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Biosimilars

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Actemra</a></div><div class="pb-2"><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/cameron-santoro"><i>Cameron Santoro</i></a></span></div></div><a href="/view/fda-approves-celltrion-s-tocilizumab-anoh-biosimilar-to-actemra"><a href="/view/fda-approves-celltrion-s-tocilizumab-anoh-biosimilar-to-actemra"><p class="mt-1 text-gray-800 text-[13px] line-clamp-6 text-hidden">Avtozma, the third biosimilar to Actemra, has received FDA approval for multiple inflammatory diseases and COVID-19, potentially expanding treatment access for patients. </p></a></a></div></div><div class="flex-wrap w-[60%] flex "><a class="flex w-[50%] flex-col sm:pl-[35px] pl-[20px] pb-[35px] " href="/view/embracing-eom-enhancing-collaboration-and-cost-management-dr-kirollos-hanna"><div class="w-full lg:h-[134px] h-[100px] relative bg-default-logo-background "><span 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text-[#000000] text-left line-clamp-3 text-hidden">The Economic Impact of Biosimilars</p></div></div></div></a><a target="" style="scroll-snap-align:center;text-decoration:none" class="jsx-286612495 sm:w-[280px] xs:w-[240px] w-[65%] h-auto flex flex-col space-y-3 flex-none select-none no-underline" href="/view/biosimilars-are-getting-a-foothold-and-becoming-preferred-says-dr-james-chambers"><div class="jsx-286612495 w-full h-full flex flex-col overflow-hidden relative bg-white text-center"><div class="jsx-286612495 relative w-full shadow-md shadow-grey-800 aspect-video"><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:absolute;top:0;left:0;bottom:0;right:0"><img alt="" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="fill" class="object-cover" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fajmc%2Ff28ae1dc3219faac65fe94e1cf673b17d8bcd3a8-1280x719.png%2FJames%2520Chambers%2520Nexus%25202024.png%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fajmc%2Ff28ae1dc3219faac65fe94e1cf673b17d8bcd3a8-1280x719.png%2FJames%2520Chambers%2520Nexus%25202024.png%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fajmc%2Ff28ae1dc3219faac65fe94e1cf673b17d8bcd3a8-1280x719.png%2FJames%2520Chambers%2520Nexus%25202024.png%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, 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font-bold text-[#000000] text-left line-clamp-3 text-hidden">Biosimilars Are Getting a Foothold and Becoming Preferred, Says Dr James Chambers</p></div></div></div></a><a target="" style="scroll-snap-align:center;text-decoration:none" class="jsx-2915913710 sm:w-[280px] xs:w-[240px] w-[65%] h-auto flex flex-col space-y-3 flex-none select-none no-underline" href="/view/removing-need-for-switching-studies-could-change-payer-perspectives-of-biosimilars"><div class="jsx-2915913710 w-full h-full flex flex-col overflow-hidden relative bg-white text-center"><div class="jsx-2915913710 relative w-full shadow-md shadow-grey-800 aspect-video"><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:absolute;top:0;left:0;bottom:0;right:0"><img alt="" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="fill" class="object-cover" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fajmc%2Ff28ae1dc3219faac65fe94e1cf673b17d8bcd3a8-1280x719.png%2FJames%2520Chambers%2520Nexus%25202024.png%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fajmc%2Ff28ae1dc3219faac65fe94e1cf673b17d8bcd3a8-1280x719.png%2FJames%2520Chambers%2520Nexus%25202024.png%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fajmc%2Ff28ae1dc3219faac65fe94e1cf673b17d8bcd3a8-1280x719.png%2FJames%2520Chambers%2520Nexus%25202024.png%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, 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font-bold text-[#000000] text-left line-clamp-3 text-hidden">Removing Need for Switching Studies Could Change Payer Perspectives of Biosimilars</p></div></div></div></a><a target="" style="scroll-snap-align:center;text-decoration:none" class="jsx-2363373513 sm:w-[280px] xs:w-[240px] w-[65%] h-auto flex flex-col space-y-3 flex-none select-none no-underline" href="/view/role-of-the-pharmacist-in-the-care-team-to-contain-costs-in-oncology"><div class="jsx-2363373513 w-full h-full flex flex-col overflow-hidden relative bg-white text-center"><div class="jsx-2363373513 relative w-full shadow-md shadow-grey-800 aspect-video"><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:absolute;top:0;left:0;bottom:0;right:0"><img alt="" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="fill" class="object-cover" 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text-[#000000] text-left line-clamp-3 text-hidden">Role of the Pharmacist in the Care Team to Contain Costs in Oncology</p></div></div></div></a><a target="" style="scroll-snap-align:center;text-decoration:none" class="jsx-2785488040 sm:w-[280px] xs:w-[240px] w-[65%] h-auto flex flex-col space-y-3 flex-none select-none no-underline" href="/view/private-label-biosimilars"><div class="jsx-2785488040 w-full h-full flex flex-col overflow-hidden relative bg-white text-center"><div class="jsx-2785488040 relative w-full shadow-md shadow-grey-800 aspect-video"><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:absolute;top:0;left:0;bottom:0;right:0"><img alt="" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="fill" class="object-cover" 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Image Credit: Surendra - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">December 20th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/fda-approves-seventh-ustekinumab-biosimilar-to-reference-stelara">FDA Approves Seventh Ustekinumab Biosimilar to Reference Stelara</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/cameron-santoro">Cameron Santoro</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/fda-approves-seventh-ustekinumab-biosimilar-to-reference-stelara"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">The FDA granted approval to Steqeyma (ustekinumab-stba) for inflammatory conditions, making it the seventh biosimilar to reference Stelara after a year of multiple ustekinumab biosimilar approvals.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/uptake-of-rituximab-biosimilars-in-medicare-and-medicaid-in-2019-2022"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/5421358c8f117ee86126333e135f08cf1e61ded6-778x382.png?fit=crop&amp;auto=format" alt="AJMC" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">December 16th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/uptake-of-rituximab-biosimilars-in-medicare-and-medicaid-in-2019-2022">Uptake of Rituximab Biosimilars in Medicare and Medicaid in 2019-2022</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/jingjing-qian-phd">Jingjing Qian, PhD</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/uptake-of-rituximab-biosimilars-in-medicare-and-medicaid-in-2019-2022"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Significant uptake of rituximab biosimilars in Medicare and Medicaid occurred within the first 4 years of marketing in the US.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/from-approval-to-practice-addressing-the-hurdles-in-biosimilar-integration"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/50d700b88aa9af2c75864177d43c5651d055284b-1200x697.jpg?fit=crop&amp;auto=format" alt="Seattle Washington skyline | Image Credit: © espiegle - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">December 12th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/from-approval-to-practice-addressing-the-hurdles-in-biosimilar-integration">From Approval to Practice: Addressing the Hurdles in Biosimilar Integration</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/skylar-jeremias">Skylar Jeremias</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/from-approval-to-practice-addressing-the-hurdles-in-biosimilar-integration"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Recent discussions at an Institute for Value-Based Medicine event highlighted the significant potential of biosimilars in reshaping the health care landscape, despite facing considerable barriers to adoption.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div><div><div class="text-[8px] text-center text-gray-500 hidden">Advertisement</div><div id="div-gpt-ad-infeed-7"></div></div></div><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/policy-proposals-aim-to-stimulate-the-long-term-sustainability-of-infused-biosimilars"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/7cad58a0175282b6a9e2f0292dc22ac8b8dc9d40-3600x2401.jpg?fit=crop&amp;auto=format" alt="Health Policy. | Image Credit: Mohamad Zaki - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">December 4th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/policy-proposals-aim-to-stimulate-the-long-term-sustainability-of-infused-biosimilars">Policy Proposals Aim to Stimulate the Long-Term Sustainability of Infused Biosimilars</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/cameron-santoro">Cameron Santoro</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/policy-proposals-aim-to-stimulate-the-long-term-sustainability-of-infused-biosimilars"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Panelists proposed policy solutions to ensure long-term sustainability of infused biosimilars amid current challenges, including average sales price erosion and reimbursement issues.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/fda-approves-sixth-ustekinumab-biosimilar-yesintek"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/2f366a4ab7421a6a697b539c22b8aedf46713899-6000x4000.jpg?fit=crop&amp;auto=format" alt="FDA approval. | Image Credit: syahrir - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">December 2nd 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/fda-approves-sixth-ustekinumab-biosimilar-yesintek">FDA Approves Sixth Ustekinumab Biosimilar, Yesintek</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/skylar-jeremias">Skylar Jeremias</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/fda-approves-sixth-ustekinumab-biosimilar-yesintek"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">The approval of Yesintek (ustekinumab-kfce), the sixth biosimilar to reference Stelara, will be used to treat patients with various immunology conditions, including psoriatic arthritis and inflammatory bowel disease.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex md:hidden justify-center items-center"></div><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/addressing-patent-hurdles-payer-barriers-and-interchangeability"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/acfa79aea9d4d9915415c5b57644f564014a966a-6760x4171.jpg?fit=crop&amp;auto=format" alt="Patient access to medication. | Image Credit: Supatman - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 22nd 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/addressing-patent-hurdles-payer-barriers-and-interchangeability">Addressing Patent Hurdles, Payer Barriers, and Interchangeability</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/cameron-santoro">Cameron Santoro</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/addressing-patent-hurdles-payer-barriers-and-interchangeability"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Global Biosimilars Week discussed issues in biosimilar adoption and called for reforms to streamline processes, foster competition, and increase biosimilar access for patients.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/financial-incentives-drive-biosimilar-adoption-in-japan"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/dfa1025ae10a86f9ce44cdc2182c02e7a8c82f5d-4924x3288.jpg?fit=crop&amp;auto=format" alt="Health care expenses. | Image Credit: izzuan - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 20th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/financial-incentives-drive-biosimilar-adoption-in-japan">Financial Incentives Drive Biosimilar Adoption in Japan</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/cameron-santoro">Cameron Santoro</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/financial-incentives-drive-biosimilar-adoption-in-japan"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Financial incentives provided to hospitals in Japan led to a significant increase in biosimilar oncology drug prescriptions.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/fda-q-a-addressing-biosimilar-safety-ai-in-drug-development-and-supply-chain-challenges"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/ebfb40d061db8cb94776018fe5f4c50f7871539b-5293x3529.jpg?fit=crop&amp;auto=format" alt="FDA logo and website | Image credit: Postmodern Studio - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 6th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/fda-q-a-addressing-biosimilar-safety-ai-in-drug-development-and-supply-chain-challenges">FDA Q&amp;A: Addressing Biosimilar Safety, AI in Drug Development, and Supply Chain Challenges</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/skylar-jeremias">Skylar Jeremias</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/fda-q-a-addressing-biosimilar-safety-ai-in-drug-development-and-supply-chain-challenges"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">In a Q&amp;A, an FDA spokesperson discusses efforts to reduce misinformation about biosimilars through education, the agency’s collaboration with global regulators to streamline development, and its work to address drug shortages while emphasizing safety, efficacy, and public trust.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/biosimilar-aflibercept-p041-as-effective-safe-as-originator-in-namd"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/d2cd5de30ba7677ccd28c41ab29de29b346bdf3c-7689x5128.jpg?fit=crop&amp;auto=format" alt="Retinal condition | Image Credit: Yakobchuk Olena - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">October 30th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/biosimilar-aflibercept-p041-as-effective-safe-as-originator-in-namd">Biosimilar Aflibercept P041 as Effective, Safe as Originator in nAMD</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/cameron-santoro">Cameron Santoro</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/biosimilar-aflibercept-p041-as-effective-safe-as-originator-in-namd"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Biosimilar aflibercept (P041) demonstrated comparable safety and efficacy to the originator aflibercept (Eylea) in treating patients with retinal conditions like neovascular age-related macular degeneration (nAMD).</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div><div><div class="text-[8px] text-center text-gray-500 hidden">Advertisement</div><div id="div-gpt-ad-infeed-13"></div></div></div><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/exploring-the-complexities-of-biosimilars-and-interchangeability"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/0d5a24832621e6f9d53f32a6423b928fb5b1679b-6011x3452.jpg?fit=crop&amp;auto=format" alt="health policy chart | Image credit: JOURNEY STUDIO7 - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">October 30th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/exploring-the-complexities-of-biosimilars-and-interchangeability">Exploring the Complexities of Biosimilars and Interchangeability</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/skylar-jeremias">Skylar Jeremias</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/exploring-the-complexities-of-biosimilars-and-interchangeability"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">A panel of industry experts discussed the complexities of biosimilars and interchangeability, emphasizing the challenges in adoption, the need for regulatory and legislative solutions, and the importance of education to combat misinformation.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/biosimilars-expand-access-and-reduce-costs-in-oncology-immunology"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/7fc5480ec7e34a8f5b00fd8c0b3f673a38015d46-5184x3456.jpg?fit=crop&amp;auto=format" alt="Cost of health care | Image Credit: Scott Hales - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">October 28th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/biosimilars-expand-access-and-reduce-costs-in-oncology-immunology">Biosimilars Expand Access and Reduce Costs in Oncology, Immunology</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/cameron-santoro">Cameron Santoro</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/biosimilars-expand-access-and-reduce-costs-in-oncology-immunology"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Biosimilars offer significant cost-saving potential while expanding patient access, particularly in oncology and immunology.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/samsung-bioepis-reports-2024-biosimilar-market-growth-trends"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/c0595641740ddb95dbc346b73a0a63639345e1ea-7008x4672.jpg?fit=crop&amp;auto=format" alt="Market share increase | Image Credit: Kiattisak - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">October 15th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/samsung-bioepis-reports-2024-biosimilar-market-growth-trends">Samsung Bioepis Reports 2024 Biosimilar Market Growth Trends</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/cameron-santoro">Cameron Santoro</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/samsung-bioepis-reports-2024-biosimilar-market-growth-trends"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Adalimumab biosimilar market shares have steadily increased, but challenges remain due to pricing strategies and limited government support, according to the Samsung Bioepis report.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/fda-approves-imuldosa-a-fifth-biosimilar-to-stelara"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/140642b191f4ee4e4895ffeda9ce6e76c770dfe2-1200x700.jpg?fit=crop&amp;auto=format" alt="FDA approve graphic on screen over a doctor | Image credit: wladimir1804 - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">October 11th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/fda-approves-imuldosa-a-fifth-biosimilar-to-stelara">FDA Approves Imuldosa, a Fifth Biosimilar to Stelara</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/skylar-jeremias">Skylar Jeremias</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/fda-approves-imuldosa-a-fifth-biosimilar-to-stelara"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Imuldosa (ustekinumab-srlf) is the fifth ustekinumab biosimilar referencing Stelara to receive regulatory approval in the US.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex md:hidden justify-center items-center"></div><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/blue-shield-of-california-lowers-humira-biosimilar-costs-challenges-pbm-pricing"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/21c4db2b1f658d537c0a022c79b65c35f7d39b8e-3888x2592.jpg?fit=crop&amp;auto=format" alt="Cost reduction in health care. | Image Credit: wladimir1804 - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">October 7th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/blue-shield-of-california-lowers-humira-biosimilar-costs-challenges-pbm-pricing">Blue Shield of California Lowers Humira Biosimilar Costs, Challenges PBM Pricing</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/cameron-santoro">Cameron Santoro</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/blue-shield-of-california-lowers-humira-biosimilar-costs-challenges-pbm-pricing"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Blue Shield of California will offer an adalimumab biosimilar at a price that is 75% less than the reference product Humira for the monthly dose.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/fourth-ustekinumab-biosimilar-otulfi-approved-in-us"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/60acf610ed5d8534057fb31e98f029c28409bcc1-1200x738.jpg?fit=crop&amp;auto=format" alt="Blue FDA approved stamp | Image credit: cartoon-stock - adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">October 2nd 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/fourth-ustekinumab-biosimilar-otulfi-approved-in-us">Fourth Ustekinumab Biosimilar, Otulfi, Approved in US</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/laura-joszt">Laura Joszt, MA</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/fourth-ustekinumab-biosimilar-otulfi-approved-in-us"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Otulfi from Formycon and Fresenius Kabi was approved simultaneously in the US and the European Union. In the US, it will launch in February 2025.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div><div><div class="text-[8px] text-center text-gray-500 hidden">Advertisement</div><div id="div-gpt-ad-infeed-19"></div></div></div><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/biosimilar-follitropin-alfa-offers-fertility-savings-in-france"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/8dde0bb2ca949518399ff30fcdce451a7f607d87-4993x3317.jpg?fit=crop&amp;auto=format" alt="Follitropin alfa | Image Credit: cristianstorto - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">September 30th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/biosimilar-follitropin-alfa-offers-fertility-savings-in-france">Biosimilar Follitropin Alfa Offers Fertility Savings in France</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/cameron-santoro">Cameron Santoro</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/biosimilar-follitropin-alfa-offers-fertility-savings-in-france"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">A French study found that follitropin alfa, a biosimilar fertility drug, is more cost-effective compared with its originator, leading to potential savings for both patients and the health care system. </div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/report-highlights-biosimilars-savings-but-high-out-of-pocket-costs-for-patients"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/4d51334652648b7d20b479e8ff9a35a3962ea6df-4896x3264.jpg?fit=crop&amp;auto=format" alt="Cost savings | Image credit: joyfotoliakid - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">September 27th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/report-highlights-biosimilars-savings-but-high-out-of-pocket-costs-for-patients">Report Highlights Biosimilars Savings, but High Out-of-Pocket Costs for Patients</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/julia-bonavitacola">Julia Bonavitacola</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/report-highlights-biosimilars-savings-but-high-out-of-pocket-costs-for-patients"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Out-of-pocket costs for biosimilars and generics are still high for patients despite these drugs leading to estimated savings of $445 billion in 2023.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/drug-survival-of-biosimilars-originator-tnf-inhibitors-similar"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/17e1a80a0af08634c1c58ed128411771f0bb71f1-1280x807.jpg?fit=crop&amp;auto=format" alt="Rows of identical clear vials | Image credit: nordroden - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">September 4th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/drug-survival-of-biosimilars-originator-tnf-inhibitors-similar">Drug Survival of Biosimilars, Originator TNF Inhibitors Similar</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/laura-joszt">Laura Joszt, MA</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/drug-survival-of-biosimilars-originator-tnf-inhibitors-similar"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">The rates of discontinuation due to inefficacy or adverse events for biosimilars and originators of etanercept and adalimumab were similar, according to an analysis of a prospective registry.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/biosimilar-updates-celltrion-costco-partnership-amgen-sues-samsung-bioepis-denosumab-results"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/1b666f2bfe935d0536114ee5e312d8f5c043a68c-1280x756.jpg?fit=crop&amp;auto=format" alt="White piggy bank next to a stethoscope with health icons above it | Image credit: Kiattisak - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">August 25th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/biosimilar-updates-celltrion-costco-partnership-amgen-sues-samsung-bioepis-denosumab-results">Biosimilar Updates: Celltrion, Costco Partnership; Amgen Sues Samsung Bioepis; Denosumab Results</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/skylar-jeremias">Skylar Jeremias</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/biosimilar-updates-celltrion-costco-partnership-amgen-sues-samsung-bioepis-denosumab-results"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Celltrion&#x27;s adalimumab-aaty biosimilar is now accessible for all Costco members, while Amgen sues Samsung Bioepis over the latter’s denosumab biosimilar candidate, and GlycoNex progresses its denosumab biosimilar SPD8 to phase 3 trials.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/biosimilar-uptake-lags-in-us-despite-potential-cost-savings"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/4b5dea1abd963d1413ab85a5ad21a6b7ca30e788-4853x2720.jpg?fit=crop&amp;auto=format" alt="Interest rates control inflation | Image Credit: Thongdee - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">August 16th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/biosimilar-uptake-lags-in-us-despite-potential-cost-savings">Biosimilar Uptake Lags in US Despite Potential Cost Savings</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/cameron-santoro">Cameron Santoro</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/biosimilar-uptake-lags-in-us-despite-potential-cost-savings"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Delayed biosimilar uptake in the US is driven by payer, provider, and patient barriers, but targeted interventions can help boost utilization and savings.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/biosimilars-and-employers-strategies-for-success"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/bac9119d52d062950c417fc4c28b4780940ac404-225x225.jpg?fit=crop&amp;auto=format" alt="Kathy Oubre, MS | Image: LinkedIn" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">August 16th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/biosimilars-and-employers-strategies-for-success">Biosimilars and Employers: Strategies for Success</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/kathy-oubre-ms">Kathy Oubre, MS</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/biosimilars-and-employers-strategies-for-success"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">This article first appeared on The Center for Biosimilars®.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div><div><div class="text-[8px] text-center text-gray-500 hidden">Advertisement</div><div id="div-gpt-ad-infeed-25"></div></div></div><div class="jsx-ad50481d5ee26850 flex md:hidden justify-center items-center"></div><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/fda-approves-biosimilar-enzeevu-for-eye-conditions"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/01db92ab6c03e1018494ce00a2848e9bd662af7d-1200x629.jpg?fit=crop&amp;auto=format" alt="eye and tech | Image credit: eevl - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">August 13th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/fda-approves-biosimilar-enzeevu-for-eye-conditions">FDA Approves Biosimilar Enzeevu for Eye Conditions</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/skylar-jeremias">Skylar Jeremias</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/fda-approves-biosimilar-enzeevu-for-eye-conditions"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">The FDA approved Sandoz’ Enzeevu, the fourth aflibercept biosimilar to be approved for Americans with age-related macular degeneration and other retinal eye diseases.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/first-aflibercept-biosimilars-approved-in-us"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/7edc257aff3f99bf7ce8baf67cd930524592e5ee-1280x813.jpg?fit=crop&amp;auto=format" alt="Close of up of an older woman&#x27;s eye | Image credit: Syda Productions - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">May 20th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/first-aflibercept-biosimilars-approved-in-us">First Aflibercept Biosimilars Approved in US</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/skylar-jeremias">Skylar Jeremias</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/first-aflibercept-biosimilars-approved-in-us"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">The FDA approved the first 2 biosimilars referencing aflibercept (Eylea). However, patent litigation has left it unclear when the biosimilars will come to market.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/budget-impact-analysis-of-biosimilar-natalizumab-in-the-us"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/5421358c8f117ee86126333e135f08cf1e61ded6-778x382.png?fit=crop&amp;auto=format" alt="AJMC" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">May 17th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/budget-impact-analysis-of-biosimilar-natalizumab-in-the-us">Budget Impact Analysis of Biosimilar Natalizumab in the US</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/edward-li-pharmd-mph">Edward Li, PharmD, MPH</a><span class="jsx-ad50481d5ee26850 mr-1 ml-[1px]"> </span><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/adrian-goh-mec">Adrian Goh, MEc</a><span class="jsx-ad50481d5ee26850 mr-1 ml-[1px]"> </span><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/soni-gupta-mec">Soni Gupta, MEc</a><span class="jsx-ad50481d5ee26850 mr-1 ml-[1px]"> </span><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/marion-schauf-dipl-kff">Marion Schauf, Dipl-Kff</a><span class="jsx-ad50481d5ee26850 mr-1 ml-[1px]"> </span><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/anna-chen-pharmd-ms">Anna Chen, PharmD, MS</a><span class="jsx-ad50481d5ee26850 mr-1 ml-[1px]"> </span><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/daniel-m-hartung-pharmd-mph">Daniel M. Hartung, PharmD, MPH</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/budget-impact-analysis-of-biosimilar-natalizumab-in-the-us"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Projected savings from biosimilar natalizumab were $452,611 over 3 years, driven by decreased drug acquisition costs and a utilization shift from reference to biosimilar natalizumab.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/radiographic-progression-low-for-high-risk-patients-with-axspa-on-both-secukinumab-and-an-adalimumab-biosimilar"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/fafb1b7e7ca04361c98cf0f8b2f5890932aba302-5616x3744.jpg?fit=crop&amp;auto=format" alt="Woman sitting on bed with back pain illustrated by a highlighted spine | Image credit: WavebreakMediaMicro - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">April 12th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/radiographic-progression-low-for-high-risk-patients-with-axspa-on-both-secukinumab-and-an-adalimumab-biosimilar">Radiographic Progression Low for High-Risk Patients With axSpA on Both Secukinumab and an Adalimumab Biosimilar</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/kimberly-rath-pharmd">Kimberly Rath, PharmD</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/radiographic-progression-low-for-high-risk-patients-with-axspa-on-both-secukinumab-and-an-adalimumab-biosimilar"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Patients with radiographic axial spondyloarthritis (ax-SpA) and a high risk of radiographic progression had similar low progression on both secukinumab and an adalimumab biosimilar.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/fda-approves-first-2-denosumab-biosimilars"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/bf365d9c6f891c03e1fc1d99398a075dea15607e-3508x2480.jpg?fit=crop&amp;auto=format" alt="FDA approval stamp in red | Image credit: chrisdorney - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">March 5th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/fda-approves-first-2-denosumab-biosimilars">FDA Approves First 2 Denosumab Biosimilars</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/laura-joszt">Laura Joszt, MA</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/fda-approves-first-2-denosumab-biosimilars"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Wyost and Jubbonti were approved as interchangeable biosimilars for Xgeva and Prolia; however, there is no launch date yet pending litigation with the maker of the reference products.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/navigating-the-biosimilar-frontier-opportunities-and-challenges-in-2024"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/8f2665e13dc96affc156be2470971e666473ce82-1280x792.jpg?fit=crop&amp;auto=format" alt="Doctor stacking wooden blocks with health care icons | image credit: REDPIXEL - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 w-full xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 font-bold article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">January 14th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/navigating-the-biosimilar-frontier-opportunities-and-challenges-in-2024">Navigating the Biosimilar Frontier: Opportunities and Challenges in 2024 </a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#000] text-sm italic" href="/authors/jayne-hornung">Jayne Hornung</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/navigating-the-biosimilar-frontier-opportunities-and-challenges-in-2024"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Biosimilars offer substantial promise for a new era of accessibility and affordability for patients and the broader health care industry, but better understanding of these products from payers and providers is necessary for biosimilars to reach their full potential in the US.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div></div><div class="w-full text-center flex justify-center pb-24"><a class="px-4 py-2 border-y border-r bg-primary text-white" href="/compendium/biosimilars?page=1">1</a><a class="px-4 py-2 border-y border-r " href="/compendium/biosimilars?page=2">2</a><a class="px-4 py-2 border-y border-r " href="/compendium/biosimilars?page=3">3</a><a class="px-4 py-2 border-y border-r " href="/compendium/biosimilars?page=4">4</a><a class="px-4 py-2 border-y border-r " href="/compendium/biosimilars?page=5">5</a><a class="px-4 py-2 border-y border-r " href="/compendium/biosimilars?page=6">6</a><a class="px-4 py-2 border-y border-r " href="/compendium/biosimilars?page=7">7</a><a class="px-4 py-2 border-y border-r " href="/compendium/biosimilars?page=8">8</a><div class="px-4 py-2 border-y border-r">...</div><a class="px-4 py-2 border-y border-r" href="/compendium/biosimilars?page=19">19</a><a class="px-4 py-2 border-y border-r" 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This can be really fun when you have particular patients who do have potential financial insecurities around particular products and being able to afford the therapies and knowing that pretty soon you might have some answers for them and ways to help increase their access to care and alleviate their financial burden. At the end of the day, that’s why we all get out of bed in the morning, to provide the best care possible for our patients. Anything that we can do as health care providers, from the science around it, and also helping to relieve that financial burden, those are 2 huge wins in patient care."}],"_type":"block","style":"normal","_key":"2601ae768cec","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"c30a6c02dead0"}],"_type":"block","style":"normal","_key":"74368152d301"},{"markDefs":[],"children":[{"text":"In an ideal world, our organization would have 1 drug per indication on our formulary. 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We do continue to watch the idea of interchangeability, which will be a huge win in the oncology space when we achieve interchangeable status, but until then it hasn’t been a large concern within our organization. If and when it is, on the provider and even the patient perspective, or from a nursing perspective, we have developed educational tools for all of those segments of our population, and we continue to update them as new science and new findings come into the market.","_key":"a5b19ad969af0"}],"_type":"block","style":"normal","_key":"1480e78dfcd8","markDefs":[]},{"markDefs":[],"children":[{"_key":"a20bd06f8c010","_type":"span","marks":[],"text":"Payers and PBMs [pharmacy benefit managers] have the most significant impact on our biosimilar choices at Pontchartrain [Cancer Center]. PBMs and private payers vary in their approach to biosimilars. Although some PBMs and payers include biosimilars on their formularies without real aggressive management, some will only approve the originator product. Others will create preferred coverage for 1 or more biosimilars. The rub becomes when different payers approve different biosimilars on their formularies."}],"_type":"block","style":"normal","_key":"1450a50a9c98"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"As an organization, years ago we made the decision to not do any type of off-label medicine. One of the ways that we ensure that is the treatment plans are not built within the EMR [electronic medical record] if they’re not within that labeled indication. If a provider goes to look for that particular treatment plan for an off-label indication around the biosimilars, they won’t find it. 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We thought that if we had people understand the background of biosimilars and the benefits to the patient, the organization, and the health care system, that would help drive the narrative. That was really helpful for us in being successful. We have strong medical leaders too who understand the benefits and were able to help with some of those just-in-time conversations. That helped people understand the concept of biosimilars, be comfortable with utilizing them both in curative and noncurative intent and helping drive value to the patient.","_key":"4487752461bf1"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Kathy Oubre, MS","_key":"74ff3243b2ef0"},{"marks":[],"text":": We had started talking about biosimilars a few years ago when we knew the science was coming onto the market. 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Again, that must be blessed by a pharmacy and therapeutics–approved policy. But that allows the organization to be operationally effective, utilize the medications the provider wants without having this massive IT burden that causes a delay in giving these medications on formulary for the patient. That allows us to adopt medications more in real time, based on the payer requirements that we were having difficulty keeping up with.","_key":"56107cedbe681"}],"_type":"block","style":"normal","_key":"b31f6bb306f7"},{"_key":"36ef0d2e9f27","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Kathy Oubre, MS","_key":"9803e5e4fd640"},{"_type":"span","marks":[],"text":": As you can imagine, within our EMR [electronic medical record], every time you have a new product, you have to build a new treatment plan with your EMR. When the biosimilars came to market, that did mean a new treatment plan for every individual biosimilar that came to market. There are 19 to 21 approved products that require a treatment plan per indication per product. That number can grow quite quickly, and that does become a cumbersome process for the nurses devising those treatment plans.","_key":"9803e5e4fd641"}],"_type":"block","style":"normal"},{"_key":"1dfc1134a2b8","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"3c42835389470"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"text":"We didn’t see the need to implement any new software because our EMR vendor anticipated this problem and the burden behind it. To help alleviate some of those burdens around biosimilars, there is a beta site with our EMR vendor for biosimilar integration. In this pilot, our EMR will now have a drop-down box for all of the drugs per drug class, per indication, and it will cross reference the drugs with the patient’s payer formulary. As I mentioned, it is in a beta site, and we’ve been “beta-ing” this project now for about 3 weeks and we’re working out the bugs. Our EMR vendor is extremely receptive and has been a great partner during this process. I applaud them for looking at this because as biosimilars continue to come into the market, if you look at the pipeline, we’re looking at another 20 to 30 in the next 2 to 3 years. It’s going to be important to have some automated processes and workflows around biosimilars.","_key":"9b4334c5b78e0","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"221338071b78"},{"style":"normal","_key":"951877d1dcdd","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Ryan Haumschild, PharmD, MS, MBA","_key":"ad09ebc37f8c0"},{"_type":"span","marks":[],"text":": Clinical pathways are one of the latest strategies and recommendations to create consistent quality care for patients across all spectrums of their care. Within pathways people utilize order sets, especially if they have computerized physician order entry. That’s a great way to make sure that you have the prehydration, the premedications, the treatment medications, and the monitoring all in one succinct plan that can be blessed by a greater group, like a disease state working group or tumor board. So that way, when a provider goes to order it, they know that the great discussion and consolidated plan has already been built out in the EMR. They can review it, then initiate it for a patient. Yes, within those care plans, it’s so important to build in biosimilars because that allows the provider to not have to think, “How do I order this biosimilar or that generic trastuzumab name that I’ve heard Ryan talk about?” When we can build it in there that means it’ll automatically get ordered when they initiate that plan, and it’ll follow that standard work. Then if a payer wants a different biosimilar or something needs to be substituted, that can all occur within the EMR and it helps drive utilization, but most importantly, appropriate utilization that was intended by the physician.","_key":"ad09ebc37f8c1"}],"_type":"block"},{"children":[{"_type":"span","marks":["strong"],"text":"Kathy Oubre, MS","_key":"5492198603bc0"},{"_type":"span","marks":[],"text":": We don’t use clinical pathways. We do have them, but we prefer to use more of a clinical decision support tool, which is what we are doing in a separate pilot project with our EMR vendor. We have treatment plans built for each approved product per indication on an individual payer formulary.","_key":"5492198603bc1"}],"_type":"block","style":"normal","_key":"6041a914f2ce","markDefs":[]},{"_key":"67fbdcfdc1ac","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"e3a90a740bee"}],"_type":"block","style":"normal"},{"_type":"block","style":"normal","_key":"e970a4a81b93","markDefs":[],"children":[{"marks":["strong","em"],"text":"This transcript has been edited for clarity.","_key":"cd7703c75d84","_type":"span"}]}],"contentCategory":{"_createdAt":"2020-04-03T20:03:44Z","_rev":"Yw6MEKZDMdk6hC2JCPjfiB","_type":"contentCategory","name":"Videos","_id":"ee14ccb3-3542-4414-9046-927be1198c76","_updatedAt":"2020-04-03T20:03:44Z"},"summary":"Two experts explain if they had to create any incentives for health care providers to prescribe biosimilars, whether they encountered challenges with their electronic health records, and if their biosimilar programs impacted their 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Inclusion"],"_rev":"rs7eCk0lrr8LMiZP9GDaQL","_type":"taxonomy","_updatedAt":"2023-11-03T18:20:52Z"}],"_id":"9f5c1215-ea3b-4bb4-8e66-74b8ec29f5ea","seoTag":["Biosimilars","tracking usage"," dispense report"," consistent utilization"," buy-in"," EMR"," electronic medical record"," adherence"," cost of care"," out-of-pocket expenses"," financial toxicity"," payers"," denials"," precertification"," drug acquisition costs"," access to care"],"body":[{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"a888e78a803a"}],"_type":"block","style":"normal","_key":"125b2444166e"},{"_type":"video","videoID":"6278919214001","source":"brightcove","_key":"3360f79674f0"},{"_type":"block","style":"normal","_key":"028ce11796f2","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Ryan Haumschild, PharmD, MS, MBA:","_key":"22a2c7f3a0b50"},{"_type":"span","marks":[],"text":" We always try to look at our dispense reports, and that’s across every medication. We want to make sure we’re utilizing medications consistently for all our patients, and we do that mainly because we want to make sure if there are any abnormalities that we’re able to pick up on them. Also, when we move forward with a formulary approval and build them into our order sets, we want to make sure that utilization is consistent and predictable. That way, we can staff accordingly, generate pars, and make sure any contracts or any type of purchasing volumes that we’re looking at are consistent across the board. With biosimilars, do we track usage of biosimilars? We do track usage of biosimilars to make sure that we’re providing consistent care and we have enough drug on hand. We believe our providers have the buy-in for biosimilars, so that’s not an issue for us. They’re the ones who wanted to use biosimilars and implement them. We track for operational excellence, but otherwise we don’t create a report card provider. That’s not something that we do because we feel like we have good buy-in from the greater group.","_key":"22a2c7f3a0b51"}]},{"children":[{"marks":[],"text":"","_key":"69d3d79f475e0","_type":"span"}],"_type":"block","style":"normal","_key":"4bcd8e9bdb34","markDefs":[]},{"children":[{"_type":"span","marks":["strong"],"text":"Kathy Oubre, MS: ","_key":"50037aa1d30a0"},{"_key":"50037aa1d30a1","_type":"span","marks":[],"text":"We do track by provider and as an organization. Currently, we run biweekly reports out of our EMRs [electronic medical records] to identify patients as a whole and individually and prescribe a provider for each biosimilar and innovator product. This allows us to monitor our biosimilar adherence. We’re at around 95%. It allows us to identify and track anomalies, such as human error, on the practice side at the prescribing or authorization level. It allows us to track usage of individual biosimilars and innovators by payer and by product. And last, we measure this when reviewing the impact biosimilars have had on our overall drug spend and how that biosimilar usage has increased patient access and driven down cost to the patient as a whole."}],"_type":"block","style":"normal","_key":"c8b5170079b1","markDefs":[]},{"_key":"b112f8030e3e","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"6ceaa343ca860"}],"_type":"block","style":"normal"},{"style":"normal","_key":"0f91363ae7b9","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Ryan Haumschild, PharmD, MS, MBA:","_key":"e32395068d270"},{"_type":"span","marks":[],"text":" You have to look at outcome measures because you want to have some measure of success for any type of strategy. One of the main reasons you want to adopt biosimilars is to reduce cost of care, reduce the number of denials, reduce the number of denials on a patient, and reduce their out-of-patient expenses if possible. We know that financial toxicity is such a barrier in cancer care. We did evaluate some of these measures of success because a lot of the payers are requiring biosimilars. When we were starting to utilize the reference product, we would get a denial from the payer. We’d have to switch to the biosimilar and then hope we have a successful precertification that would allow that patient to be treated and that we would end up getting paid for that claim.","_key":"e32395068d271"}],"_type":"block"},{"markDefs":[],"children":[{"_key":"cd7b6e6b45ca0","_type":"span","marks":[],"text":""}],"_type":"block","style":"normal","_key":"67b1ec307ca1"},{"style":"normal","_key":"e7a29d75eca8","markDefs":[],"children":[{"_type":"span","marks":[],"text":"When we weren’t adopting biosimilars we had more denials. That means the insurance company asked us to use the biosimilar, and we didn’t have enough time to switch it out or have the biosimilar on formulary. Then that patient would have to figure out what to do. By implementing biosimilars and reducing that denial rate, it improved our operational excellence and reduced that out-of-pocket expense for patients. At the same time, when it reduces your total cost of care, you’re helping meet those organizational goals. That’s what you need to be focused right now, when we have so many high-cost therapies: how to reduce that cost to care and how to track that reduction and expense for an organization. Those are the measures of success that we try to focus in on when we consider biosimilars.","_key":"6c94c446192c0"}],"_type":"block"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"72a01b0c0ed40"}],"_type":"block","style":"normal","_key":"9ff40d28d2be"},{"_key":"09a057e7e9b0","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Kathy Oubre, MS:","_key":"8cabcf59da830"},{"_type":"span","marks":[],"text":" We know which patients are receiving which product. We look at those biweekly to see if we’re seeing an increased toxicity at any level as a result of a particular product, whether they’re coming in for more hydration or more phone calls to the practice. We monitor this biosimilar conversion in reviewing our drug acquisition costs vs our reimbursement, then we closely monitor the number of patients on any particular drug. Conversely, we’ve seen a large increase in access to care within our organization as a result of these biosimilars, and that decreased out of pocket for our patients.","_key":"8cabcf59da831"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"5272951372ff"}],"_type":"block","style":"normal","_key":"d7ba22eee0b0"},{"style":"normal","_key":"ad15b8874a20","markDefs":[],"children":[{"marks":["strong","em"],"text":"This transcript has been edited for 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That means that you want to make sure nursing is involved, the providers are involved, quality is involved, everyone has insight into and transparency regarding why we’re trying to implement biosimilars, and the benefits of them. As we create transitions, we want input from everyone, patient family advocates, etc, to make sure we’re always doing the right thing. As we went to drive forward with biosimilar implementation, we continued to bring the biosimilars initially through our P\u0026T [pharmacy and therapeutics] committee and created a monograph. Over time, our physicians and the greater P\u0026T committee said, “We get the concept of biosimilars. Once they’re approved by the FDA to highly similar products, you don’t need to bring them forward, because we recognize more biosimilars are going to come to market. Let’s approve the concept of biosimilars and have some standard work in the way we look at biosimilars, but after that’s complete, let’s defer to pharmacy to choose the best product that provides the best pricing to our organization and our patients. That way we can reduce carrying costs and create more real time implementation.” That’s also important because we had payers that were already requiring biosimilars. If we don’t become efficient in the way that we onboarded these biosimilars to formulary, we may end up getting a lot of denials, which creates frustration for the patient, our providers, and the organization. Getting that P\u0026T approval and that P\u0026T policy approval on biosimilars allows us to be a lot more operationally efficient. When it comes to switches, you want to consult your local board of pharmacy rules and regulations. We want to make sure that we’re complying with any of those regulatory considerations. We made sure we did our homework within our P\u0026T-approved policy, and within our provider approval for making those substitutions that actually complied with local board of pharmacy regulations and allowed us to be successful with our strategy and utilizing biosimilars. In addition to that, we also had payer mandates that were requiring it, and we were having to tag our physicians anyway to have them switch it out. By creating this policy and procedure, it met our regulatory requirements, it met our shared decision-making requirement, and it met the needs for that just-in-time treatment plan that benefitted the patient.","_key":"4f49effe37b71"}],"_type":"block","style":"normal","_key":"e87b14a1a293"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Kathy Oubre, MS","_key":"3659444013df0"},{"marks":[],"text":": The protocols that we used to drive this transition were to build new treatment plans for all of those biosimilars, update any existing treatment plans, and then use detailed workflows around the steps for authorization, administration, and adherence. The next step is to develop reports internally, and within our EMR [electronic medical records], to monitor all of those moving parts. Last, for switches, the way biosimilars are designated requires both physician-approval and patient-reconsent for therapy for interchange to occur. 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to a Biosimilar Program","published":"2021-11-02T21:14:00.000Z","link":"/view/transitioning-to-a-biosimilar-program","updatedOn":null,"factCheckAuthorMapping":null,"_updatedAt":"2021-11-16T17:40:23Z","_id":"1b11ddbd-ade5-4d1e-84f1-121d8e0e921d","body":[{"style":"normal","_key":"ad305fd6ff2d","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"f5b8929c84c4"}],"_type":"block"},{"source":"brightcove","_key":"64a314b7a57c","_type":"video","videoID":"6278920330001"},{"children":[{"text":"Ryan Haumschild, PharmD, MS, MBA:","_key":"17649b3775ff0","_type":"span","marks":["strong"]},{"marks":[],"text":" Gaining buy-in for biosimilars involves multiple stakeholders. We appreciate the relationship we have with our physician partners and advanced practice practitioners who had to be involved. Our physician medical leadership had to be involved because we value their input, and we like to make decisions through a shared decision-making process. We wanted to bring in their take. What are their observations around biosimilars? Have they been familiar with them through research? Do they understand the concepts? Do they understand the science and the manufacturing process and feel comfortable with the FDA-approval process? Some may be comfortable. Some may be familiar with the idea. Maybe they’re even familiar with some of the data available from Europe. Others might be a little more hesitant. That’s OK if they’re hesitant because that’s an opportunity for us both to look into the data more and answer some of the questions that come up.","_key":"17649b3775ff1","_type":"span"}],"_type":"block","style":"normal","_key":"8995dc3f2ddb","markDefs":[]},{"children":[{"_type":"span","marks":[],"text":"","_key":"0b41707413720"}],"_type":"block","style":"normal","_key":"866af72848a2","markDefs":[]},{"style":"normal","_key":"077fcce16e2d","markDefs":[],"children":[{"_type":"span","marks":[],"text":"As we take on biosimilars, we get stakeholders involved but there’s also a strategy. That strategy involves [asking], what type of patients do you initially start utilizing biosimilars in? Do you utilize it in those patients who are going to start on medication for the first time, or do you consider switching patients midcycle for those who have been stable on the reference product? Many organizations, depending on how aggressive they are or familiar with biosimilars, have taken a different route. We like to start with new-start patients. That’s where the providers felt comfortable. We felt comfortable that we could go ahead and get precertifications for the product and oversee those patients and monitor them. That was helpful because it allowed us to grow comfortable with the data and transition as more biosimilars came to market. We eventually felt comfortable switching patients, not only patients on new starts but switching patients who are stable on the reference product to the biosimilar. That’s a natural transition that works well through that shared decision-making model.","_key":"9f4def5f16180"}],"_type":"block"},{"_key":"161af359c9ec","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"6509e4b3fcbb0"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Kathy Oubre, MS:","_key":"1c6b43d120b30"},{"_type":"span","marks":[],"text":" The first thing we did as an organization was to explain the why to everyone. As with many new programs or changes that we make within our organization, we’ve found that the most seamless transitions occur when everyone is involved. We started with the physicians and our nurse practitioners to ensure that they were comfortable with the science, the clinical trials, and the FDA-approval process. Next, we met with the nurses and because nurses spend the most time with our oncology patients in that infusion room. They often form very strong relationships, and the nurses take those relationships very personally.","_key":"1c6b43d120b31"}],"_type":"block","style":"normal","_key":"8f8b3b1481f7"},{"markDefs":[],"children":[{"text":"","_key":"32b5a0b283050","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"bb94b6412330"},{"children":[{"_type":"span","marks":[],"text":"We spend a lot of time with them talking about the biosimilar education and the science behind it, and we also included that potential cost savings that it would provide for their patients. Often we hear about the financial struggles of our patients, and we hear about it from the nurses. We felt it was important to include that financial piece in our discussion with them. Last, we met with the financial team and the authorization teams so they understand why we would be asking them to redo patients’ treatment plans a week after the original treatment plan had been completed but now a new biosimilar came to market. We used all these meetings as an opportunity to stress the importance of accuracy of authorizing and administering the correct and approved biosimilar or innovator product to the correct patient to help minimize error and risk to practice.","_key":"650cfb1f25730"}],"_type":"block","style":"normal","_key":"6698d7e28ad1","markDefs":[]},{"style":"normal","_key":"816e89c492ef","markDefs":[],"children":[{"_type":"span","marks":[],"text":"When we were doing those original sets of meetings with the providers, that decision was made then to move everyone as a whole, so everyone that was on current treatment were included in that decision making process. We made those decisions with all our new treatments moving forward.","_key":"a5bdd1cc113e0"}],"_type":"block"},{"markDefs":[],"children":[{"text":"","_key":"d1d770c330890","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"47316e8bf31a"},{"_type":"block","style":"normal","_key":"a8f21a93d1dd","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Ryan Haumschild, PharmD, MS, MBA:","_key":"764047f83ec20"},{"_type":"span","marks":[],"text":" The initial goals of implementing biosimilars are that we want to maintain patient safety, provide a clinical efficacious treatment, and provide the best care. That’s our true north for us when we’re making these decisions. When we look at these initial goals, we also wanted to comply with the payer mandates. We wanted to feel comfortable with the clinical data and in using these medications. We’re using biosimilars only because payers are making us. We know payers were forcing a lot of people across the country. We wanted to feel comfortable because we thought it was the right thing to do for patients who could potentially reduce their co-pays and reduce total cost of care, which is important in our health care system as drug prices continue to rise. We wanted to get more data around biosimilars so that we feel comfortable with the outcomes they gave us. As more biosimilars come to market for additional reference products, we had some real-world evidence.","_key":"764047f83ec21"}]},{"_type":"block","style":"normal","_key":"cd16ee3e1746","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"7517564120a40"}]},{"children":[{"_type":"span","marks":[],"text":"Some of the successes we’ve seen are that we felt comfortable with the data, and we saw good outcomes with our patients. Patients felt comfortable moving to a biosimilar, and they started to understand the topic. One of the challenges was matching up our reimbursement with biosimilars. That’s something that’s always going to be a bit of a challenge. When you’re trying to maximize your margin and make sure you’re doing a good job and staying operationally excellent, sometimes biosimilars can help, but sometimes they can’t. We’re trying to track some of those financial outcomes with something that was a little more challenging at the beginning, especially because it could be payer specific in terms of what was being approved. Another challenge, as we transition with biosimilars, was that specific physicians had concerns around immunogenicity or individual patients didn’t want to be switched off the reference product. We dealt with those in 1-off situations. If the patient felt strongly enough, we try to appeal for the reference product because ultimately we want to do best by the patient and what makes them feel most comfortable.","_key":"cf50d4b3b9d20"}],"_type":"block","style":"normal","_key":"3a874d71acb1","markDefs":[]},{"_type":"block","style":"normal","_key":"6b0abb5fd6da","markDefs":[],"children":[{"text":"","_key":"cd78830e7f000","_type":"span","marks":[]}]},{"markDefs":[],"children":[{"_key":"814f6c8fb0470","_type":"span","marks":[],"text":"Over time we’ve been able to get more familiar and feel more confident in utilizing biosimilars across the board, but those were some of the initial challenges we ran into as we wrapped up our program."}],"_type":"block","style":"normal","_key":"ba74e2aab99a"},{"_key":"eab86bf6c107","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"61726b0980690"}],"_type":"block","style":"normal"},{"children":[{"marks":["strong"],"text":"Kathy Oubre, MS:","_key":"925b2e219d730","_type":"span"},{"_key":"925b2e219d731","_type":"span","marks":[],"text":" As an organization, our goal for biosimilars was to do our part in bringing down drug cost as a nation and an organization and support the biosimilar market because we, as an organization, feel that biosimilars are going to play a very pivotal role in helping drive down health care costs. Most important, our primary goal was to increase access to care for many of our patients by offering a high-quality, less costly alternative to the originator product, which is quality without compromise. The challenges around implementing and maintaining those are keeping track of all the biosimilars on market, how the payer formularies change, and ensuring that our authorization team, financial team, and nursing team are giving approved products to the correct patients. Holistically, this has been a huge win for our organization and our patients. In our first month, we saw a 23% decrease in out-of-pocket costs for our patients, which is a lower cost to a health care system."}],"_type":"block","style":"normal","_key":"03b034b8afca","markDefs":[]},{"markDefs":[],"children":[{"marks":[],"text":"","_key":"936e387923f6","_type":"span"}],"_type":"block","style":"normal","_key":"024b3f5b0241"},{"children":[{"_type":"span","marks":["strong","em"],"text":"This transcript has been edited for clarity.","_key":"26b17c1c2e14"}],"_type":"block","style":"normal","_key":"22e34312ba1e","markDefs":[]}],"seoTag":["Biosimilars","stakeholders"," shared decision-making"," research data"," patient strategy"," physicians"," pharmacists"," nurses"," cost"," financial team"," authorization team"," accuracy"," safety"," efficacy"," payer mandates"," immunogenicity"," patient needs"," patient access"],"documentGroup":{"_ref":"d537a5b9-b33e-485d-aa7f-6f9c16e0f599","_type":"reference"},"_type":"article"},{"_updatedAt":"2021-11-16T17:38:39Z","published":"2021-11-02T21:07:00.000Z","body":[{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"068de848c743"}],"_type":"block","style":"normal","_key":"c9b7cda815a4"},{"_type":"video","videoID":"6278919317001","source":"brightcove","_key":"09480d7df455"},{"_key":"d84bd108402f","markDefs":[],"children":[{"_key":"ab641ed5d9e0","_type":"span","marks":["strong"],"text":"Ryan Haumschild, PharmD, MS, MBA:"},{"_type":"span","marks":[],"text":" The uptake of biosimilars is something we’ve been working on over the past few years. As biosimilars came to market initially, a lot of people were hesitant, and rightfully so. What does a biosimilar mean? What does it mean when it’s highly similar to the reference product, and how do we utilize these medications? Many of us were forced to use biosimilars in the supportive care side when we think of medications like pegfilgrastim. Those initially came to market and soon after, the last couple of years we’ve had a lot of pegfilgrastim biosimilars for supportive care measures, and we’ve had to adopt it. Because not only did we want to decrease cost of care, but payers started mandating it. As health care facilities, to comply with payer mandates we had to get familiar with these medications and utilize them.","_key":"339d63cf11ae"}],"_type":"block","style":"normal"},{"_type":"block","style":"normal","_key":"16e769d70e99","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"603e853e61700"}]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"That’s 1 area where biosimilars started to gain understanding—within health care providers, within the pharmacy team members—of what benefits biosimilars bring to the table. After we had biosimilars, we got comfortable with them in the supportive care arena. All of a sudden, we started to see newer biosimilars come forward in the therapeutic area, in the treatment space. This is something that gained a bit of hesitancy at first, just as it did when biosimilars were brought through supportive care, because we’re treating patients who might be curative in therapy or metastatic with a biosimilar, not the reference product.","_key":"f85d1ba0117e0"}],"_type":"block","style":"normal","_key":"8f4e399576fd"},{"_type":"block","style":"normal","_key":"a3317949b5c2","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"8c7bf9e90cb60"}]},{"markDefs":[],"children":[{"text":"What we did was leverage the great data that we saw in Europe. Europe has been using biosimilars since 2008. We’re able to see what their real-world evidence looked like. We’re able to translate that in our health care system. We still have some challenges with people concerned about immunogenicity: how do we create uptake, how do we add these medications to formulary, do we consider them equivalent. Those are decisions that we’ve methodically thought through and come up with plans for. Those were the initial challenges that came up. Successes are: We’ve been able to provide medications with good clinical efficacy at a reduced cost of care, which has been helpful. We’ve been able to comply with some of our payers, meeting value-based goals and reducing the cost. Last, we’ve been able to reduce co-pays for some patients by bringing them a more cost-effective therapy and utilize it for their treatment. Those are some of the barriers and successes we’ve seen with biosimilars coming to market.","_key":"d5a58ba98f1c0","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"47cef112ab73"},{"_key":"89cb7d9cdb02","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"4a545226e7c90"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_key":"94f0b1a10a190","_type":"span","marks":["strong"],"text":"Kathy Oubre, MS:"},{"_type":"span","marks":[],"text":" Our biggest success with biosimilars has been increased access to care for our patients. Biosimilars allow us to offer these potentially life-saving medications at a lower out-of-pocket cost to our patients. The estimated cost savings per dose for our patients has been $500 to $1400 for some of the more expensive therapeutic products. These types of cost savings have been more crucial during the pandemic as disparities in care have come to the forefront of our lives as health care providers.","_key":"94f0b1a10a191"}],"_type":"block","style":"normal","_key":"33a51ab1d3b7"},{"_type":"block","style":"normal","_key":"e6791c6c2195","markDefs":[],"children":[{"marks":[],"text":"","_key":"734acc82c8dc0","_type":"span"}]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"As many people continue to be faced with job and financial insecurities as a result of the pandemic, we’re going to see that problem moving forward. The cost savings of biosimilars has helped many people continue to afford their treatments. Some challenges that we see at Pontchartrain Cancer [Center] have been more operational in nature because of the requirement to stop multiple biosimilars and perhaps the originator because of variation in payer formulary. This has led though to an increased risk from an operational perspective if a nonauthorized biosimilar is administered to the wrong patient. If this happens, there’s a good chance the practice won’t receive payment from the payer.","_key":"c29230a307a50"}],"_type":"block","style":"normal","_key":"3821e5052590"},{"markDefs":[],"children":[{"_key":"0efcd3e602c40","_type":"span","marks":[],"text":""}],"_type":"block","style":"normal","_key":"fc95a6dd3d37"},{"markDefs":[],"children":[{"text":"We haven’t seen a big difference in our success or challenges around supportive care or therapeutic biosimilars from an operational perspective. However, in looking at our patient population as a whole, we’ve seen a lot more success due to an increase in access to care around the therapeutic agents because there are more of them. That does consequently lead to more of an increased risk in ensuring that the correct patient receives the approved drug.","_key":"4bc3f05087a70","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"381807758e91"},{"style":"normal","_key":"450f41258385","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"fd55bb3381e10"}],"_type":"block"},{"_key":"bb7bf58d846b","markDefs":[],"children":[{"marks":["strong"],"text":"Ryan Haumschild, PharmD, MS, MBA:","_key":"1293b9a0fc750","_type":"span"},{"_type":"span","marks":[],"text":" What was the catalyst for us to implement biosimilars? It was multiple factors, but first it was the payers. Payers started seeing that they could provide a therapeutic medication, approve it, and have equivalent efficacy because it’s highly similar. It’s the biosimilar. We had to start looking at them. We also were starting to look at how to reduce cost of care for our patients and our organization. That was the start of how we explore biosimilars further, especially now that we know they’re highly similar to the reference product and should give an equivalent clinical response.","_key":"1293b9a0fc751"}],"_type":"block","style":"normal"},{"children":[{"marks":[],"text":"","_key":"340bee9731bf0","_type":"span"}],"_type":"block","style":"normal","_key":"28f0a8558c4d","markDefs":[]},{"style":"normal","_key":"fe99ab2d303e","markDefs":[],"children":[{"_type":"span","marks":[],"text":"That process started with creating a survey across organization, understanding what were the barriers. What were the concerns from our provides? Was it immunogenicity? Was it enough data in the curative intent patient population? What were some of the barriers from finance from our EMR [electronic medical record] in terms of how we build these out quicker? Once you grapple with those topics and understand your biggest barriers—or what I consider the biggest areas of opportunity to learn more about biosimilars—you start to see the benefits of biosimilars. You answer some of the questions people have. It creates better transition for biosimilars into an organization, ultimately utilizing them within patients while reducing total cost to care.","_key":"7f5f9119279a0"}],"_type":"block"},{"style":"normal","_key":"edd7fe2495c9","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"29b0cbb5283f0"}],"_type":"block"},{"_key":"890756109b91","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Kathy Oubre, MS:","_key":"4f6c9207a2810"},{"_type":"span","marks":[],"text":" Our transition to biosimilars happened a week and a half after the first biosimilar hit the market. Given that there are multiple biosimilars and the innovator to choose from, we felt that it was important to have fairly specific and detailed workflows around implementing biosimilars to minimize operational errors. First, our nursing director reviewed and continues to review all new orders and substitutes the biosimilar from the originator. They’re cross-referencing this with the list of approved biosimilars or reference products by each payer. Unless that payer insists on an originator or a biosimilar not in our EMR—we have our internal formulary to manage that with. We also run weekly reports out of our EMR to identify all existing patients who are eligible to switch to a biosimilar based on indication and payer. Next, follow that consultation with the physician. The pharmacist substitutes the biosimilar, and patients are then educated and reconsented for the biosimilar. 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toxicity"," immunogenicity"," candidates for biosimilars"," reference product"," medication switch"," biosimilars transition"," electronic medical record"," EMR"," electronic health record"," EHR","switching data"," disease state"," provider buy-in"," patient education"," reducing cost of care"],"_createdAt":"2021-10-26T16:22:56Z","_updatedAt":"2021-11-09T21:12:52Z","updatedOn":null,"summary":"Ryan Haumschild, PharmD, MS, MBA, discusses optimizing the transition to biosimilars, covering from what patients to look for as candidates to the process of switching a patient from a brand to a biosimilar to the importance of patient education.","body":[{"_key":"fd7c1a06e896","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"656855b507fd"}],"_type":"block","style":"normal"},{"_type":"video","videoID":"6278024763001","source":"brightcove","_key":"143d11b77ceb"},{"style":"normal","_key":"ef5bcc8c725e","markDefs":[],"children":[{"text":"Ryan Haumschild, PharmD, MS, MBA","_key":"39b59e162109","_type":"span","marks":["strong"]},{"marks":[],"text":": I believe in the science of biosimilars. I’ve done a lot of research and looked into the FDA, and seen data around great patient outcomes with biosimilars, especially in Europe, and now here in the United States. There have been a lot of data published. Biosimilars are great candidates for all patients. I wouldn’t want to treat 1 patient population one way, and 1 patient population another way. But if we’re looking at who’s going to be the strongest candidate for biosimilars, I would focus on patients who are dealing with financial toxicity, where they have coinsurance, and there’s of out-of-pocket expense. If we can give them a product almost like a generic, that reduces the expense of the drug, that could reduce their coinsurance and allow them to afford it, that’s a great thing. For patients who are new to starting therapy, it might be a great option for them. Some patients who I would consider in terms of switching to a biosimilar from a reference product, I would say, especially patients where there isn’t concern about immunogenicity, patients who may be starting a new cycle of therapy. You can consider patients who are stable on therapy, we’ve seen really good results, but again, it’s going to come down to how stable has that patient been. Did the patient just become stable on the reference product, and maybe the timing isn’t perfect to switch them to a biosimilar? Or someone who’s been able for a while on the reference product, and all clinical indications say that they’re going to do well if they switch to the biosimilar. That’s how I’d stratify patient populations, but overall, biosimilars are great options for all patients regardless of status.","_key":"d5ba938778f2","_type":"span"}],"_type":"block"},{"_key":"67cd648ee0b0","markDefs":[],"children":[{"_type":"span","marks":[],"text":"This is going to be a tough situation that we’re going to be challenged with. With all the biosimilars coming to market, is every patient the perfect candidate to switch from a reference product to a biosimilar? It depends, as we know there are patient-specific factors. If someone hasn’t been doing well on the reference product and is still trying to get established on that product, maybe it’s not the best time to switch into a biosimilar. If their reference product has some type of citrate-free additive that gives it less burning at injection site, which causes a lot of pain for the patient. Or if the patient just switched from the reference product to another reference product that’s citrate-free, that may not be the best time to switch them. There are a lot of clinical considerations, and there’s not a one-size-fits-all approach, but the majority of patients will do well transitioning to the biosimilar, but there’s some that won’t and that’s OK. We can keep them on the reference product as long as the team feels it’s appropriate and the patient’s responding well.","_key":"3deb19ce4a82"}],"_type":"block","style":"normal"},{"_type":"block","style":"normal","_key":"8323acdf4b61","markDefs":[],"children":[{"_type":"span","marks":[],"text":"We’re always looking at patients who have the potential to reduce their out-of-pocket cost. We always look at patients who have the potential to have their medication therapy optimized. That’s our responsibility as a health care provider to make sure we’re doing that due diligence for the patient. A lot of patients can be identified as candidates to transition to biosimilars, and it’s going to be safe and effective for them. Particularly we may look for patients with high out-of-pocket expenses, patients who have had difficulty covering their coinsurance. For the most part, patients who are starting on therapies where there are strong data in terms of switching from the biosimilar to the reference, and the reference to the biosimilar. There are also data internally around biosimilar use as part of starting a new treatment regimen. Those would be patients we’d always look at for starting a new therapy, and that would be driven more from that order set perspective because we always want to do what’s best for all of our patients and not single out any unique patient. We would do it from a disease state, get the provider buy in, and start patients on biosimilars. If we were going to do a one-off scenario, I would look for patient out of pocket expense, and make sure if we’re going to switch a patient in their specific therapeutic area that there is a good amount of switching data available that we could reference to ensure that they would have a good medical outcome.","_key":"c4224ffd0e15"}]},{"style":"normal","_key":"bf0ae41e9554","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Patient education is a huge part of the process when you’re transitioning patients to a biosimilar, not just new start patients, but more importantly, patients you’re transitioning from a brand or reference product to a biosimilar. Rightfully so they may be hesitant. They may be wondering why they’re changing their therapies. And you never want a patient just to show up, sit in a chair and look up at their medication and go, “I’m receiving a different type of medication than I normally receive. Why is that happening to me?” No. 1, it’s being really proactive and making sure that patients understand biosimilars. It’s easier with new start patients because it’s the first time they’re receiving therapy. We can educate them in the clinic that they’re going to be starting a biosimilar, and that they’ll continue that for their treatment scale. For patients who are on a branded product, who are relatively stable, you want to make sure you carve out time for them to provide them education around biosimilars, the importance of reducing total cost of care, how these molecules are highly similar to the reference product, and that they’re treating provider feels comfortable with them transitioning from the brand to the biosimilar.","_key":"de15d75849da"}],"_type":"block"},{"_type":"block","style":"normal","_key":"8a00de9aaace","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Lastly, you want to leave them with education. You want them to be able to think about the decision, understand what we’re going to do, and transition them and give them some lead time. If they have enough concerns and want to opt out from transitioning to a biosimilar, you’re able to have that conversation with the patient and give them time to digest all the information. When you do it that way, and you’re proactive in your approach, patients tend to understand better and have time to process the information. 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You want to make sure that you always have a drug on hand for your patients, that you’re storing it appropriately, and that you have enough that even if there’s a natural disaster, or if there’s a disruption in the supply chain, you can continue to treat patients. If you’re carrying the reference product and multiple biosimilars, eventually your carrying costs are going to rise. When your carrying costs rise, that means you’re tying up cash and cash equivalents, and days cash on hand that could otherwise be utilized by the organization. We try to look into our treatment plans, look at the amount of treatment plans that utilize the biosimilar, ones that utilize the reference product, and use historical dispense history to determine what’s going to be about 3 to 4 days of inventory on hand. How do we make sure we have enough drugs in all different areas? We try to approve formulary agents as stocked or nonstocked, but with the reference product and the biosimilar, we try to stock both. We’ll stock different quantities for the reference and biosimilars based on our purchase history and the products we have built out within the order sets. That allows us to be operationally effective, but at the same time, reduce our inventory and carrying costs and allow the organization to have that cash and cash equivalents to be used in another area."}],"_type":"block","style":"normal","_key":"ffc61846db6e","markDefs":[]},{"children":[{"_type":"span","marks":[],"text":"When we look at biosimilars in the future, if you would’ve asked me a few months ago, I’d say I’d love to have our first interchangeable product on the market. We know that just got approved. That’s an exciting time. Interchangeability allows the pharmacy to switch out that product without any type of approval, but we have a P\u0026T [pharmacy and therapeutics committee] approval in most places. That’s not as big of an issue. But one of the things that should be a focus is, you’re starting to see many biosimilars come to market, but there’s stratification in the way that each payer prefers biosimilars. So, me at an organization, I don’t want to stock maybe 8 biosimilars for every 1 reference product, so I’m going to try to streamline the biosimilar that I want to keep on hand. I’m doing my due diligence in taking care of organizational resources appropriately. But what the difficult piece is, once I streamline to 1 or 2 agents, if I have 5 different payers and all 5 payers are preferring 5 different biosimilars because they’ve contracted toward 1 specific product, that makes it difficult for me as the health care provider. Now I’ve got to increase my inventory and the number of products across all our different centers to make sure we have enough drugs on hand for the patient. It would be great to create more parity of approval from payers for biosimilars. Organizations, if they’re utilizing a biosimilar, they could have a choice in which biosimilar they stocked, and it would create better approvals in the precertification department and create fewer delays when it comes time for patient care, if the payer comes in with a last-minute denial and preferencing a product that we don’t stock.","_key":"74e14a4d6a670"}],"_type":"block","style":"normal","_key":"def6e7f30e7c","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"My advice for any type of other provider that wants to start a similar program and utilize biosimilars is first do your homework. Do a baseline survey of all your key stakeholders to make sure you understand what are the barriers to biosimilar implementation. I don’t think you can truly be successful in doing this on your own. You need partnership. That’s one of our core values, partnership. You need partnership with the medical team, nursing, finance, managed care, and your local payers to be able to pull this off. Across the different spectrums of those different stakeholders, it’s really important to understand where the biggest concerns lie, so you can do work and educate, work through them, make people feel comfortable with the concepts and the utilization of biosimilars. And not until you get that buy-in will you ultimately be successful. Take the time to plan ahead, get key partnership and buy-in, and start to make decisions through a shared decision-making framework. That’s going to be the way that sticks, and you’re going to need that stickiness and those policies that are approved through oncology P\u0026T to be successful as more biosimilars come to market. 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","_key":"577c14de7e860"},{"_key":"577c14de7e861","_type":"span","marks":["50b43464b503"],"text":"We talked about interchangeability"},{"_type":"span","marks":[],"text":" and so on. I don't think that is the same concern now as it once was. I don't think that really is a factor. I think that what you maybe getting towards here are some of the rebate rules and some of the negotiations, and what's the net price and the rebate? Who gets the benefit from the magnitude of the rebate? And so on. And the incentive to put a higher list price so that you can offer larger discount and so on, obfuscates things, confuses things, and I think that that could be a challenge.","_key":"577c14de7e862"}],"_type":"block","style":"normal","_key":"917ce1b83e16","markDefs":[{"_key":"50b43464b503","blank":true,"_type":"link","href":"http://ajmc.com/view/removing-need-for-switching-studies-could-change-payer-perspectives-of-biosimilars"}]},{"_type":"block","style":"normal","_key":"81270b1b991b","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"3e57da29be650"}]},{"_type":"block","style":"normal","_key":"50d2be4bd00a","markDefs":[],"children":[{"text":"My research certainly suggests, though, that even given that the biosimilars have increasingly become preferred amongst payers. While that may be a hurdle at the beginning and be very obstructive at the beginning of a drug's life cycle, over time, it does seem as if the biosimilars are gaining traction and getting the foothold in the market and often becoming the preferred product in some cases.","_key":"bd87952536400","_type":"span","marks":[]}]},{"_key":"9a420e5e6afb","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"269dc7f0f7710"}],"_type":"block","style":"normal"},{"style":"normal","_key":"44903066b554","markDefs":[],"children":[{"_type":"span","marks":[],"text":"While in some ways you could argue that the system is against the new biosimilar entry, over time, it is gaining traction, it is getting a foothold. It is hard to understand those complicated rules, exactly where the money goes, and the system is opaque, and it's hard to figure out. But from a good news perspective, our data does show that over time, biosimilars are becoming more successful and gaining market share, so that is a good thing.","_key":"108534e229280"}],"_type":"block"}],"url":{"current":"biosimilars-are-getting-a-foothold-and-becoming-preferred-says-dr-james-chambers","_type":"slug"},"_rev":"Z7vrbBY6HLdSiYKgHAsoaB","documentGroupMapping":[{"_type":"reference","_key":"ec29c387a921","_ref":"conference_amcp-nexus"}],"summary":"Over time, biosimilars are gaining traction in the US and becoming preferred products, explained James D. 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You can connect with Laura on ","_key":"48d199d8ecd5"},{"_type":"span","marks":["f77b28536a8d"],"text":"LinkedIn","_key":"67a67d3764f01"},{"_type":"span","marks":[],"text":" or ","_key":"67a67d3764f02"},{"_key":"67a67d3764f03","_type":"span","marks":["c419f18a7ffe"],"text":"Twitter"},{"_type":"span","marks":[],"text":".","_key":"67a67d3764f04"}],"_type":"block"}]}],"ExcludeFromPubMedXML":false,"updatedOn":null,"factCheckAuthorMapping":null},{"_updatedAt":"2024-11-01T20:07:40Z","ExcludeFromPubMedXML":false,"_createdAt":"2024-11-01T19:10:54Z","articleType":"Commentary","title":"Removing Need for Switching Studies Could Change Payer Perspectives of Biosimilars","seoTag":["biosimilars","interchangeability"],"url":{"current":"removing-need-for-switching-studies-could-change-payer-perspectives-of-biosimilars","_type":"slug"},"contentCategory":{"_createdAt":"2020-04-03T20:03:44Z","_rev":"Yw6MEKZDMdk6hC2JCPjfiB","_type":"contentCategory","name":"Videos","_id":"ee14ccb3-3542-4414-9046-927be1198c76","_updatedAt":"2020-04-03T20:03:44Z"},"source":null,"updatedOn":null,"body":[{"videoObject":{"_type":"videoDetails","videoTitle":"Removing Need for Switching Studies Could Change Payer Perspectives of Biosimilars","thumbnail":{"_type":"image","asset":{"_ref":"image-f28ae1dc3219faac65fe94e1cf673b17d8bcd3a8-1280x719-png","_type":"reference"}},"videoDuration":"PT3M06S","videoDescription":"The US could start catching up to Europe on biosimilars if the FDA removed the need for switching studies to be granted interchangeability."},"_type":"video","videoID":"6363311308112","disableAutoPlayVideo":false,"source":"brightcove","_key":"359c011157c5"},{"_type":"block","style":"normal","_key":"d1f24fc7b5ad","markDefs":[],"children":[{"text":"The FDA’s draft guidance to remove the requirement for switching studies to gain the interchangeability designation could change payer perspectives and bring the US more in line with Europe, explained James D. Chambers, PhD, professor, Center for the Evaluation of Value and Risk in Health, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center.","_key":"a71a0c5c9eeb0","_type":"span","marks":[]}]},{"markDefs":[],"children":[{"text":"","_key":"521fad7a02890","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"684806c244de"},{"_type":"block","style":"normal","_key":"9c0ac6886f33","markDefs":[],"children":[{"_type":"span","marks":["em"],"text":"This transcript has been lightly edited for clarity.","_key":"b2408f69341e0"}]},{"style":"normal","_key":"15599a894769","markDefs":[],"children":[{"text":"","_key":"c9faf9fd4e170","_type":"span","marks":[]}],"_type":"block"},{"style":"normal","_key":"3388e63f1e7a","markDefs":[],"children":[{"_type":"span","marks":["strong","underline"],"text":"Transcript","_key":"9be5da6ee1030"}],"_type":"block"},{"children":[{"_type":"span","marks":["strong"],"text":"The FDA has published draft guidance to remove the requirement for switching studies for biosimilar interchangeability. What is the current challenge with conducting switching studies and how will getting rid of the requirement benefit patients?","_key":"784810c222910"}],"_type":"block","style":"normal","_key":"ae5374623322","markDefs":[]},{"_key":"efbb96131082","markDefs":[],"children":[{"_type":"span","marks":[],"text":"In Europe, we've seen much more success with biosimilars, and I think this is part of it. This is analogous, I think, to generic substitution, which is long-standing policy here in the US that a pharmacy can—as long as it's not explicitly told not to do so by the prescribing physician—it can substitute a generic for the prescribed brand. That's important for these biologics. I work at Tufts Medical Center. Tufts Medical Center would like to stock certain drugs and has an incentive to have certain biosimilars on hand and not others. But then, if the insurance companies determine access, then the patient might require others. It does simplify things, in general, because it provides the providers and hospitals greater flexibility of what they stock and how they use these drugs.","_key":"6785019efaf30"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_key":"eec965cda7df0","_type":"span","marks":[],"text":""}],"_type":"block","style":"normal","_key":"7a4fba9e5908"},{"_key":"3f6e959050e3","markDefs":[],"children":[{"_type":"span","marks":[],"text":"It would change things, I think, from the payer perspective, because with these step therapy protocols and payers requiring the patient to be treated with drug A before drug B or originator before biosimilar or vice versa, that would become less important moving forward, because of this change. It might also change negotiations between product manufacturers and insurance companies, because the large rebates offered are often done to secure preferred status for their product, and if the insurance company can't offer preferred status, then it might impact the magnitude of the rebate offered, which is not what we're looking for.","_key":"ed304e3021b40"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"5da92ab343070"}],"_type":"block","style":"normal","_key":"799783927d95"},{"children":[{"marks":[],"text":"So, I think, I think it's unclear. I mean, certainly the US has been lagging Europe in terms of biosimilars for a while now. In theory that should speed things up. But given the complexity of coverage policies and so on, I guess we'll have to see.","_key":"8ea66116147e0","_type":"span"}],"_type":"block","style":"normal","_key":"20a939e6ac07","markDefs":[]},{"children":[{"_type":"span","marks":[],"text":"","_key":"8648c255730f0"}],"_type":"block","style":"normal","_key":"34c64e1b6599","markDefs":[]},{"_type":"block","style":"normal","_key":"555c92085eab","markDefs":[],"children":[{"marks":[],"text":"You see with some of these Humira biosimilars, it’s really expensive to bring a biosimilar to the market. It’s not like a generic. You’re not following a recipe and it’s exactly the same. It is what it is. Biosimilars are a biologic, they’re very costly to produce, and there’s a risk that if insurance companies don’t cover the drug, then the company is going to fail and there’s a real fear, I think, for biosimilar innovators to develop a drug. I think the interchangeability laws would reassure them that their drug might have more of a fighting chance up against the big manufacturers that can negotiate large rebates and a basket of goods, and so on, in their negotiations.","_key":"1db8f222bbf60","_type":"span"}]}],"_id":"bd2325ad-f7be-4f0a-bad7-6d6712b34833","_rev":"W27rc60TaCa3Usex9hgD0d","authorMapping":[{"profileImage":{"_type":"mainImage","alt":"Laura Joszt headshot","asset":{"_ref":"image-93ea362164e769dfd84dca31a8b2670a1dd9092b-512x512-jpg","_type":"reference"}},"lastName":"Joszt","_rev":"9TKueq5ejdLplzrUGbD1nt","state":"New Jersey","_updatedAt":"2022-08-30T13:17:14Z","linkedIn":"https://www.linkedin.com/in/laura-joszt-05ba7116/","twitter":"https://twitter.com/joszt","biography":[{"style":"normal","_key":"4a950aea97b3","markDefs":[{"_type":"link","href":"https://www.linkedin.com/in/laura-joszt-05ba7116/","_key":"f77b28536a8d"},{"_type":"link","href":"https://twitter.com/joszt","_key":"c419f18a7ffe"}],"children":[{"_type":"span","marks":[],"text":"Laura is the vice president of content for The American Journal of Managed Care® (AJMC®) and all its brands, including The American Journal of Accountable Care®, Evidence-Based Oncology™, and The Center for Biosimilars®. 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It is inevitable that you have to somehow place a pharmacist among the care team. There are multiple ways that pharmacists can help in terms of cost containment and providing value. You look at biosimilar adoption and biosimilar integration and various other things. We got out of this IVBM program that we had that many of our pharmacists help support our bispecific antibody program, whether that is remote monitoring of patients or clinical interventions when patients need it.","_key":"f1e3301337760"}]},{"children":[{"_type":"span","marks":[],"text":"","_key":"65cb4d640bb10"}],"_type":"block","style":"normal","_key":"3a7f2226ec40","markDefs":[]},{"style":"normal","_key":"535da35671d9","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Our pharmacists are doing clinical reviews on every brand new regimen that's selected for our patients to ensure that we're providing guideline-concordant care, not only within our pathway but also National Comprehensive Cancer Network and the best clinical practice. They can catch things like laboratory parameters that may be needed, particular monitoring that may be needed, and obviously pharmacists play a critical role in education of patients. There are multiple things that I think pharmacy has been able to demonstrate as a value or return on investment. I would say that within the care team, it's extremely important to ensure that a pharmacist is placed among the care team.","_key":"9ca8985b03870"}],"_type":"block"},{"children":[{"text":"","_key":"9fcbcb42c15c0","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"29dcfe9ff432","markDefs":[]},{"markDefs":[],"children":[{"marks":["strong"],"text":"How are pharmacists and doctors working together to manage costs in cancer care?","_key":"356ff1adc61f0","_type":"span"}],"_type":"block","style":"normal","_key":"10e221b3d6d8"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"I think there are multiple opportunities where our providers, our prescribers, and the pharmacy team really come together to really help control the cost of care. 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However, they come with a high price because these are large molecule medications made in living organisms, and majority of them have complicated protein structures so there's no way for us to make an identical copy. So generic products are not available for biologics. However, there are biosimilars. These medications are highly similar to the reference product and has no meaningful clinical differences, from the reference biologic medications. We have seen great savings from biosimilar programs, both for health systems as well as patients. Because when a biosimilar product is 50% of the cost of the reference product, our patient's copay would be much lower compared to the reference product as well.","_key":"d7a9649034ec0"}]},{"markDefs":[],"children":[{"text":"","_key":"5648f24581410","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"1fd042855be8"},{"_type":"block","style":"normal","_key":"b95dc1fef788","markDefs":[],"children":[{"text":"What were the main takeaways of your presentation held at the IVBM conference?","_key":"c21f02cf5a150","_type":"span","marks":["strong"]}]},{"children":[{"marks":[],"text":"I'm going to have 2 presentations. One is going to be focused on formulary management, another one is actually focused on biosimilars and our health system financial sustainability. So I would love for our audience to have 2 take-homes. One, there's no set principle for formulary management approach. 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Obviously, we have in the infusion space high-cost pharmaceuticals, so understanding where they fit in, and how we make economic choices along the way and the thought process that we follow to make those recommendations is what I look forward to sharing in that session.","_key":"522998d979390","_type":"span"}]},{"_type":"block","style":"normal","_key":"754879583891","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"938febe9b4240"}]},{"style":"normal","_key":"afc4e7ed79e8","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"What do you think the future of infusion therapy is?","_key":"7feae641b7df0"}],"_type":"block"},{"markDefs":[],"children":[{"text":"When it comes to infusion therapy and we look into the future, we see a very robust pipeline of medications that are coming to the marketplace soon. 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