Starting Jan. 1, 2025, millions of Americans who get their prescription drugs through Medicare could get a major financial break when a $2,000 out-of-pocket spending cap on medications goes into ...

President Trump has repeatedly promised to bring down prescription drug prices. His Republican Congress says it shares that goal. But tucked inside the 2026 Consolidated Appropriations Act is a ...

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 ...

The Trump administration has unveiled 15 new drugs selected for a Medicare drug price negotiation program that allows the ...

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 ...

With appreciation for feedback from Mark Fendrick, Director of the Value-Based Insurance Design (V-BID) Center at the University of Michigan, and Daneen Seekoni, Vice President of Policy and Advocacy ...

What is a drug formulary? A drug formulary is a continually updated list of preferred medications and related products supported by current evidence-based medicine, judgment of physicians, pharmacists ...

Health plans develop formularies to provide enrollees access to treatments for a full range of conditions that will improve health outcomes. But when selecting these medications, insurance companies ...