Why aren't all drugs covered by insurance? A formulary is the list of prescription medications covered by a health insurance plan. The list typically has brand-name and generic options. In addition to ...

Sheldon S. Sones, RPh, FASCP, is president of Sheldon S. Sones and Associates, a pharmacy and accreditation consulting firm based in Newington, Conn. Q: Is there a certain format that has to be used ...

Pharmacy benefit managers (PBMs) and large employer organizations are taking measures to save healthcare costs in 2017, and for PBMs, formulary exclusions is a fool-proof tactic. “A key to containing ...

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 rebates ...

New York’s 2017-2018 Executive Budget, enacted effective April 10, 2017, included significant reforms to the Workers’ Compensation Law (WCL). This update discusses the Board’s implementation of the ...

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 ...

For eight years, Beth Joyner Waldron has counted on Eliquis to treat clots in her lungs and legs. In November 2021, she received a letter from CVS Caremark telling her the pharmacy benefit manager is ...

Tricare plans next week to expand its coverage of drugs used to treat premenopausal women with low sexual desire, a Tricare official said via email Thursday. Over the last five years, the Food and ...

A Department of Veterans Affairs panel has pushed back against efforts to rush a controversial anti-depression drug into use for its patients, voting not to include the drug, Spravato, on its list of ...

Why aren’t all drugs covered by insurance? A formulary is the list of prescription medications covered by a health insurance plan. The list typically has brand-name and generic options. In addition to ...