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Are Part D Plans Jumping the Gun on Restrictive Formularies?

 
• By Michael McCaughan

CMS is seeing a surprising number of requestss from Part D plan sponsors to drop coverage of some drugs in mid-year. CMS frowns on such changes, and the agency isn't sure why it is seeing so many requests. Manufacturers better get used to it, though: tighter formularies are coming to Medicare.

The Centers for Medicare & Medicaid Services is seeing an unexpected increase in the number of mid-year formulary changes being implemented by Medicare prescription drug plans in 2007.

CMS Center for Beneficiary Choices Director Abby Block told a Medicare operations conference sponsored by America’s Health Insurance Plans on...

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HTA Expert Warns Of Escalating Measures If Pharma Fails To Tame Prices

 
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Too many “uninformative” drug trials fail to justify the excessively high prices of many medicines, while there is too much evidentiary uncertainty in European pricing and reimbursement systems, warned Anja Schiel from Norway’s NOMA.

Alzheimer’s Drug Leqembi May Be On Course To India, Kisunla In The Wings

 
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Blenrep’s Comeback Continues As England Becomes First To Fund Drug

 
• By Eliza Slawther

Blenrep, GSK’s multiple myeloma therapy, faced a major setback when it was withdrawn from the market in 2022. The drug has since made a return as a second-line therapy, and is on track to being reimbursed in England.

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Kisunla Back In The Spotlight As EMA Reconsiders Alzheimer’s Drug Rejection

 
• By Eliza Slawther

It appears that the European Medicines Agency is making progress on its re-examination of Eli Lilly’s Alzheimer’s disease drug Kisunla, following an initial rejection in March based on safety concerns.

Canada Joins Global Push To Drop Costly Clinical Trials For Biosimilars

 
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Alzheimer’s Drug Leqembi May Be On Course To India, Kisunla In The Wings

 
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