{"id":24354,"date":"2025-05-08T09:47:59","date_gmt":"2025-05-08T13:47:59","guid":{"rendered":"https:\/\/medicarereport.org\/?p=24354"},"modified":"2025-05-08T09:48:00","modified_gmt":"2025-05-08T13:48:00","slug":"should-cms-monitor-biosimilar-coverage-on-formularies","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=24354","title":{"rendered":"Should CMS monitor biosimilar coverage on formularies?"},"content":{"rendered":"\n<p>The U.S. Department of Health and Human Services Office of Inspector General (OIG) released a study that found many Medicare Part D formularies included Humira Biosimilars for 2025. Humira is one of the best-selling prescription drugs in the world. However, Medicare Part D plans\u2019 formularies restrict access to other biosimilars, which could have potential for savings for Medicare Part D. To read the OIG\u2019s findings, click<a title=\" here\u2026\" href=\"https:\/\/oig.hhs.gov\/reports\/all\/2025\/most-medicare-part-d-plans-formularies-included-humira-biosimilars-for-2025\/\"> here\u2026<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><a href=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/03\/DHS-Office-of-Inspector-General.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"623\" height=\"154\" src=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/03\/DHS-Office-of-Inspector-General.jpg\" alt=\"\" class=\"wp-image-9962\" style=\"width:306px;height:auto\" srcset=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/03\/DHS-Office-of-Inspector-General.jpg 623w, https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/03\/DHS-Office-of-Inspector-General-300x74.jpg 300w\" sizes=\"auto, (max-width: 623px) 100vw, 623px\" \/><\/a><\/figure>\n\n\n\n<p class=\"has-small-font-size\"><strong>Notice:<\/strong>\u00a0The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link\u2019s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The U.S. Department of Health and Human Services Office of Inspector General (OIG) released a study that found many Medicare<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32,36,21,15],"tags":[428,80,1395,238,61,65],"class_list":["post-24354","post","type-post","status-publish","format-standard","hentry","category-cms","category-dhs-oig","category-health-care-finance","category-part-dprescription-drugs","tag-biosimilars-drugs","tag-cms","tag-formularies","tag-healthcare-finance","tag-medicare","tag-medicare-part-d"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/24354","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=24354"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/24354\/revisions"}],"predecessor-version":[{"id":24355,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/24354\/revisions\/24355"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=24354"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=24354"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=24354"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}