STAT

JANUARY 18, 2024

Pear received Food and Drug Administration clearance for its app treating substance use disorders and insomnia but insurers mostly refused to cover the novel treatments. The bankruptcy of Pear Therapeutics last year proved that selling software-based treatments like drugs is harder than anticipated.

Insurance Coverage 138

Insurance Coverage Insurance FDA 138

Fierce Healthcare

AUGUST 30, 2023

GoodRx has launched a new feature to allow healthcare professionals to see the cost of a patient’s prescription with their insurance. | The feature, embedded in GoodRx's provider solution, surfaces a patient’s coverage and benefits at the point of care with the goal of increasing price transparency and access to drugs.

Insurance Coverage 128

Insurance Coverage Insurance 128

The Checkup by Singlecare

APRIL 9, 2025

People with Type 2 Diabetes have many treatment options these days, though not all are covered by insurance. It is often covered by insurance when prescribed for diabetes (not weight loss ). However, not all insurance plans cover Ozempic and when it is covered, the coverage amount may vary by provider and plan.

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Insurance Coverage Insurance Pharmacy Program Director Labelling 69

The Checkup by Singlecare

APRIL 4, 2025

Bonjesta costs about $490 without insurance for 30, 20-20 mg extended- release tablets. How much does Bonjesta cost without insurance? The copays for Bonjesta, with insurance and Medicare, vary by plan. Drug costs may be affected by differences in insurance plans and specific drug formularies. RELATED: What is Bonjesta ?

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Insurance Health and Personal Care Stores Insurance Coverage Documentation 52

STAT

MARCH 2, 2023

Janice Morales-Ferrer is a planner. It’s helped her get ahead in her career and in raising three young kids. But it’s hard to plan when you’ve got a rare disease, especially one with no standard treatment regimen or predictable outcome. “I’m a data-driven person,” said the 46-year-old Boston area resident.

Insurance Coverage 124

Insurance Coverage Insurance 124

STAT

MARCH 29, 2024

health insurers have agreed to start paying for the Wegovy weight-loss drug for certain people on Medicare with heart conditions, The Wall Street Journal reports. If you prefer to look ahead, you could plan a summer getaway or, if ambition overcomes you, maybe the rest of your life. Well, whatever you do, have a grand time. But be safe.

Insurance Coverage 126

Insurance Coverage Insurance 126

The Checkup by Singlecare

APRIL 9, 2025

Without insurance, Depakote costs $769 for 90, 500 mg delayed-release tablets. How much does Depakote cost without insurance? Without insurance, the price of Depakote may vary depending on certain factors. Without insurance, the price of Depakote may vary depending on certain factors. RELATED: What is Depakote?

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Insurance Mail-Order Pharmacies Insurance Coverage Dosage 52

STAT

AUGUST 2, 2023

… So many people have turned to drugs used for weight loss that some employers are cutting off insurance coverage to head off climbing bills , The Wall Street Journal reports. The outlays are straining the finances of some plans, including those funded by employers.

Insurance Coverage 98

Insurance Coverage Insurance 98

Fierce Healthcare

DECEMBER 18, 2024

Healthcare spending reached nearly $5 trillion in 2023, growing by 7.5% from the prior year, according to new data from the federal government. Healthcare spending reached nearly $5 trillion in 2023, growing by 7.5% from the prior year, according to new data from the federal government.

Insurance Coverage 120

Insurance Coverage Insurance 120

The Checkup by Singlecare

DECEMBER 30, 2024

Without insurance, the average retail price for two FreeStyle Libre 3 Plus sensors, a 28-day supply, is $232. The price without insurance adds up to just over $3,000 for one year. Is FreeStyle Libre 3 covered by insurance? Insurance plans are different and may or may not cover the FreeStyle Libre 3 Plus sensor.

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Insurance Insurance Coverage FDA 52

Pharmacy Times

JUNE 6, 2024

By improving health insurance coverage and cost of inhalers, such as out-of-pocket caps, access to care can be increased. Some companies are aiming to improve access by implementing price caps.

Insurance Coverage 139

Insurance Coverage Insurance 139

The Checkup by Singlecare

DECEMBER 2, 2024

Plus, we’ve got tips on how to save, even if you don’t have insurance. How much does Combivent Respimat cost without insurance? For people who don’t have insurance or Medicare—or whose plans don’t cover Combivent Respimat—the average retail price is $636 for a 4 gm of 20–100 mcg/act inhaler with 120 inhalations. Many times, yes.

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Insurance Insurance Coverage Dosage FDA 52

The Checkup by Singlecare

JANUARY 10, 2025

NP Thyroid costs about $59 without insurance for 30, 60 mg tablets. Is NP Thyroid covered by insurance? In fact, NP Thyroid has not been through the FDA approval process, which is likely why many health insurance plans exclude it or require additional steps for coverage. How much does NP Thyroid cost without insurance?

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Insurance Insurance Coverage Pharmaceutical Companies Pharmaceutical Companies 52

Pharmacy Times

JULY 19, 2024

More cost effectiveness data is crucial in advocating for better insurance coverage in the United States.

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Insurance Coverage Insurance 123

STAT

JUNE 1, 2023

Having insurance coverage alone doesn’t guarantee that people can afford or would be willing to pay continuously for chronic disease medications like Ozempic, a new, large-scale study finds.

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Insurance Insurance Coverage 98

STAT

OCTOBER 6, 2022

WASHINGTON — Democrats’ drug pricing law will still penalize drugmakers if they hike prices on medicines for patients who have private insurance, a top Medicare official said Thursday.    The penalties may factor into drugmakers’ decisions about how to price their medicines as the new law begins to take effect.

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Insurance Insurance Coverage 109

The Checkup by Singlecare

MARCH 11, 2025

Without insurance, Zonisamide costs about $92 for 60, 100 mg capsules. Without insurance, the average retail price of the Zonegran brand is higher than that of the generic. Is zonisamide covered by insurance? Most insurance plans cover zonisamide , but the copay amount will vary by plan.

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Insurance Insurance Coverage FDA 52

Fierce Healthcare

OCTOBER 26, 2023

Insurance coverage often fails to help Americans avoid medical debt, a new survey from the Commonwealth Fund revealed. Even with health insurance, people are feeling the effects of high medical costs, often cutting back on necessities or delaying care. A new survey shows half of Americans struggle to avoid their healthcare.

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Insurance Coverage Insurance 137

The Checkup by Singlecare

MARCH 25, 2025

Without insurance, the average retail price of lacosamide is $1,067 for 60, 100 mg tablets. How much does lacosamide cost without insurance? The cost of lacosamide may vary depending on the dosage, quantity, pharmacy you purchase from, insurance plan, and the plans drug formulary. Related: What is lacosamide?

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Insurance Mail-Order Pharmacies Insurance Coverage Independent Pharmacies 52

The Checkup by Singlecare

APRIL 14, 2024

Without insurance coverage, Rexulti’s average price is around $1,926 for a 30-day supply. Is Rexulti covered by insurance? Insurance is often the go-to option for reducing prescription drug costs. The drug’s FAQs state that 97% of health insurance plans nationwide will cover it. What is the generic for Rexulti?

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Insurance Insurance Coverage FDA Dosage 98

Fierce Healthcare

JUNE 7, 2023

Measurable differences in patient safety across race, ethnicities and insurance coverage persist even among hospitals rated at the top of their class, according to a new analysis of Leapfrog Hospit | New findings from a Leapfrog Group and Urban Institute analysis suggest that patient safety disparities are not driven by individual hospitals, but are (..)

Insurance Coverage 57

Insurance Coverage Insurance Hospitals 57

Fierce Healthcare

JUNE 12, 2024

trillion, according to newly published calculat | Record-high insurance coverage rates from pandemic policies alongside other trends like high utilization pushed health spending past the nominal GDP growth rate in 2023, according to new projections from government actuaries. with projected expenditures of $4.8

Insurance Coverage 125

Insurance Coverage Insurance 125

The Checkup by Singlecare

MARCH 8, 2024

Is Restasis covered by insurance? | How much does Restasis cost without insurance? | How to get Restasis without insurance Restasis is a prescription eye drop with the active ingredient cyclosporine approved by the U.S. Is Restasis covered by insurance? Restasis is typically covered by private insurance and Medicare.

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Insurance Insurance Coverage Compounding FDA 98

STAT

FEBRUARY 15, 2023

has access to its Covid-19 shot, regardless of whether they have health insurance coverage. For those lacking sufficient insurance, the company will tap a patient assistance program. The vaccine maker released a brief statement that it “remains committed” to ensuring everyone in the U.S.

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Vaccines Insurance Coverage Insurance 145

pharmaphorum

NOVEMBER 25, 2021

Health insurance is not enough to provide the necessary affordable access to care for the US’ most vulnerable, finds new PhRMA report. For too many Americans, insurance coverage is not providing the health security it’s meant to. Out of pocket costs. Importantly, these “systematic challenges” are not confined to the uninsured.

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Insurance Insurance Coverage 116

The Checkup by Singlecare

AUGUST 20, 2024

Without insurance, the cost of Stiolto Respimat can be over $600 per month. For many people, the retail price of Stiolto Respimat can make getting treatment difficult without insurance coverage. Is Stiolto Respimat covered by insurance? Yes, some insurance companies may include Stiolto Respimat in their coverage plans.

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Insurance Insurance Coverage Health Insurance Companies FDA 98

STAT

JANUARY 31, 2023

Underscoring the opaque and confusing nature of pharmaceutical pricing, Amgen announced long-awaited pricing for its biosimilar version of Humira – the world’s best-selling medicine – and the numbers suggest the biggest winners may be health insurers and others in the supply chain, but not patients.

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Insurance Insurance Coverage Pharmaceutical Companies Pharmaceutical Companies 98

Fierce Pharma

SEPTEMBER 24, 2024

drug prices, the role of insurers and pharmacy benefit managers (PBMs) often commands at least some of the attention. | At the Senate committee hearing on Novo Nordisk's prices for Ozempic and Wegovy, debate around insurance coverage and pharmacy benefit managers took up much of the conversation.

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Insurance Insurance Coverage 80

The Checkup by Singlecare

JUNE 28, 2024

Although some healthcare providers prescribe Ozempic off-label for weight loss, insurance often won’t cover Ozempic for these uses unless it’s medically justified and no alternative treatments exist. We’ll explain when insurance covers Ozempic and how to advocate for coverage. When does insurance cover Ozempic for weight loss?

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Insurance Insurance Coverage Labelling Medical Records 96

PharmExec

OCTOBER 2, 2023

Kirsch discusses the complexity of the drugs and the verification process, along with EVERSANA’s new platform, ACTICS eAccess.

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Insurance Coverage Insurance 115

The Checkup by Singlecare

AUGUST 31, 2023

Is Mounjaro covered by insurance? | How much does Mounjaro cost without insurance? | How to get Mounjaro without insurance Mounjaro (tirzepatide) is a brand-name prescription drug FDA-approved to control blood sugar levels in people with Type 2 diabetes. Only some insurance providers will cover it. mL of 5 mg/0.5

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Insurance Compounding Insurance Coverage Labelling 98

STAT

JUNE 26, 2024

Makers of RSV vaccines for older adults saw their plans to try to expand usage hit a significant hurdle on Wednesday, when an expert committee that advises the Centers for Disease Control and Prevention on vaccines recommended changes that will likely see fewer older adults qualify for insurance coverage for these products.

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Vaccines Insurance Coverage Insurance Immunization 135

The Checkup by Singlecare

JUNE 27, 2024

A transmitter costs $366 without insurance and lasts for about 90 days. Is a Dexcom G6 transmitter covered by insurance? Dexcom G6 transmitters, along with other components of the system, are typically covered by insurance, Medicare , and Medicaid when certain criteria, such as Type 1 diabetes, are met.

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Insurance Insurance Coverage FDA 97

The Checkup by Singlecare

DECEMBER 13, 2022

Meanwhile, the radiologist’s office contacts your insurance to get the service approved. Your insurance provider decided to deny the claim, which means you can’t have the scan. Or, worst-case scenario, you’ve already gotten it and your insurance denied the claim after the fact. What is an insurance appeal letter?

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Insurance Documentation Insurance Coverage HIPAA 98

STAT

SEPTEMBER 17, 2024

   The 51-44 vote on the Right to IVF Act, which would bar state restrictions on the procedure and require insurance coverage, fell short of the 60 votes needed to pass, just as it did in June — and as Democrats expected it would.

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Insurance Coverage Insurance 120

The Checkup by Singlecare

AUGUST 16, 2023

Is Wegovy covered by insurance? | How much does Wegovy cost without insurance? | How to get Wegovy without insurance Wegovy is a brand-name prescription drug used along with a reduced-calorie diet and physical activity for chronic weight management. Is Wegovy covered by insurance? mL of 0.25 mL of 5 mg/0.5 mL of 5 mg/0.5

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Insurance Insurance Coverage FDA 98

STAT

MARCH 14, 2024

Damian here with a reminder that my colleague Ed Silverman is hosting a discussion today about the long-awaited arrival of Humira biosimilars and all they portend for drug costs, insurance coverage, and pharma revenues.    Sign up to tune in here. Read the rest…

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Insurance Coverage Insurance 117