Demystify drug coverage. Learn the business and clinical reasons why some medications are covered by insurance and others ...

GoodRx reports that insurance formularies are shrinking, leading to fewer covered medications and increased restrictions on ...

The new formulary allows the PBM giant to assist drugmakers with lowering list prices “in a way that will not destabilize the drug supply chain," Express Scripts chief medical officer Steve ...

Each Medicare Part D plan, also known as a prescription drug plan (PDP), has a list of covered medications known as a formulary. Each formulary has tiers. More cost-effective medications, such as ...

Express Scripts Holding, a pharmacy benefit manager that negotiates drug prices for many health plans, will launch a formulary with lower list price drugs in an effort to reduce reliance on ...

The drug formulary was created as a clinical tool, and the methodology associated with its creation brought consistency and trust to the model. Unfortunately, this is no longer the case.

Health Lilly star weight-loss drug Zepbound faces coverage challenge from CVS Health CVS Health said the drugs Wegovy and Saxenda from rival drugmaker Novo Nordisk will become the preferred options on ...

We examined Medicare Part D formulary coverage and tier placement of matched pairs of brand-name drugs and generics to quantify how often preferred formulary placement of brand-name drugs is ...

Tricare officials said they plan to add the self-administered injection, Vyleesi, to the list of covered drugs.

In the last 3 years, CVS Caremark extended their list of excluded formulary drugs by 88% while Express Scripts’ own exclusion list grew by 208%.