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Medical or Pharmacy Benefit

WebIndustry Insights A white paper on the background of pharmacy vs medical coverage Managing drug spend on both benefits With the pipeline of medications and …

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URL: https://payerally.com/medical-or-pharmacy-benefit/

Understanding the future of Copay Maximizers

WebCopay Maximizers are programs deployed by Pharmacy Benefit Managers (PBMs) that allow a payer to capture the pharmaceutical manufacturers’ funding that is …

Category:  Health Go Health

An Update to M3P Guidance and Readiness Medicare Prescription …

WebThe Final Part One of the Medicare Prescription Payment Plan was released on February 29, 2024 and provided final policies for CY2025. The Final Part Two …

Category:  Health Go Health

PBM and Specialty Pharmacy Consulting PayerAlly

WebPayerAlly’s mission is to provide our clients with industry-leading advice, strategic support, and oversight as they look to better manage the rising cost of prescription medications …

Category:  Health Go Health

Pharmaceutical Consultant PayerAlly

WebBill Guerci is the Chief Operating Officer and co-founder of PayerAlly, an independent pharmacy consulting firm and pharmaceutical market research company. …

Category:  Health Go Health

New Oral Option for patients with Anemia due to CKD on Dialysis

WebOn February 1, 2023, the FDA approved GlaxoSmithKline’s oral therapy, Jesduvroq (daprodustat), for the treatment of anemia due to chronic kidney disease (CKD) on …

Category:  Health Go Health

The Volatility of Rebate Management

WebPayerAlly’s mission is to provide cutting-edge support for our clients as they look to better manage prescription medication costs. We offer best-in-class consulting around the …

Category:  Health Go Health

Medical Therapy Management PayerAlly

WebPayerAlly provides services to allow to manage of pharmacy programs. The services include Procurement. PBM Monitor Program, PBM Auditing, PBM Benchmarking. Strategic …

Category:  Health Go Health

Lilly and Novo Nordisk to cut insulin Prices

WebBoth Lilly and Novo Nordisk have announced that their companies will reduce the price of several branded insulin products by as much as 75%. Novo’s decision on March 14th …

Category:  Health Go Health

New SGLT2 inhibitor for Diabetes Type 2 Brenzavvy

WebIndustry Insights Medication Update New SGLT2 inhibitor for Diabetes Type 2 On January 23, 2023, the FDA approved Brenzavvy (bexagliflozin) made by TheracosBio for the …

Category:  Health Go Health

Gene Therapy – “Therapy” Not Medication

WebIndustry Insights A white paper on understanding gene therapy What is Gene Therapy? Gene therapy is all the BUZZ in conversations about medication cost control and yet it is …

Category:  Health Go Health

The Ins and Outs of PBM Audit

WebIn 2019, a large case of pharmacy fraud in which the founder and former CEO of Insys Therapeutics, John Kapoor, was prosecuted and found guilty for his role in a scheme to …

Category:  Health Go Health

OBESITY- Is The Treatment an Epidemic

WebCoverage of GLP-1 Class for Treatment of Obesity. Deciding to have coverage for this class of medications can be a major decision for clients. Costs associated with the …

Category:  Health Go Health

Manufacturer Funding Changes & Challenges

WebThese changes are being directed by the pharmaceutical manufacturers to limit using the patient assistance programs when a payer has elected to remove coverage and engage …

Category:  Health Go Health

Covid Testing – Does Free Equal Frivolous

WebThe requirement by the federal government for commercial coverage of COVID-19 tests ends May 11, 2023. While some have stated concern over a potential inability to get the …

Category:  Health Go Health

Medication Update 003 Jesduvroq

WebJesduvroq is an oral hypoxia-inducible factor prolyl hydroxylase inhibitor (HIF-PHI). Jesduvroq works by inhibiting enzymes that stabilize factors which cause hypoxia and …

Category:  Health Go Health

First biosimilar for Humira® now available Amjevita™

WebIndustry Insights Medication Update First biosimilar for Humira® now available Availability of Amjevita™, the first biosimilar for Humira®, rocked the headlines on January 31, 2023. …

Category:  Health Go Health

GENE THERAPY – “THERAPY” NOT MEDICATION

WebInstitutional Knowledge to help manage the rising cost of medications. All Rights Reserved. Ó PayerAlly LLC 2 | 4 Viral vector Virus vectors are treatment tools used to

Category:  Health Go Health

A white paper about the on & off-label use of the GLP-1 …

WebThe World Health Organization (WHO) defines obesity as a Body Mass Index (BMI) greater than or equal to 30. Someone is deemed overweight with a BMI greater than or equal to …

Category:  Health Go Health

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