Big changes have come to Medicare’s prescription drug coverage, known as Part D, in 2026 that could affect how you pay for ...
In an announcement on November 25, 2025, the Centers for Medicare & Medicaid Services (CMS) revealed the new Maximum Fair ...
As health care moves toward a value-based payment model, the pharmacy benefit is going in the opposite direction, one that places unit cost over clinical appropriateness. Have you ever used your drug ...
Medication formulary policies represent a key determinant of access to medication and can be leveraged to advance pharmacoequity and health equity writ large. Awareness of the presence and ...
Several common drugs will be cheaper next year under Medicare, from weight-loss drug Ozempic to breast-cancer medication ...
Covered drugs are arranged by cost in tiers or levels. Generics are in the lowest tiers and are generally the lowest cost. Coverage and drug lists vary from plan to plan. Plans can change covered ...
Successful formulary system management can help ACOs achieve high quality, low cost objectives across the care continuum. This article targets healthcare leaders choosing to participate in the ...
Transparency, prior authorization, PBM reform and PBM offered genomics testing are some the trends Formulary Watched tracked ...
Starting Jan. 1, 2025, millions of Americans who get their prescription drugs through Medicare could get a major financial break when a $2,000 out-of-pocket spending cap on medications goes into ...
The transition to the Trump-Vance administration is in full swing. Although the specifics of the new administration’s health agenda aren’t clear, some of the first—and most consequential—decisions the ...
The local pharmacy used to be the default place to fill prescriptions, but like just about everything else, technology is ...
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