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Highest-Cost Drugs Could Feel Biggest Pinch From Part B Step Therapy Policy

Executive Summary

Biosimilars for Remicade and Neulasta could get boost, and off-label Avastin use for age-related macular degeneration could increase, challenging Eylea and Lucentis.

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Step Therapy For Medicare Part B Drugs Will Lower Costs By 20%, HHS Projects

Beginning in 2019, Medicare Advantage plans may use step therapy in Part B, potentially including “cross management” with Part D drugs, under new guidance from the Centers for Medicare and Medicaid Services.

Step Therapy For Medicare Part B Drugs Will Lower Costs By 20%, HHS Projects

Beginning in 2019, Medicare Advantage plans may use step therapy in Part B, potentially including “cross management” with Part D drugs, under new guidance from the Centers for Medicare and Medicaid Services.

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