United Health Group’s pharmacy benefit manager, Optum Rx, stopped covering Cole Schmidtknecht’s ‘life-changing’ inhaler, suit ...

We now have a glimpse behind the curtain of how Medicare arrives at so-called maximum fair prices of prescription drugs it ...

Providers are sympathetic to Medicare enrollees’ concerns but don’t agree on their role in helping patients find less costly ...

The Inflation Reduction Act (IRA), passed in 2022, made changes to the way drugs are covered and reimbursed in Medicare.

Just days after the CMS announced the selection of 15 additional drugs covered under Medicare Part D that will be subject to price negotiations, President Donald Trump issued several executive orders, ...

Novo Nordisk’s NVO shares lost 5.3% on Friday after Medicare issued a press release selecting the company’s popular semaglutide medicines as one of the 15 additional drugs covered under ...

Blockbuster obesity drugs such as Ozempic have been celebrated for their ability to promote weight loss and treat a surprising range of other conditions, from heart problems to Parkinson’s disease.

Costs can also vary widely based on which drugs a patient needs. Even when the drugs are covered, the cost of travel to treatment centres can be too much for some patients in remote communities.

The 15 drugs selected by HHS are all covered under Medicare Part D and represent the second round of negotiations between drug companies and the department, with a goal of lowering costs for ...

Combined, the 25 drugs covered by the two rounds represent over a third of total Part D gross costs between November 2023 and October 2024, according to the CMS. As expected per the CMS ...