PBM formulary exclusions top 600 drugs as Caremark, Express Scripts and Optum Rx adjust 2026 lists amid pricing shifts.

CVS Caremark’s preferred-formulary shift from tirzepatide to semaglutide produced a 17-fold jump in tirzepatide switching ...

Your health insurance plan includes a list called a formulary -- a directory of the drugs it covers. If you've ever been stunned at how much it cost you to fill a prescription, it’s possible that ...

Ultimate disposition showed 54% approval (7% same-day; 47% after multiple days) and 46% denial, with 27% rejected within 1 ...

CVS Caremark will begin offering osteoporosis biosimilars Ospomyv and Stoboclo, as well as generic teriparatide, Bonsity and Tymlos. Like Humira and its biosimilars, Prolia is a specialty drug ...

The digital health market continues to grow exponentially with apps that promote fitness, wellness and the prevention of chronic conditions as well as telehealth solutions and remote monitoring tools.

Placing formulary restrictions on brand name drugs shifts use toward generics, lowers the cost per prescription fill, and has minimal impact on overall adherence for antidiabetes, antihyperlipidemia, ...

Pharmacy benefit manager Express Scripts is launching a digital health formulary next year: a list of digital health tools, including smartphone apps and software-enabled medical devices, to help ...

Patients with Medicare Part D insurance plans experience uneven and “restrictive” coverage of certain drugs and drug classes ...

The Florida Department of Health limited access to life-saving drugs for people with HIV without consulting its hand-picked ...