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 109

Insurance Coverage Insurance 109

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 113

Insurance Coverage Insurance 113

STAT

MAY 16, 2024

Limited access stems from three main issues: the discontinuation of a common branded asthma medication, lack of insurance coverage for its generic alternative, and shortages of a similar branded alternative. Read the rest…

Insurance 129

Insurance Insurance Coverage 129

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

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?

Insurance 98

Insurance Insurance Coverage FDA Dosage 98

Pharmacy Times

JULY 19, 2024

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

Insurance Coverage 123

Insurance Coverage Insurance 123

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.

Insurance 98

Insurance Insurance Coverage Compounding FDA 98

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.

Insurance Coverage 137

Insurance Coverage Insurance 137

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.

Insurance 87

Insurance Insurance Coverage 87

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.

Insurance 89

Insurance Insurance Coverage 89

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 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 78

Insurance Coverage Insurance 78

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.

Vaccines 142

Vaccines Insurance Coverage Insurance 142

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.

Insurance 116

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.

Insurance 98

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.

Insurance 98

Insurance Insurance Coverage Pharmaceutical Companies Pharmaceutical Companies 98

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?

Insurance 96

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.

Insurance Coverage 115

Insurance Coverage Insurance 115

The Checkup by Singlecare

JULY 2, 2024

Without insurance, it could cost about $363 for each dose of the Gardasil 9 vaccine. Many commercial, private, and state-funded health plans cover some or all of the cost of Gardasil 9, but there are ways to save money if you don’t have insurance. Is Gardasil 9 covered by insurance? Here’s how. Is there a generic Gardasil 9?

Insurance 98

Insurance Vaccines Insurance Coverage FDA 98

Fierce Healthcare

MARCH 7, 2024

Healthcare policy wins and promises of further action on prescription drug prices, insurance coverage and reproductive care access are primed for the spotlight when President Joe Biden takes the ro | Speech previews from the White House celebrate and call for expansions to the Inflation Reduction Act.

Insurance Coverage 109

Insurance Coverage Insurance 109

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

Insurance 98

Insurance Compounding Insurance Coverage Labelling 98

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 65

Insurance Coverage Insurance 65

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.

Insurance 97

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?

Insurance 98

Insurance Documentation Insurance Coverage HIPAA 98

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

Insurance 98

Insurance Insurance Coverage FDA 98

STAT

MARCH 8, 2024

regulators approved a label expansion for Novo Nordisk’s obesity drug Wegovy to tout its benefits for the heart, a move that could boost demand and insurance coverage for the already highly popular treatment.

Labelling 120

Labelling Insurance Coverage Insurance FDA 120

Drug Topics

JANUARY 4, 2023

Researchers speculate that the disparities among those with private insurance coverage may reflect differences in overcoming hurdles to access, such as prior authorization.

Insurance Coverage 98

Insurance Coverage Insurance 98

The Checkup by Singlecare

JUNE 13, 2024

Without insurance, the prescription birth control, NuvaRing, costs $234 for 1, 0.12-0.015 Is NuvaRing covered by insurance? Most health insurance plans usually cover NuvaRing. However, coverage can depend on the plan’s eligibility requirements. How much does NuvaRing cost without insurance? 0.015 mg/24-hour ring.

Insurance 83

Insurance Insurance Coverage Independent Pharmacies Dosage 83

The Checkup by Singlecare

MAY 29, 2024

Is OneTouch Verio covered by insurance? With a prescription from your healthcare provider, your insurance may cover glucose testing supplies. Insurance coverage for OneTouch Verio glucose test strips will vary based on an individual plan formulary. How much does OneTouch Verio cost without insurance?

Insurance 78

Insurance Insurance Coverage 78

The Checkup by Singlecare

JUNE 9, 2024

Although Tresiba may be covered by insurance, people without health insurance may bear the full retail cost of the medication. Is Tresiba covered by insurance? Most commercial insurance plans cover Tresiba. However, coverage for insulin will depend on each plan’s specific eligibility requirements.

Insurance 72

Insurance Insurance Coverage Dosage Independent Pharmacies 72

Fierce Healthcare

MAY 13, 2024

While more states have moved towards payment parity for telehealth, remote monitoring lacks coverage requirements in half of states. Popular digital health law firm Foley & Lardner releas | Law firm Foley & Lardner released a new 50-state survey that compares telehealth laws from 2019 to 2024.

Insurance Coverage 62

Insurance Coverage Insurance 62

The Checkup by Singlecare

APRIL 12, 2024

Without health insurance, the typical cash price of Wegovy is approximately $1,833 for a 30-day supply (four injector pens), although that cost varies by pharmacy and doesn’t include any discounts. Even with insurance, Wegovy’s cost and coverage vary by insurance plan—contact your insurance provider for details.

Insurance 98

Insurance Insurance Coverage Dosage Labelling 98

STAT

DECEMBER 20, 2024

This is the first time that Zepbound has been approved for an indication other than weight loss, which could help it gain wider insurance coverage.    Continue to STAT+ to read the full story…

Insurance Coverage 119

Insurance Coverage Insurance 119

The Checkup by Singlecare

MAY 17, 2024

Is Stelara covered by insurance? | How much does Stelara cost without insurance? | The drug’s list price without insurance coverage is over $25,000 every eight weeks. Is Stelara covered by insurance? Some health insurance plans will cover Stelara, and certain Medicare Part D plans will as well.

Insurance 59

Insurance Insurance Coverage FDA Packaging 59

The Checkup by Singlecare

JUNE 6, 2024

Without insurance, Cyltezo could cost more than $7,500 for a one-month dose. Here’s what to know about the price of Cyltezo, insurance coverage for the drug, and how to save money on your prescription. How much does Cyltezo cost per month? Is Cyltezo covered by insurance? How much does Cyltezo cost without insurance?

Insurance 52

Insurance Insurance Coverage Mail-Order Pharmacies Dosage 52

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…

Insurance Coverage 80

Insurance Coverage Insurance 80

The Checkup by Singlecare

OCTOBER 22, 2024

Most people rely on health insurance, Medicare, or Medicaid to help pay for Humira. Insurance coverage can be complicated and every health plan is different. The best way to confirm whether your Humira will be covered or not is to check your insurance plan’s formulary, which is a list of drugs that an insurance company covers.

Insurance 98

Insurance Insurance Coverage FDA 98