STAT

MAY 1, 2025

Shares of Eli Lilly dropped in pre-market trading Thursday, as competitor Novo Nordisk secured a major win on insurance coverage of its obesity drug and as Lilly reported first-quarter earnings that fell short of what investors wanted to see. CVS Caremark, the largest pharmacy benefit manager in the U.S.,

Insurance Coverage 112

Insurance Coverage Insurance 112

Drug Topics

JULY 2, 2025

This schedule also helped dictate insurance coverage of those recommended vaccines.

Vaccines 459

Vaccines Immunization Compounding Communication 459

Drug Topics

JANUARY 4, 2023

Researchers speculate that the disparities among those with private insurance coverage may reflect differences in overcoming hurdles to access, such as prior authorization.

Insurance Coverage 247

Insurance Coverage Insurance 247

Drug Topics

JUNE 25, 2025

Glucagon Prescribing Not in Full Alignment With ADA Guidelines | ADA 2025 Ashley Gallagher June 25th 2025 Article The most frequent barriers to access to glucagon include cost, patient health literacy, and insurance coverage.

Compounding 316

Compounding Insurance Coverage Insurance Specialty Pharmacies 316

Fierce Healthcare

AUGUST 12, 2024

A recent rule by the Centers for Medicare & Medicaid Services (CMS) extending health insurance to children of undocumented immigrants under the Deferred Action for Childhood Arrivals (DACA) pro | A coalition of right-leaning states are calling foul on a recent CMS rule that would expand health insurance for DACA recipients under the Affordable (..)

Insurance Coverage 124

Insurance Coverage Insurance 124

STAT

MARCH 2, 2023

Janice Morales-Ferrer is a planner. It’s helped her get ahead in her career and in raising three young kids. But it’s hard to plan when you’ve got a rare disease, especially one with no standard treatment regimen or predictable outcome. “I’m a data-driven person,” said the 46-year-old Boston area resident.

Insurance Coverage 123

Insurance Coverage Insurance 123

STAT

DECEMBER 20, 2024

This is the first time that Zepbound has been approved for an indication other than weight loss, which could help it gain wider insurance coverage.    Continue to STAT+ to read the full story…

Insurance Coverage 144

Insurance Coverage Insurance 144

Drug Topics

JULY 6, 2025

She warned that changes in vaccine recommendations could impact insurance coverage, patient access, and ultimately public health, particularly for vulnerable populations like low-income children.

Vaccines 343

Vaccines Immunization Insurance Communication 343

STAT

JANUARY 18, 2024

Pear received Food and Drug Administration clearance for its app treating substance use disorders and insomnia but insurers mostly refused to cover the novel treatments. For years, the playbook for many companies that wanted to market digital therapeutics was stupid simple: Sell it like a prescription drug.

Insurance Coverage 137

Insurance Coverage Insurance FDA 137

STAT

MAY 1, 2025

Novo Nordisk secured a major win on insurance coverage of its obesity drug , STAT notes. But the CVS news is a significant step for Novo, as both companies have been trying to broaden insurance coverage, a key hurdle for wider usage. CVS Caremark, the largest pharmacy benefit manager in the U.S.,

Insurance Coverage 116

Insurance Coverage Insurance 116

Fierce Healthcare

AUGUST 30, 2023

GoodRx has launched a new feature to allow healthcare professionals to see the cost of a patient’s prescription with their insurance. | The feature, embedded in GoodRx's provider solution, surfaces a patient’s coverage and benefits at the point of care with the goal of increasing price transparency and access to drugs.

Insurance Coverage 130

Insurance Coverage Insurance 130

STAT

MARCH 29, 2024

And so, another working week will soon draw to a close. Not a moment too soon, yes? This is, you may recall, our treasured signal to daydream about weekend plans. Our agenda is still being formulated, but we do hope to promenade with the official mascots, catch up on our reading, and maybe stare at the telly now and then.

Insurance Coverage 125

Insurance Coverage Insurance 125

Fierce Healthcare

DECEMBER 18, 2024

Healthcare spending reached nearly $5 trillion in 2023, growing by 7.5% from the prior year, according to new data from the federal government. Healthcare spending reached nearly $5 trillion in 2023, growing by 7.5% from the prior year, according to new data from the federal government.

Insurance Coverage 122

Insurance Coverage Insurance 122

STAT

AUGUST 2, 2023

… So many people have turned to drugs used for weight loss that some employers are cutting off insurance coverage to head off climbing bills , The Wall Street Journal reports. We continue to accept postcards and telegrams. Have a smashing day.

Insurance Coverage 98

Insurance Coverage Insurance 98

The Checkup by Singlecare

APRIL 9, 2025

That means patients insured under those plans will likely have their Ozempic prescription covered by insurance for Ozempic s FDA -approved purpose: blood sugar management for Type 2 diabetes. Ultimately, some Aetna members may get insurance coverage for Ozempic ; some may not. Here are just a few: Change insurance plans.

Insurance Coverage 76

Insurance Coverage Insurance Pharmacy Program Director Labelling 76

Pharmacy Times

MAY 12, 2025

Panelists discuss how patients' access to and preferences for PCSK9 inhibitors and other treatments are influenced by factors such as insurance coverage, administration convenience, financial toxicity, and individual health concerns.

Insurance Coverage 65

Insurance Coverage Insurance 65

Pharmacy Times

JULY 19, 2024

More cost effectiveness data is crucial in advocating for better insurance coverage in the United States.

Insurance Coverage 123

Insurance Coverage Insurance 123

Pharmacy Times

JUNE 6, 2024

By improving health insurance coverage and cost of inhalers, such as out-of-pocket caps, access to care can be increased. Some companies are aiming to improve access by implementing price caps.

Insurance Coverage 139

Insurance Coverage Insurance 139

Fierce Healthcare

OCTOBER 26, 2023

Insurance coverage often fails to help Americans avoid medical debt, a new survey from the Commonwealth Fund revealed. Even with health insurance, people are feeling the effects of high medical costs, often cutting back on necessities or delaying care. A new survey shows half of Americans struggle to avoid their healthcare.

Insurance Coverage 137

Insurance Coverage Insurance 137

PharmExec

OCTOBER 2, 2023

Kirsch discusses the complexity of the drugs and the verification process, along with EVERSANA’s new platform, ACTICS eAccess.

Insurance Coverage 115

Insurance Coverage Insurance 115

Fierce Healthcare

JUNE 12, 2024

trillion, according to newly published calculat | Record-high insurance coverage rates from pandemic policies alongside other trends like high utilization pushed health spending past the nominal GDP growth rate in 2023, according to new projections from government actuaries. with projected expenditures of $4.8

Insurance Coverage 126

Insurance Coverage Insurance 126

STAT

FEBRUARY 15, 2023

has access to its Covid-19 shot, regardless of whether they have health insurance coverage. For those lacking sufficient insurance, the company will tap a patient assistance program. The vaccine maker released a brief statement that it “remains committed” to ensuring everyone in the U.S.

Vaccines 145

Vaccines Insurance Coverage Insurance 145

The Checkup by Singlecare

JULY 10, 2025

Although one may seem more expensive than the other, your out-of-pocket cost can depend on several factors, such as your location, choice of pharmacy, and insurance coverage. Does insurance cover Mounjaro? Does insurance cover Ozempic? “ What’s the difference between Mounjaro and Ozempic?

Insurance Coverage 52

Insurance Coverage Insurance Dosage FDA 52

Fierce Pharma

SEPTEMBER 24, 2024

drug prices, the role of insurers and pharmacy benefit managers (PBMs) often commands at least some of the attention. | At the Senate committee hearing on Novo Nordisk's prices for Ozempic and Wegovy, debate around insurance coverage and pharmacy benefit managers took up much of the conversation.

Insurance 109

Insurance Insurance Coverage 109

STAT

SEPTEMBER 17, 2024

   The 51-44 vote on the Right to IVF Act, which would bar state restrictions on the procedure and require insurance coverage, fell short of the 60 votes needed to pass, just as it did in June — and as Democrats expected it would.

Insurance Coverage 118

Insurance Coverage Insurance 118

STAT

NOVEMBER 28, 2023

Continue to STAT+ to read the full story…

Insurance Coverage 142

Insurance Coverage Insurance 142

STAT

MARCH 14, 2024

Damian here with a reminder that my colleague Ed Silverman is hosting a discussion today about the long-awaited arrival of Humira biosimilars and all they portend for drug costs, insurance coverage, and pharma revenues.    Sign up to tune in here. Read the rest…

Insurance Coverage 116

Insurance Coverage Insurance 116

The Checkup by Singlecare

JULY 7, 2025

Many patients wonder if health insurance will help offset their out-of-pocket costs. There’s no definitive answer because insurance coverage depends on your specific health plan. Here’s what you should know about Wegovy coverage if you have a policy from TRICARE , the U.S.

Insurance Coverage 52

Insurance Coverage Insurance Labelling FDA 52

Fierce Healthcare

MARCH 7, 2024

Healthcare policy wins and promises of further action on prescription drug prices, insurance coverage and reproductive care access are primed for the spotlight when President Joe Biden takes the ro | Speech previews from the White House celebrate and call for expansions to the Inflation Reduction Act.

Insurance Coverage 111

Insurance Coverage Insurance 111

The Checkup by Singlecare

JULY 10, 2025

However, the retail price of about $689 for 30, 75 mg tablets of brand-name Gemtesa tablets can be prohibitively expensive without insurance coverage or coupons. But Dr. Sparacino points out that it is still a “costly” drug without insurance coverage. Is a generic for Gemtesa available?

Insurance Coverage 52

Insurance Coverage Insurance FDA 52

STAT

JUNE 26, 2024

Makers of RSV vaccines for older adults saw their plans to try to expand usage hit a significant hurdle on Wednesday, when an expert committee that advises the Centers for Disease Control and Prevention on vaccines recommended changes that will likely see fewer older adults qualify for insurance coverage for these products.

Vaccines 134

Vaccines Insurance Coverage Insurance Immunization 134

The Checkup by Singlecare

JANUARY 2, 2025

The cost of the name-brand version varies , based on pharmacy and health insurance coverage. RELATED: Victoza alternatives How much will generic Victoza cost? Hikma Pharmaceuticals has not announced a price for the new generic liraglutide. Victoza coupons When will generic Victoza be available?

FDA 105

FDA Insurance Coverage Insurance 105

STAT

APRIL 1, 2024

Over the past year, nine biosimilar versions of the medicine were launched by other companies seeking favorable placement on formularies, the lists of drugs for which health insurance coverage is available.

Insurance Coverage 140

Insurance Coverage Insurance 140

STAT

MARCH 14, 2024

What has that meant for insurance coverage and the way drugmakers are marketing these medicines? Several biosimilar versions of Humira, which for years has been the world’s best-selling medicine, entered the U.S. market over the past year. Join leading experts to discuss the impact on the industry and patients.

Insurance Coverage 108

Insurance Coverage Insurance 108

STAT

OCTOBER 6, 2022

Some experts and employers have been concerned that the drug pricing policy reforms that will save money in Medicare could incentivize drugmakers to try to charge more to patients with other forms of insurance coverage.    Continue to STAT+ to read the full story…

Insurance 108

Insurance Insurance Coverage 108

STAT

DECEMBER 28, 2022

The Food and Drug Administration is on track to top its previous records, offering expedited regulatory consideration — and if medical device companies have their way, a streamlined path to insurance coverage — to dozens of novel tools. Continue to STAT+ to read the full story…

Insurance Coverage 98

Insurance Coverage Insurance 98

Fierce Healthcare

JANUARY 29, 2025

Using personalized data and predictive algorithms, the platform generates a custom care plan, which can be analyzed against personal financial data, insurance coverage and healthcare trends to preserve family savings throughout the care journey.

Insurance Coverage 83

Insurance Coverage Insurance 83