JD Supra3h
Keeping Watch on Medicare as the IRA is Implemented: Formulary Management Practices
The Inflation Reduction Act (IRA), passed in 2022, made changes to the way drugs are covered and reimbursed in Medicare.
Maryland retirees face steep prescription costs after shift to Medicare Part D
It’s a natural life progression. As we go up in age, our medicine cabinets tend to grow with us.“If I didn’t have this pill organizer, I would be lost,” said 78 ...
Traverse City Record-Eagle1d
Fred Goldenberg: 2025 Medicare Part D plans causing confusion
Over the last few weeks, we’ve been fielding numerous questions regarding the Medicare Part D Prescription Drug plans that ...
Mastering Medicare Advantage Prior Authorization: Tips to Accelerate Your Approval
Understanding the reasoning and process of Medicare Advantage prior authorization can help you gain faster approval for a required prior authorization.
Drug Store News2d
AAM: Redesigned Medicare drug program still allows PBMs to deny patients access to lower-cost generics, biosimilars
AAM submitted comments to CMS, highlighting the extent and ways in which Part D sponsors and their PBMs engage in practices that favor, intentionally or unintentionally, more expensive reference drugs ...
Drug Coverage Harder to Find for Traditional Medicare Enrollees
Declining enrollment, fewer plan offerings, and persistently higher premiums are raising concerns about the stability and ...