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 ...

Make sure you share the most up-to-date formulary list with your doctor, especially if cost is a concern. Let them know that you want the lowest-cost option that will meet your needs, Botta suggests.

A formulary is a list of the drugs your Medicare Part D plan covers. Most formularies are organized into tiers. Lower tiers usually include less expensive drugs, while pricier drugs go on higher ...

Jenny Craven, PharmD, BCPS, outlines the strategies UC Davis Health has used to successfully navigate the complex challenges of implementing cell and gene therapies.

Beneficiaries of plans that covered fewer than the median number of DMTs in the past year were more likely to have a relapse, ...

The association between formulary restrictions and NOAC use was more pronounced for those at higher risk of stroke, with lower use of NOACs among those at intermediate (CHA 2 DS2-VASc score of 4 ...

Many insurers are using formulary design to influence opioid prescribing, but it is unclear if these changes lead to reduced use or just substitution between opioids. We evaluated the effect of a n ...