Drug Topics

APRIL 19, 2024

A Q&A with Joe McKamey, general manager at Marcrom’s Pharmacy in Manchester, Tennessee.

Independent Pharmacies 502

Independent Pharmacies Insurance 502

PhRMA

MARCH 29, 2023

The Patient Experience Survey (PES) series continues to reveal how health insurance is not working as it should for too many Americans — especially vulnerable groups.

Insurance 318

Insurance Documentation 318

Drug Topics

FEBRUARY 15, 2024

Innovation in the vaccine area continues. In 2023, the FDA approved six vaccines, including several important firsts. But they face a difficult landscape where federal policies dictate coverage.

Vaccines 461

Vaccines Insurance FDA 461

STAT

MAY 1, 2025

The conglomerate set aside $448 million in the first quarter to cover medical claims from ACA members that won’t be covered by insurance premiums.  CVS expects to lose up to $400 million this year in its ACA plans.   Continue to STAT+ to read the full story…

Insurance 131

Insurance 131

Drug Topics

JULY 2, 2025

This schedule also helped dictate insurance coverage of those recommended vaccines. Drug Topics: How do ACIP recommendations affect broader aspects of vaccine access and utilization, such as insurance reimbursement or public health programs?

Vaccines 520

Vaccines Immunization Compounding Communication 520

STAT

MARCH 20, 2025

TriCare, the federal health insurer for the military, has temporarily stopped paying the medical claims of pain management device maker Zynex Medical. 

Insurance 113

Insurance 113

PhRMA

OCTOBER 18, 2022

Insurers and pharmacy benefit managers (PBMs) continue to shift more and more costs to patients. For seniors who rely on Medicare Part D, the out-of-pocket costs for medicines can sometimes be a barrier. And a new analysis from the Medicare Payment Advisory Commission (MedPAC) shows why this is a problem that must be addressed.

Insurance 273

Insurance 273

PhRMA

MARCH 12, 2025

Specifically, HCPs raised concerns over how pharmacy benefit managers (PBMs) and insurers inappropriately use utilization management tools, like prior authorization, to deny or delay care, ultimately harming the patient and impacting patient access to care.

Patient Care 298

Patient Care Insurance 298

PhRMA

DECEMBER 14, 2022

A survey of more than 5,000 Americans conducted with Ipsos found that insured Americans want better health care coverage.

Insurance 274

Insurance 274

PhRMA

DECEMBER 8, 2022

A survey of more than 5,000 Americans conducted with Ipsos found that 30% of insured Americans say they face a financial barrier to care, such as unaffordable out-of-pocket costs or a lack of savings to pay for emergency or unforeseen expenses.

Insurance 260

Insurance 260

Drug Topics

JULY 27, 2023

The National Rosacea Society found that a lack of health insurance or the high cost of a copay caused 52% of respondents to avoid obtaining medical care for their rosacea.

Insurance 247

Insurance 247

PhRMA

MARCH 17, 2025

Half of every dollar spent on medicines goes to entities that don’t make medicine—like pharmacy benefit managers (PBMs) and insurers who are aggressively consolidating their control over health care and hospitals, clinics and for-profit pharmacies in the 340B markup program.

Insurance 263

Insurance Hospitals 263

STAT

DECEMBER 11, 2024

A proposed Senate bill that would prohibit companies that control health insurers or pharmacy benefit managers from owning pharmacies rattled investors on Wednesday, but some Wall Street analysts believe the legislation is unlikely to gain much traction, at least for now.

Insurance 127

Insurance Independent Pharmacies 127

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 341

Vaccines Immunization Insurance Communication 341

STAT

MARCH 3, 2025

The Department of Justice is investigating Semler Scientific for possible violations of a federal anti-fraud law related to its marketing of a product known as QuantaFlo, a test used in the diagnosis of peripheral artery disease by UnitedHealth Group and other large insurers.

Insurance 138

Insurance 138

Drug Topics

DECEMBER 19, 2023

Social determinants of health (SDOH), such as financial disparities or lack of insurance, create barriers to accessing breakthrough therapies like BTK inhibitors among patients with CLL and SLL.

Insurance 551

Insurance 551

The Guardian - Pharmaceutical Industry

NOVEMBER 5, 2024

Pharmaceutical’s weight loss pill described as ‘underwhelming’, also piling pressure on share price AstraZeneca shares tumbled on Tuesday wiping £14bn off the value of Britain’s biggest drug maker, after a report that dozens of senior executives at its China unit could be implicated in an insurance fraud case in the country’s pharmaceutical sector.

Insurance 111

Insurance 111

The Checkup by Singlecare

MAY 28, 2025

Fortunately, many insurance plans help cover the cost of Adderall. Ultimately, the persons out-of-pocket price for Adderall depends on several factors set by the insurance provider. Does insurance cover Adderall? Khurana says that health insurance plans are more likely to cover generic drugs when a generic version is available.

Insurance 59

Insurance Insurance Coverage Health Insurance Companies FDA 59

Drug Topics

MARCH 20, 2023

The company also will establish a $35 out-of-pocket price cap for for all patients with commercial insurance that use Latnus

Insurance 468

Insurance 468

Drug Topics

AUGUST 21, 2023

A recent study found that Infants younger than 3 months, those born prematurely, and those who were publicly insured were at a higher risk for intubation.

Insurance 459

Insurance 459

Drug Topics

MAY 25, 2023

Iowa's Department of Health and Human Services, which manages the two health insurers that delivered care to adults and children in the state’s Medicaid program last year, was alleged to provide inadequate mental and behavioral health care to children on Medicaid.

Insurance 468

Insurance 468

Drug Topics

APRIL 27, 2023

The average annual healthcare spending for people with employer-sponsored insurance spending increased from $5,630 in 2020 to $6,467 in 2021. After decreasing in 2020, per person healthcare spending increased 15%.

Insurance 452

Insurance 452

Drug Topics

MAY 8, 2023

A new CDC report on data collected by the Maternal and Infant Network to Understand Outcomes Associated with Medication for Opioid Use Disorder During Pregnancy, indicates that medication for opioid use disorder is more often given to individuals who are White, older, and have private insurance.

Insurance 469

Insurance 469

PhRMA

NOVEMBER 16, 2022

There is only one place in the health care system where middlemen refuse to share negotiated prices with patients, and that’s at the pharmacy counter. A new report reveals how this harmful tactic leads to higher costs for patients.

Insurance 293

Insurance 293

PhRMA

MARCH 2, 2023

Health plans are increasingly using deductibles and coinsurance to shift more of the cost of care to chronically ill patients taking brand medicines.

Insurance 318

Insurance 318

The Checkup by Singlecare

APRIL 4, 2025

Bonjesta costs about $490 without insurance for 30, 20-20 mg extended- release tablets. How much does Bonjesta cost without insurance? The copays for Bonjesta, with insurance and Medicare, vary by plan. Drug costs may be affected by differences in insurance plans and specific drug formularies. RELATED: What is Bonjesta ?

Insurance 52

Insurance Health and Personal Care Stores Insurance Coverage Documentation 52

STAT

DECEMBER 11, 2024

would force the companies that own health insurers or PBMs to divest their pharmacy businesses within three years. Federal Trade Commission , The Wall Street Journal reports. A Senate bill, sponsored by Sens. Elizabeth  Elizabeth Warren (D-Mass.) and Josh Hawley (R-Mo.),

Insurance 109

Insurance 109

The Checkup by Singlecare

JUNE 25, 2025

Although most insurance plans cover medications for opioid use disorder (OUD) to some degree, that coverage varies by formulation and dosage. Here’s what you should know if you need to budget for the cost of buprenorphine without insurance. How much does buprenorphine cost without insurance? mL of 300 mg/1.5 mL of 300 mg/1.5

Insurance 52

Insurance Dosage Insurance Coverage Controlled Substances 52

Drug Topics

APRIL 9, 2024

Brian Rakers, senior vice president of distribution and member support at Pharmacists Mutual Insurance Group, talked cybersecurity during a session at AAP 2024.

Independent Pharmacies 407

Independent Pharmacies Insurance 407

STAT

APRIL 17, 2025

For a decade and a half, Americans have been guaranteed that no matter their health insurer, certain preventive care like cancer screenings are free of charge. That’s because an Affordable Care Act provision has required insurers to fully cover services given an A or B recommendation by an expert task force.

Insurance 140

Insurance 140

Pharmacy Times

JUNE 2, 2025

The CDC has updated its COVID-19 vaccine guidance for children and pregnant individuals, sparking a debate among health experts and concerns over insurance coverage.

Insurance Coverage 141

Insurance Coverage Vaccines Insurance 141

The Checkup by Singlecare

JULY 3, 2025

How much does Veozah cost without insurance? The average cost of Veozah without insurance is about $762 per bottle of 30, 45 mg tablets without insurance. The listed price without insurance references the price of brand-name drugs (unless otherwise specified). Is Veozah covered by insurance? gm of 0.75 gm of 0.75

Insurance 52

Insurance Insurance Coverage Health Insurance Companies Dosage 52

The Checkup by Singlecare

JULY 2, 2025

Without insurance, one 40 gm tube of fluorouracil 5% topical cream costs about $363. How much does fluorouracil cost without insurance? Your cost for fluorouracil may vary depending on your diagnosis, treatment regimen, length, and insurance coverage. Without insurance, it can cost around $233 for a single 40 g tube of cream.

Insurance 52

Insurance Insurance Coverage Chemotherapy Documentation 52

The Checkup by Singlecare

JULY 3, 2025

How much does diltiazem cost without insurance? Without insurance, there is no health plan formulary to restrict your choices. The listed price without insurance references the price of brand-name drugs (unless otherwise specified). As a result, they are typically among the preferred options on health insurance formularies.

Insurance 52

Insurance Dosage 52

The Checkup by Singlecare

APRIL 24, 2025

Without insurance, the average retail price of Actos is $2,111 for 90, 30 mg tablets. How much does Actos (pioglitazone) cost without insurance? Without insurance, the price of Actos can vary depending on the quantity, dosage, and pharmacy you purchase the drug from. Without insurance, Actos costs $2,111 for 90, 30 mg tablets.

Insurance 52

Insurance Mail-Order Pharmacies Insurance Coverage Dosage 52

Drug Topics

FEBRUARY 17, 2025

The Institute for Clinical and Economic Review assessed the formularies of 11 payers, covering 57 million people, to determine access to drugs that the organization had reviewed for cost effectiveness in 2022.

Insurance 247

Insurance 247

Drug Topics

SEPTEMBER 11, 2024

To further understand PBM market concentration, researchers separately analyzed commercial insurance, Medicare Part D, and Medicaid managed care market strategies of the 3 biggest PBMs.

Insurance 346

Insurance 346