The IRS emphasizes that payouts for these claims will continue during the moratorium period but at a slower pace.
Thousands of patients with autoimmune diseases rely on Humira, at a list price of $6,600 a month, and could benefit from low-cost biosimilars that could save the health care system $9 billion a year, but will PBMs follow suit?
Of course, there’s no magic bullet when thinking through these challenges, but most industry experts have determined that a series of strategically placed interventions that are highly customized, thoughtfully executed, and carefully measured will provide the greatest chance of achieving success.
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