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Woman Petitions Health Insurer After Company Approves — Then Rejects — Her Infusions

Posted on January 4, 2024


CVS Will Soon Recommend Biosimilars Instead Of AbbVie’s Humira

CVS Health will drop the rheumatoid arthritis drug Humira from some of its lists of preferred drugs for reimbursement as of April 1 in favor of rival biosimilars. Separately, news outlets report on how more Americans will pay just $35 a month for insulin treatments now that the price cap is in effect.

Reuters: CVS Will Remove AbbVie’s Humira From Some Drug Reimbursement Lists In April

CVS Health said on Wednesday it will remove AbbVie’s blockbuster rheumatoid arthritis drug Humira from some of its lists of preferred drugs for reimbursement as of April 1, and will recommend biosimilar versions of the medicine instead. CVS said Hyrimoz and an unbranded version of Humira, both from Swiss drugmaker Sandoz, will be covered across all its formularies, while branded and unbranded near copies of the drug from India’s Biocon will be covered on some reimbursement lists. (Wingrove, 1/3)

A price cap on insulin goes into effect —
USA Today: Insulin Price Cap: More Americans Will Now Pay No More Than $35

A price cap on insulin from one of the three major manufacturers took effect on New Year’s Day, giving more Americans with diabetes more affordable treatments. … As of Jan. 1, 2024, Sanofi cut the price of Lantus by 78% and short-acting Apidra by 70%. The price cuts will reduce the cost of the drug for most patients at $35 through either price caps or savings programs. (Al-Arshani and Alltucker, 1/3)

In other pharmaceutical developments —
AP: Alzheimer’s Drugs Might Get Into The Brain Faster With New Ultrasound Tool, Study Shows

Scientists have found a way to help Alzheimer’s drugs seep inside the brain faster — by temporarily breaching its protective shield. The novel experiment was a first attempt in just three patients. But in spots in the brain where the new technology took aim, it enhanced removal of Alzheimer’s trademark brain-clogging plaque, researchers reported Wednesday. “Our goal is to give patients a head start,” by boosting some new Alzheimer’s treatments that take a long time to work, said Dr. Ali Rezai of West Virginia University’s Rockefeller Neuroscience Institute, who led the study. (Neergaard, 1/3)

CNN: FDA Looking Into Reports Of Hair Loss, Suicidal Thoughts In People Using Popular Drugs For Diabetes And Weight Loss 

The US Food and Drug Administration is evaluating reports of side effects such as hair loss and suicidal thoughts in people taking medications like Ozempic, Mounjaro and Wegovy. These drugs, known as GLP-1 receptor agonists, are approved to treat diabetes or weight loss. They include semaglutide, branded as Ozempic, Rybelsus and Wegovy; liragutide, branded as Saxenda and Victoza; and tirzepatide, branded as Mounjaro and Zepbound. They mimic GLP-1, a hormone made naturally in the body whose roles include slowing the passage of food through the stomach. (Dillinger, 1/3)

Reuters: FDA Ordered To Reconsider Denial Of Approval For Vape Products

A federal appeals court on Wednesday ordered the U.S. Food and Drug Administration to reconsider its decision barring two makers of flavored liquid for e-cigarettes from marketing their products, saying the agency had been arbitrary and capricious in refusing to consider the companies’ marketing plans. The 9-5 decision by the New Orleans-based 5th U.S. Circuit Court of Appeals reversed a July 2022 decision by a three-judge panel of that court. (Pierson, 1/3)

Axios: Scoop: AI Prescription Assistant Nabs Backing From Mayo Clinic, Eli Lilly

A startup that created a voice-based AI app to manage insulin and other prescriptions is launching Thursday with backing from powerhouses including Mayo Clinic and Eli Lilly. (Reed, 1/4)



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