More biosimilars are hitting the US market, but marketplace dynamics have made it difficult to take advantage of these therapies.
A panel of leading experts on oncology practice and payment discussed how biosimilar rebates shape payer policies and provider options during a webinar from MJH Life Sciences™, the parent company of The American Journal of Managed Care® (AJMC®).
The discussion was held on Monday, July 20, 2020, and moderated by Jeff Prescott, PharmD, senior vice president of Clinical Communications for MJH Life Sciences™. The panelists were Kathy Oubre, MS, chief operating officer of the Pontchartrain Cancer Center in Louisiana; Timothy Chiu, PharmD, BCPS, pharmacist evidence analyst and strategist for Kaiser Permanente; and Ali McBride, PharmD, MS, BCOP, FASHP, FAzPA, clinical coordinator of Hematology/Oncology for The University of Arizona Cancer Center in Tucson.
Although more biosimilars are launching in the US market, numerous factors affect whether they actually become available in the clinic. The expectation has been that as more biosimilars are approved and launch, costs will decline and providers will have more freedom to choose the appropriate medications for their patients. However, providers who want to use biosimilars find their choices are often determined by regional payer-by-payer contracts that require careful pharmacy planning, staff training, and sometimes, compromise.
To learn more about biosimilars, visit AJMC®'s sister site, The Center for Biosimilars™.
Personalized Care Key as Tirzepatide Use Expands Rapidly
April 15th 2025Using commercial insurance claims data and the US launch of tirzepatide as their dividing point, John Ostrominski, MD, Harvard Medical School, and his team studied trends in the use of both glucose-lowering and weight-lowering medications, comparing outcomes between adults with and without type 2 diabetes.
Listen
Rare Autoimmune Disorder Linked With Increased Risk of Certain Skin Cancers
April 21st 2025The risk of some skin cancers, including squamous cell carcinoma, basal cell carcinoma, and non-melanoma skin cancer, was particularly heightened among patients with severe mucous membrane pemphigoid.
Read More
Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
Listen