European Pharmaceutical Review

MARCH 28, 2024

Measuring treatment effect in rare disease populations presents many methodological challenges due to small sample sizes and heterogeneity of the study population. When Aidan’s insurance company denied coverage for EXONDYS, the data she captured overturned the denial in 24 hours without engaging in the appeal process.

Insurance Coverage and Processing 52

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Putting Patients First Blog

MARCH 18, 2024

The NHC supports the development and use of processes and tools that enhance beneficiary experience, making interactions with the MPPP smoother and more intuitive for all beneficiaries. It is vital that communication, both for beneficiaries and for health care providers and pharmacists, adhere to these principles.

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Putting Patients First Blog

MARCH 18, 2024

The NHC supports the development and use of processes and tools that enhance beneficiary experience, making interactions with the MPPP smoother and more intuitive for all beneficiaries. It is vital that communication, both for beneficiaries and for health care providers and pharmacists, adhere to these principles.

Insurance Coverage and Processing 40

Insurance Coverage and Processing Communication Documentation Mail-Order Pharmacies 40

Proxsys Rx

NOVEMBER 8, 2023

Even with her insurance coverage, the co-pay was beyond her means. If it had been a large chain pharmacy, she would have essentially been presented with the option of paying a bill she couldn’t afford — or doing without. Our pharmacists were only too happy to help.

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Insurance Coverage and Processing Hospitals Prescription Filling Specialty Pharmacies 40

Pharmaceutical Technology

FEBRUARY 7, 2023

Launching a new drug can be a risky business, with regulatory approval no guarantee that private, commercial, and government-funded insurers will reimburse it. Meanwhile, in Germany, the AMNOG process is conducted twelve months after the drug is launched, thus giving freedom to the company to set the drug’s price during this period.

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Putting Patients First Blog

JANUARY 27, 2025

However, the scope and complexity of the proposed rule may present implementation challenges. Coverage of Anti-Obesity Medications (AOMs) The NHC applauds CMS for aligning with the medical community and proposing to recognize obesity as a chronic disease and allow Medicare Part D coverage for AOMs.

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Putting Patients First Blog

MAY 29, 2024

1 This trend underscores the importance of informed decision-making for those with chronic diseases and disabilities, who face crucial choices regarding their health care coverage – whether selecting between traditional Medicare and MA, choosing among MA plans, or navigating their selected plan to access necessary care. As of 2023, 30.8

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Putting Patients First Blog

JULY 15, 2024

15): Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity. The DDIWG should actively seek input from individuals with disabilities who also belong to other marginalized groups, such as people of color, LGBTQ+ individuals, and low-income communities. 15 (Directive No.

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Putting Patients First Blog

APRIL 29, 2024

The NHC commends CMS for its work in making these materials understandable – a vital component of beneficiary communication and education. While we find these documents generally well-constructed and accessible, there are opportunities for improvement to ensure they fully convey the MPPP’s intricacies to all beneficiaries.

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The Happy PharmD

SEPTEMBER 15, 2024

This annual report presents insights gleaned from over 79,000 Well-Being Index assessments conducted in 2023, with a particular emphasis on the 2,584 assessments completed by pharmacists. Or perhaps it’s the constant back-and-forth with insurance companies over coverage? Share your thoughts down below!

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Insurance Coverage and Processing Dosage Documentation Communication 52

Pharmaceutical Technology

MAY 26, 2023

In a warning letter for a website distributing stimulants including amphetamines, the FDA highlighted that these websites pose a “significant risk” to US customers as stimulant medications present a high risk for potential abuse. The FDA also caught the latter website selling unapproved and misbranded drugs.

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Putting Patients First Blog

NOVEMBER 12, 2024

General Support for CMS Proposals The NHC commends CMS for its ongoing commitment to advancing health equity, improving access to care, ensuring program integrity, and maintaining affordability through Marketplace coverage. Copay Assistance and Drug Coverage in Large Group Plans Accumulator Adjustment Programs and Cost Sharing.

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Insurance Coverage and Processing HIV Treatment and Prevention Agents Communication Hospitals 52

Pharmaceutical Technology

JUNE 16, 2025

Cell & Gene Therapy coverage on Pharmaceutical Technology is supported by Cytiva. In this report, Cytiva and GlobalData have collaborated to explore the rise of the cell and gene therapy industries, the current state of the market, present and future opportunities for advancement, and the challenges that lie ahead.

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Putting Patients First Blog

SEPTEMBER 9, 2024

15, which enhances standards for collecting and presenting race and ethnicity data across federal agencies, CMS should ensure that its data collection efforts are inclusive and representative of all Medicare beneficiaries. The continuation of audio-only communication options remains essential. CY 2025 PFS proposed rule).

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