as some health care providers, about when patients can stop rilonacept.
They might think of a pharmacist counting pills all day and dealing with insurance companies. Multitasking You may have to handle different tasks throughout the day, including educating patients, speaking with healthcare providers, running patient screenings or vaccinations , and taking care of insurance problems.
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Someone ended up donating a car, and they used the money to buy tires and insurance. Bridging Gaps in Pharmacy Access Newsletter Stay informed on drug updates, treatment guidelines, and pharmacy practice trends—subscribe to Pharmacy Times for weekly clinical insights. The patient was moving away and did not have a car. Subscribe Now!
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Using real-world data to support vaccine outreach and education Buy Reports Newsletters PT News MAXONA Pharma seeks FDA approval for pain relief MAX-001 MAX-001 provides both rapid onset and extended duration of analgesia. Give your business an edge with our leading industry insights.
Using real-world data to support vaccine outreach and education Buy Reports Newsletters PT News EpiPen patent expiry opens new era for innovation The expiration of Viatris’s EpiPen patent in September 2025 will likely result in increased competition and lower costs in the epinephrine delivery space.
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How will RFK Jr’s American dream for vaccines play out? Subscribe Visit our Privacy Policy for more information about our services, how we may use, process and share your personal data, including information of your rights in respect of your personal data and how you can unsubscribe from future marketing communications.
Subscribe Visit our Privacy Policy for more information about our services, how we may use, process and share your personal data, including information of your rights in respect of your personal data and how you can unsubscribe from future marketing communications. Give your business an edge with our leading industry insights.
How will RFK Jr’s American dream for vaccines play out? Subscribe Visit our Privacy Policy for more information about our services, how we may use, process and share your personal data, including information of your rights in respect of your personal data and how you can unsubscribe from future marketing communications.
Using real-world data to support vaccine outreach and education Buy Reports Newsletters PT News Sandoz bolsters in-house biosimilar manufacturing with Evotec acquisition The generics specialist will acquire Just – Evotec Biologics’ biosimilar development and manufacturing plant for $300m.
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