As health care moves toward a value-based payment model, the pharmacy benefit is going in the opposite direction, one that places unit cost over clinical appropriateness. Have you ever used your drug ...

Covered drugs are arranged by cost in tiers or levels. Generics are in the lowest tiers and are generally the lowest cost. Coverage and drug lists vary from plan to plan. Plans can change covered ...

Starting Jan. 1, 2025, millions of Americans who get their prescription drugs through Medicare could get a major financial break when a $2,000 out-of-pocket spending cap on medications goes into ...

A large academic medical center implemented a charitable care formulary with clinical pharmacist oversight, which resulted in more efficient usage of funds and fewer readmissions. Objectives: A large ...

Insurance companies don't cover some medications, which often leaves consumers responsible for the full costs. If your prescription is not covered, you can try generics, biosimilars, or other ...

Are Weight Loss Drugs Covered By Insurance? This article was reviewed by Craig Primack, MD, FACP, FAAP, FOMA. If you’re considering using medication to reach a healthy body weight, your first question ...

Ever felt like picking up your prescription was more complicated than booking a flight with three layovers? You’re not alone. Here’s a jaw dropping stat: Medicare prescription drug plans now cover ...

MedVantx, Inc., a leading provider of point-of-care medication access, adherence and direct-to-patient consumer engagement programs, today announced the Company's MedStart Formulary Connect™ program.

Prescription drug prices are a major concern for people, healthcare professionals, and policymakers. Even for those with insurance, out-of-pocket costs can still be high. Several factors contribute to ...

Question: My part D plan doesn’t cover one of my medications. Can I just pay for it with cash? Answer: I often have individuals tell me this time of year that next year one of their medications are ...