On January 10, 2022, guidance was released requiring group health plans and insurers to cover over-the-counter (OTC) COVID-19 diagnostic tests for members without cost sharing…
Utilization management (UM) programs are a vital tool in the clinical and cost management of drugs. These programs are offered in various forms by most…
Implementations can drastically impact overall satisfaction with a pharmacy benefit manager (PBM). Here are focused insights on how satisfied plans were with their PBM implementations.
Would you be surprised to learn specialty drug trend slowed in 2020 compared to recent years? Unfortunately, we know that the pandemic likely impacted trend…
CVS Health (CVS) announced their 2022 formulary changes, both exclusions and additions, stating the focus of their formulary strategy continues to be “providing access to…
In recent weeks, Express Scripts (ESI) released their list of January 1, 2022 formulary changes for their National Preferred Formulary and National Preferred Flex Formulary.
The FDA approval of Aduhelm on June 7, 2021, sparked both concern and confusion among stakeholders. There was skepticism that patients in all stages of…
Express Scripts has announced its formulary changes effective July 1, 2021. These changes result from their constant evaluation of the clinical and economic value of…