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 125

Insurance Coverage Insurance 125

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. The bankruptcy of Pear Therapeutics last year proved that selling software-based treatments like drugs is harder than anticipated.

Insurance Coverage 138

Insurance Coverage Insurance FDA 138

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

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 117

Insurance Coverage Insurance 117

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 125

Insurance Coverage Insurance 125

The Checkup by Singlecare

APRIL 9, 2025

People with Type 2 Diabetes have many treatment options these days, though not all are covered by insurance. It is often covered by insurance when prescribed for diabetes (not weight loss ). However, not all insurance plans cover Ozempic and when it is covered, the coverage amount may vary by provider and plan.

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Insurance Coverage Insurance Pharmacy Program Director Labelling 76

STAT

MARCH 29, 2024

health insurers have agreed to start paying for the Wegovy weight-loss drug for certain people on Medicare with heart conditions, The Wall Street Journal reports. If you prefer to look ahead, you could plan a summer getaway or, if ambition overcomes you, maybe the rest of your life. Well, whatever you do, have a grand time. But be safe.

Insurance Coverage 127

Insurance Coverage Insurance 127

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

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 ?

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Insurance Health and Personal Care Stores Insurance Coverage Documentation 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.

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Insurance Mail-Order Pharmacies Insurance Coverage Dosage 52

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. The outlays are straining the finances of some plans, including those funded by employers.

Insurance Coverage 98

Insurance Coverage Insurance 98

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

The Checkup by Singlecare

MAY 15, 2025

Without insurance, the cost of ivermectin is $157 for 20, 3 mg tablets. How much does ivermectin cost without insurance? The cost of ivermectin without insurance can vary based on several factors, such as the quantity, dosage, and pharmacy. Ivermectin is usually covered by commercial insurance or Medicare Part D plans.

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Insurance Mail-Order Pharmacies Insurance Coverage Dosage 52

The Checkup by Singlecare

DECEMBER 30, 2024

Without insurance, the average retail price for two FreeStyle Libre 3 Plus sensors, a 28-day supply, is $232. The price without insurance adds up to just over $3,000 for one year. Is FreeStyle Libre 3 covered by insurance? Insurance plans are different and may or may not cover the FreeStyle Libre 3 Plus sensor.

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Insurance Insurance Coverage FDA 52

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

The Checkup by Singlecare

DECEMBER 2, 2024

Plus, we’ve got tips on how to save, even if you don’t have insurance. How much does Combivent Respimat cost without insurance? For people who don’t have insurance or Medicare—or whose plans don’t cover Combivent Respimat—the average retail price is $636 for a 4 gm of 20–100 mcg/act inhaler with 120 inhalations. Many times, yes.

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Insurance Insurance Coverage Dosage FDA 52

The Checkup by Singlecare

JANUARY 10, 2025

NP Thyroid costs about $59 without insurance for 30, 60 mg tablets. Is NP Thyroid covered by insurance? In fact, NP Thyroid has not been through the FDA approval process, which is likely why many health insurance plans exclude it or require additional steps for coverage. How much does NP Thyroid cost without insurance?

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Insurance Insurance Coverage Pharmaceutical Companies Pharmaceutical Companies 52

The Checkup by Singlecare

APRIL 9, 2025

Without insurance, Depakote costs $769 for 90, 500 mg delayed-release tablets. How much does Depakote cost without insurance? Without insurance, the price of Depakote may vary depending on certain factors. Without insurance, the price of Depakote may vary depending on certain factors. RELATED: What is Depakote?

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Insurance Mail-Order Pharmacies Insurance Coverage Dosage 52

The Checkup by Singlecare

APRIL 29, 2025

How much does Cequa cost without insurance? The exact cost of Cequa without health insurance will vary, depending on which pharmacy is used. The listed price without insurance references the price of brand-name drugs (unless otherwise specified). In other words, coverage for this brand-name medication is not assured.

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Insurance Insurance Coverage Immunization 52

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

STAT

OCTOBER 6, 2022

WASHINGTON — Democrats’ drug pricing law will still penalize drugmakers if they hike prices on medicines for patients who have private insurance, a top Medicare official said Thursday.    The penalties may factor into drugmakers’ decisions about how to price their medicines as the new law begins to take effect.

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Insurance Insurance Coverage 110

STAT

JUNE 1, 2023

Having insurance coverage alone doesn’t guarantee that people can afford or would be willing to pay continuously for chronic disease medications like Ozempic, a new, large-scale study finds.

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Insurance Insurance Coverage 98

The Checkup by Singlecare

MARCH 11, 2025

Without insurance, Zonisamide costs about $92 for 60, 100 mg capsules. Without insurance, the average retail price of the Zonegran brand is higher than that of the generic. Is zonisamide covered by insurance? Most insurance plans cover zonisamide , but the copay amount will vary by plan.

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Insurance Insurance Coverage FDA 52

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

The Checkup by Singlecare

APRIL 14, 2024

Without insurance coverage, Rexulti’s average price is around $1,926 for a 30-day supply. Is Rexulti covered by insurance? Insurance is often the go-to option for reducing prescription drug costs. The drug’s FAQs state that 97% of health insurance plans nationwide will cover it. What is the generic for Rexulti?

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Insurance Insurance Coverage FDA Dosage 98

The Checkup by Singlecare

APRIL 18, 2025

How much does Plenvu cost without insurance? Is Plenvu covered by insurance? The average copay for Plenvu may vary depending on what type of insurance plan you have and your level of coverage. The best way to find out is to call your insurance company and ask whether it is covered under your plan.

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Insurance Dosage Insurance Coverage Community Pharmacies 52

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 127

Insurance Coverage Insurance 127

The Checkup by Singlecare

MARCH 8, 2024

Is Restasis covered by insurance? | How much does Restasis cost without insurance? | How to get Restasis without insurance Restasis is a prescription eye drop with the active ingredient cyclosporine approved by the U.S. Is Restasis covered by insurance? Restasis is typically covered by private insurance and Medicare.

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Insurance Insurance Coverage Compounding FDA 98

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.

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Vaccines Insurance Coverage Insurance 145

pharmaphorum

NOVEMBER 25, 2021

Health insurance is not enough to provide the necessary affordable access to care for the US’ most vulnerable, finds new PhRMA report. For too many Americans, insurance coverage is not providing the health security it’s meant to. Out of pocket costs. Importantly, these “systematic challenges” are not confined to the uninsured.

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Insurance Insurance Coverage 116

The Checkup by Singlecare

AUGUST 20, 2024

Without insurance, the cost of Stiolto Respimat can be over $600 per month. For many people, the retail price of Stiolto Respimat can make getting treatment difficult without insurance coverage. Is Stiolto Respimat covered by insurance? Yes, some insurance companies may include Stiolto Respimat in their coverage plans.

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Insurance Insurance Coverage Health Insurance Companies FDA 98

STAT

JANUARY 31, 2023

Underscoring the opaque and confusing nature of pharmaceutical pricing, Amgen announced long-awaited pricing for its biosimilar version of Humira – the world’s best-selling medicine – and the numbers suggest the biggest winners may be health insurers and others in the supply chain, but not patients.

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Insurance Insurance Coverage Pharmaceutical Companies Pharmaceutical Companies 98

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.

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Insurance Insurance Coverage 80

The Checkup by Singlecare

MARCH 25, 2025

Without insurance, the average retail price of lacosamide is $1,067 for 60, 100 mg tablets. How much does lacosamide cost without insurance? The cost of lacosamide may vary depending on the dosage, quantity, pharmacy you purchase from, insurance plan, and the plans drug formulary. Related: What is lacosamide?

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Insurance Mail-Order Pharmacies Insurance Coverage Independent Pharmacies 52

The Checkup by Singlecare

JUNE 28, 2024

Although some healthcare providers prescribe Ozempic off-label for weight loss, insurance often won’t cover Ozempic for these uses unless it’s medically justified and no alternative treatments exist. We’ll explain when insurance covers Ozempic and how to advocate for coverage. When does insurance cover Ozempic for weight loss?

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Insurance Insurance Coverage Labelling Medical Records 96

PharmExec

OCTOBER 2, 2023

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

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Insurance Coverage Insurance 115

The Checkup by Singlecare

AUGUST 31, 2023

Is Mounjaro covered by insurance? | How much does Mounjaro cost without insurance? | How to get Mounjaro without insurance Mounjaro (tirzepatide) is a brand-name prescription drug FDA-approved to control blood sugar levels in people with Type 2 diabetes. Only some insurance providers will cover it. mL of 5 mg/0.5

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Insurance Compounding Insurance Coverage Labelling 98