Drug Channels

MARCH 18, 2024

Understand the implementation and future of PDABs with Mallinckrodt and the director of the Colorado prescription drug affordability board and the manager of insurance data science. Cannot be combined with special category rates or other offers. Get an OIG Update on AMP cap removal and potential consequences.

Drug Pricing 78

Drug Pricing 78

pharmaphorum

AUGUST 26, 2020

Health insurer Humana has filed a lawsuit against telemedicine company QuivvyTech that it says resulted in fraudulent prescriptions worth millions of dollars being written for duped customers.

121

121

pharmaphorum

JUNE 16, 2022

HiDoc Technologies has secured a cash injection of $7 million to help with the launch of its Cara Care digital therapeutic for people with irritable bowel syndrome (IBS), and fund a move into additional therapeutic categories.

52

52

Pharmaceutical Technology

DECEMBER 22, 2022

Business Expansion is one of our largest categories and looks at the core functions of business operations within the sector. The Environmental category aims to highlight companies that are undertaking projects that reduce their impact on the natural environment or contribute to its general health. Business Expansion. Innovation.

Diabetes 52

Diabetes Biosimilars Pharmaceutical Companies Pharmaceutical Companies 52

pharmaphorum

MAY 5, 2022

Sidekick also works with health insurance company Anthem, providing digital-based care programmes for members dealing with COVID-19, Crohn’s disease, and other chronic conditions. ” The company said it views oncology and increased personalisation as current high impact areas for the PDTx category. Dr Tryggvi Thorgeirsson.

Health Insurance Companies 52

Health Insurance Companies 52

Ramblings of a pharmacist

APRIL 23, 2023

It’s also an error to believe that health insurers care about their members’ health. In reality, health insurance companies want their fully-insured members to be exactly as healthy and expensive as their actuaries guess that their members are, maybe a tiny bit sicker every year. They do… to a point.

Insurance Coverage and Processing 76

Insurance Coverage and Processing Independent Pharmacies Diabetes Health Insurance Companies 76

pharmaphorum

OCTOBER 12, 2022

Walmart is the latest US retail pharmacy giant to announce its intention of disrupting the clinical trials category, with the launch of a new institute that pledges to increase and diversify community access to healthcare research.

Medical Records 63

Medical Records 63

Pharma in Brief

JUNE 21, 2020

those sold before January 1, 2021, into three categories: Grandfathered (DIN before August 21, 2019), Line Extension (DIN on or after August 21, 2021 for new dosage form/strength of Grandfathered medicine), and Gap (DIN on or after August 21, 2019 and first sale before January 1, 2021).

Biosimilars 40

Biosimilars Generic Medicine Dosage Documentation 40

pharmaphorum

JANUARY 28, 2021

Based on this momentum, we’re making three predictions for 2021: we will see increased competition within individual markets pay off, expansion in the biosimilar channel to include new therapeutic categories, and more regulatory support. We saw great success for the biosimilar category in 2020. About the author.

Biosimilars 118

Biosimilars Insurance Coverage and Processing Drug Pricing Diabetes 118

pharmaphorum

DECEMBER 10, 2021

The cost will likely have to be borne out of pocket however, according to CBS, which cited doctors as saying Vuity would unlikely to get insurance coverage as it is not medically necessary. Its candidate UNR844 (lipoic acid/choline ester chloride) – acquired with Encore Vision in 2017 – works by restoring the elasticity of the lens.

103

103

Pharma in Brief

FEBRUARY 2, 2022

The Panel’s mandate did not include governance structures, financing, patient eligibility, or the interplay between public and private insurance plans. As we previously reported , CADTH convened the Panel to: recommend principles and a framework for developing a pan-Canadian prescription drug list ( i. a formulary); and.

Insurance Coverage and Processing 59

Insurance Coverage and Processing Biosimilars Diabetes 59

pharmaphorum

OCTOBER 7, 2022

When it comes to the horizontal plays, Debong sees two big categories. Yet, the infrastructure for this is often burdensome for everyone involved in these three-way exchanges: the provider waits for the customer, who waits for their insurance, who waits for a document that may never come. “Yet, One is around payment and reimbursement.

Documentation 98

Documentation Diabetes 98

Digital Pharmacist

MARCH 23, 2023

Pharmacy Performance Metrics Medication Adherence: Non-adherence to three chronic disease categories — oral diabetes medications, statins for cholesterol, and hypertension medications — impacts a pharmacy’s adherence score. CMS applies Star Ratings at the plan level, which in turn create performance metrics for their pharmacy network.

Medication Therapy Management (MTM) 52

Medication Therapy Management (MTM) Mail-Order Pharmacies Diabetes HIPAA 52

pharmaphorum

NOVEMBER 16, 2021

In the largest study of its kind, 233,567 individuals’ insurance claims & check up data was analyzed to assess the relationship between glycemic control and natural tooth retention by age group. 126 mg/dl in each 10-year age group, while the FPG categories were set with reference to the WHO’s criteria for impaired fasting glucose.

Diabetes 52

Diabetes Communication 52

pharmaphorum

OCTOBER 19, 2022

In 2018, CVS acquired the insurer, Aetna , and in 2007, the company acquired pharmacy services provider Caremark Rx. After the home visit, the same provider may prescribe medications for pickup at CVS (and the patient’s fees may be covered by their insurer, Aetna). This is not CVS’s first expansion beyond physical store locations.

Communication 52

Communication Vaccines 52

Pharma in Brief

SEPTEMBER 1, 2022

The Amendments also introduced changes to the categories of medicine that benefit from reduced risk-based reporting obligations. The Amendments were intended to lower the prices of patented medicines in Canada.

Packaging 59

Packaging 59

Eye on FDA

APRIL 15, 2020

First, they may represent advances in either safety or efficacy over previous treatments – or they can even be bringing new treatments in a category where there are very few or no viable treatment options. Drugs coming to market are important in several respects.

Vaccines 55

Vaccines 55

pharmaphorum

JANUARY 26, 2021

This is certainly evident in the amount of investment in the category. These moves are bringing Amazon closer and closer to a true end-to-end model, similar to the turnkey solutions offered by the likes of Hims, Ro and others in the category with an original focus on conditions with an associated stigma. About Healthware Group.

Health and Personal Care Stores 141

Health and Personal Care Stores Medication Guidelines Communication 141

Pharmaceutical Technology

OCTOBER 26, 2022

Major inequities are seen in drug development, hospital treatment, and insurance coverage. For example, 37% of Black patients’ high blood pressure was “not well managed” with the Hispanic population following closely behind at 34%, compared to 30% of white patients falling under this category.

Pharmaceutical Companies 64

Pharmaceutical Companies Pharmaceutical Companies Hospitals Drug Development 64

Ramblings of a pharmacist

MARCH 10, 2021

Pharmacies are paid by insurance companies an “ingredient cost” and a “dispense fee.” In commercial insurance (employer and ACA exchanges) and Medicare, the dispense fees are ridiculously low – in some cases even nonexistent.

Independent Pharmacies 40

Independent Pharmacies Diabetes Communication Vaccines 40

FADIC

OCTOBER 24, 2023

This is because these drugs don’t fall within the categories laid out by existing OTC monographs. For prescription medications, the cost will depend on whether you have insurance that covers that drug. The cost can vary significantly depending on factors such as brand, dosage strength, and insurance coverage.

Health and Personal Care Stores 52

Health and Personal Care Stores Insurance Coverage and Processing Labelling Dosage 52

Fuld & Company Blog

MARCH 27, 2023

This means that for people who can get their doctors to prescribe Wegovy for weight loss, many could have the cost covered by their insurance plans. However, it should be noted that this is not a low-cost option, as insurance coverage for the therapy is often limited, leaving patients to pay out of pocket.

Diabetes 52

Diabetes Online Pharmacies Packaging Pharmaceutical Companies 52

Putting Patients First Blog

JANUARY 10, 2024

These resources should aim to clarify insurance terms and concepts, aiding consumers in navigating the complexities of selecting a health plan. Furthermore, to complement these enhancements, it is imperative to integrate comprehensive, user-friendly educational resources on HealthCare.gov.

Insurance Coverage and Processing 40

Insurance Coverage and Processing Communication Documentation Diabetes 40

Eye on FDA

MAY 19, 2020

Moreover, they may have lost their insurance. Women felt a greater sense of unease than men by far in each of these categories, and naturally because of the risk of co-morbidities with COVID-19, the older a person was, the less inclined one was to feel safe.

Communication 54

Communication Inpatient Hospitals 54

Express Pharma

JANUARY 12, 2024

For instance, drug licence is required for each state, separately for each category. Similarly, in case of certain category of drugs/medical treatments, additional approvals from PESO, Atomic Energy Regulatory Board, may be required. The central licence is also required for clinical trials and new drug approvals.

Insurance Coverage and Processing 52

Insurance Coverage and Processing Pharmaceutical Companies Pharmaceutical Companies Health Insurance Companies 52

pharmaphorum

SEPTEMBER 24, 2022

You wave your iPhone over a digital kiosk, instantly uploading your current medical record and insurance information. Apps related to healthcare are a broad, growing category. is not new, with hundreds of apps now populating the category. We take Apple Health here.” Your co-pay is then deducted from a Health Savings Account.

Medical Records 105

Medical Records Diabetes Pharmaceutical Companies Pharmaceutical Companies 105

pharmaphorum

SEPTEMBER 2, 2022

A spokesperson for Boehringer said that Spevigo would be available early next week, but would not diclose the list price for the drug, saying simply that the company is “working closely with insurance companies to gain broad access.”

Labelling 105

Labelling 105

Pharmaceutical Technology

MAY 24, 2023

Every major pharma company is now involved in CGT development which has resulted in the approval of 28 therapies by the FDA thereby making CGT no longer a niche category of therapies. CGT drugs fall into two major categories: autologous and allogeneic.

Labelling 98

Labelling 98

FDA Law Blog: Biosimilars

OCTOBER 29, 2023

With this guidance, the Departments decided to reference the 2019 HRSA Guideline rather than the FDA Birth Control Guide for the range of identified categories of contraception (FAQ Part 54, Q2), stating that plans and issuers must cover without cost sharing at least one form of contraception in each category.

Insurance Coverage and Processing 45

Insurance Coverage and Processing Communication 45

Pharmaceutical Technology

JANUARY 10, 2023

Hailed as a breakthrough, Tzield’s approval marks the first of its kind to be introduced since the discovery of insulin, which won the 1923 Nobel Prize in the category of Physiology or Medicine. Delaying T1D onset today, eradicating T1D tomorrow? Equity in early-stage testing.

Diabetes 98

Diabetes Immunity Immunization Communication 98

pharmaphorum

JANUARY 4, 2023

There are also a number of proposed specific prohibited uses of the data, including advertising or marketing towards health professionals, or use of the data for the purpose of tailoring insurance premiums.

Medical Records 98

Medical Records Hospitals 98

Eye on FDA

MAY 4, 2020

First of all, people have put off care across therapeutic categories, in many cases likely exacerbating their existing conditions. That means that even for those lucky enough to retain their insurance, the options at hand for accessing medical care may be far less than they were before. There are going to have to be changes.

Pharmaceutical Companies 45

Pharmaceutical Companies Pharmaceutical Companies Hospitals Vaccines 45

Viseven

JULY 26, 2022

The top four mHealth app categories are health, productivity, sport, and geo-tracking. Health insurance apps. Digital health app providers added over 90,000 new apps to app stores in 2020. The global mHealth app market size amounted to $38.2 billion in 2021. How mHealth Apps Are Changing Healthcare. A Hospital in a Pocket.

Health and Personal Care Stores 52

Health and Personal Care Stores Dosage Communication Prescription Management 52

HealthPartners

MAY 5, 2021

Imagine a self-insured employer with 1,000 employees – a few unexpected million-dollar pharmacy claims could take them to the brink. Specialty drugs are the high-priced category of medications for rare or chronic diseases. That’s bad news for businesses. The self-funded employer’s No.

Drug Pricing 40

Drug Pricing Mail-Order Pharmacies Pharmaceutical Manufacturing Pharmaceutical Companies 40

The Physician Pharmacist

SEPTEMBER 7, 2023

The only thing I have to say for that is make sure you look very carefully at whatever schools you're applying to, because they all define what counts for different categories in different ways. But not only that, it's just understanding the workflow of a pharmacy and even how insurances work.

Medical Schools 52

Medical Schools Independent Pharmacies Communication Hospitals 52

Pharma Marketing Network

JUNE 8, 2020

So that’s where you see organizations, you know large employers now, it’s been democratized to really any self-insured employer and most you know, I think about two-thirds of the workforce are in self-insured employers’ scenarios. You better get people to a Virginia Mason or a Mayo Clinic or things like that.

Health and Personal Care Stores 40

Health and Personal Care Stores Hospitals Mayo Clinic Specialty Pharmacies 40