Medicare drug plans are increasingly excluding coverage of new specialty drugs that treat complex conditions like cancers and autoimmune diseases. New research from the USC Schaeffer Center shows how ...

Lower odds of relapse seen among Medicare beneficiaries in prescription drug plans, Medicare Advantage Prescription Drug plans. HealthDay News — Broader formulary coverage is associated with lower ...

Restricted coverage of medications for relapsing-remitting multiple sclerosis (MS) was associated with a higher risk for relapse, a new study showed. Patients with MS enrolled in Medicare Advantage ...

Eli Lilly’s stock wobbled Thursday after a looming coverage hit was detailed for its blockbuster weight-loss drug Zepbound. CVS Health said the drugs Wegovy and Saxenda from rival drugmaker Novo ...

Access to medicines in Medicare is reduced as the IRA is implemented Fewer drugs are covered on Medicare Part D formularies in 2025 relative to 2024 Medicines for serious conditions with high unmet ...

Medicare offers some exceptions to beneficiaries, including formulary, tiering, and continuing employment. Generally, Medicare has set rules and regulations. However, there are times when it makes ...

Medicare enrollees looking for prescription drug coverage for the coming year may need to spend some extra time looking around during open enrollment. That’s because the number of Medicare Part D ...

Medicare Part D coverage is never static, but 2026 is shaping up to be a particularly volatile year for formularies. Thanks to new legislation and aggressive cost-cutting by plan administrators, ...