payors
Can Manufacturer and Payor Incentives Align?
Pharmaceutical payors generally seek quick evidence that a drug is improving health outcomes, while drug ...
AUGUST 21, 2025
Major Health Plans Will Prefer Humira Biosimilars in 2025
The market dominance of Humira may finally be at an end, as payor formularies make dramatic shifts in favor of ...
NOVEMBER 12, 2024
Formulary Decisions for Ultra–High-Cost Therapies Likely to Shift to Payors
More than three-fourths of respondents to the ASHP 12th annual Pharmacy Forecast believe that formulary and policy ...
DECEMBER 12, 2023
Utilization Management Important to Control Rare Disease Costs
The number and range of products for rare diseases has challenged payors to balance patient access to innovative ...
MAY 5, 2023
NASP Sends Out Grassroots Call To Pharmacists
NASP scored several advocacy victories in the past year, including regulatory action aimed at preventing the growth ...
FEBRUARY 15, 2023
Navigating Legal Pitfalls in Payor– PBM Networks
The price of failing to accurately navigate specialty pharmacy networks can range from one-year bans to attracting ...
OCTOBER 7, 2022
Magellan Rx Reports Millions in Savings From Onc Biosimilars
Biosimilars for oncology are gaining ground, with more payors implementing strategies to cover them and large ...
AUGUST 15, 2022
How a Specialty Pharmacy’s Limited Distribution Drug Expertise Benefits Payors
Limited distribution drugs are high-touch medications to which only a handful of specialty pharmacies have access. ...
FEBRUARY 25, 2022
Is Rx Utilization Worth It at $100 Billion/Year?
Drug utilization management programs cost physicians, patients, drug manufacturers and payors who impose these ...
OCTOBER 6, 2021
Home Infusion Audits, Low Pay: Action Needed
Home infusion pharmacy clinicians can make the most of reimbursement opportunities and minimize risk in payor ...
MAY 15, 2021
Tapping Into ICD-10 Data Streamlines SP Care
Specialty pharmacists at AllianceRx Walgreens Prime’s nine locations received more than a half-million data ...
FEBRUARY 26, 2021
Data One Key to a Successful Specialty Launch
Hospitals and health systems are building and expanding their own specialty pharmacies, and with good reason, ...
DECEMBER 4, 2020
