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.

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pharmaphorum

AUGUST 31, 2021

Christopher Boone, global head of health economics and outcomes research at AbbVie, advises: “Evidence generation in drug development is ripe for innovation in the digital era and the expanded use of real-world evidence presents a clear enabler to saving time and money.

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Insurance Coverage and Processing Drug Development Documentation Labelling 73

pharmaphorum

OCTOBER 7, 2021

. “This book represents an update to the volume published in Italy at the beginning of 2021, as well as a more international vision of the Digital Therapeutics theme and a new chapter dedicated to the ethical aspects of the development and use of these products.

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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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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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Putting Patients First Blog

APRIL 29, 2024

Communication and Transparency Clear Communication : We emphasize the need for documents to clearly and effectively communicate the nuances of the MPPP to beneficiaries, aiding in their decision-making process.

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Putting Patients First Blog

JULY 3, 2023

We encourage the CMS to engage providers and patients in this process to decrease the overall burden on and encourage provider participation. All the alignment of quality measures will not benefit patients if they are not transparent and presented in a way that is usable to the public.

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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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The Thyroid Pharmacist

AUGUST 4, 2023

In fact, it’s present in up to 55 percent of the European population, is naturally occurring, and often has no negative health consequences – unless expressed. [1] Unfortunately, synthetic folic acid can be highly problematic for individuals with the MTHFR gene variation, as they may have a difficult time processing this form of folate.

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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. Similarly, updating the Explanation of Benefits to include visual aids and examples will clarify MPPP’s impact on cost-sharing and coverage.

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Insurance Coverage and Processing Communication Documentation Mail-Order Pharmacies 40

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. Similarly, updating the Explanation of Benefits to include visual aids and examples will clarify MPPP’s impact on cost-sharing and coverage.

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Insurance Coverage and Processing Communication Documentation Mail-Order Pharmacies 40

Putting Patients First Blog

JULY 15, 2024

15): Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity. Too often the formal notice and comment process does not reach these marginalized communities and federal agencies must actively work to seek their input in non-traditional ways. 15 (Directive No.

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Health and Personal Care Stores Insurance Coverage and Processing Communication Documentation 52

Big Molecule Watch

AUGUST 25, 2023

Congress left Medicare drug pricing to the drug manufacturers, pharmacies, and insurance plan sponsors to determine, and expressly prohibited the government from “interfering” in those private price negotiations under the so-called “Non-Interference Clause” of the Medicare Modernization Act of 2003.

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Express Pharma

JULY 29, 2024

Shield is also the first blood test for CRC screening that meets the requirements for Medicare coverage. Commercial insurance coverage for patients eligible for CRC screening will continue to expand following anticipated future guideline inclusion by the American Cancer Society and the U.S. 4 The CRC screening rate in the U.S.

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STAT

MARCH 26, 2024

The evidence presented itself early this morning as the official mascots dashed about the grounds to bark about passersby, and a steady parade of driving machines could be seen from our window. ” While out-of-pocket caps on insulin indeed cut down on costs for commercially insured patients in the U.S.,

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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. CY 2025 PFS proposed rule). In line with the recent revisions to OMB’s Statistical Policy Directive No.

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Pharma in Brief

FEBRUARY 2, 2022

In a recently published discussion paper , an Advisory Panel (the Panel ) convened by the Canadian Agency for Drugs and Technologies in Health ( CADTH ) presents a proposed framework for a potential pan-Canadian formulary. In Canada, coverage for prescription drugs exists through an array of public and private drug plans. Background.

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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

PharmaShots

MAY 24, 2023

The chart depicts data till 10th May 2023) Product Dashboard PharmaShots has created a product dashboard that presents key metrics and data on Trikafta/Kaftrio in a visual format. Limited Coverage: Insurance coverage and reimbursement policies may vary, leading to potential barriers for some patients in accessing Trikafta.

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Insurance Coverage and Processing Hospitals Dosage Pharmaceutical Companies 56

The Thyroid Pharmacist

JULY 28, 2023

I’ll specify which tests are usually covered on insurance if you have a willing practitioner that can bill insurance, which tests can be self-ordered and then submitted to insurance, and which ones are usually an out-of-pocket expense that you may need to save for. You can use Health Savings Accounts for most.)

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PharmaShots

JUNE 28, 2023

Revenue Analysis1 PharmaShots presents a 5-year analysis of Enbrel sales. Before we deep dive into its sales analysis of each year, let us first look at how this product was launched and its related collaborations. The stacked column chart below is a visual representation of the clinical trials conducted with Enbrel so far.

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Proxsys Rx

AUGUST 16, 2023

First, start with presenting drug company-funded research as if it is non-biased. The author of the op-ed, however, fails to mention that Gilead Sciences paid for the study to present results that bolster the drugmaker’s apparent goal, which is to dismantle 340B. Irrespective of insurance status, no patient pays retail drug prices.

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Insurance Coverage and Processing Hospitals Drug Pricing Pharmaceutical Companies 52

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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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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