Adam J. Fein
@DrugChannels
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Expert insights from Dr. Adam J. Fein on pharmaceutical economics and the drug distribution system. Contact me at [email protected]
Philadelphia, PA
Joined March 2009
๐๐๐ซ๐ค ๐๐ฎ๐๐๐ง ๐๐๐๐๐ฅ๐๐ซ๐๐ญ๐๐ฌ ๐ญ๐ก๐ ๐๐ญ๐๐ฅ๐๐ซ๐ ๐๐ข๐จ๐ฌ๐ข๐ฆ๐ข๐ฅ๐๐ซ ๐๐ซ๐ข๐๐ ๐๐๐ซ Mark Cuban @mcuban is once again exposing the economic contradictions of the drug channel. The @costplusdrugs launch of Starjemza directly challenges PBM-affiliated
prnewswire.com
/PRNewswire/ -- Mark Cuban Cost Plus Drug Company (Cost Plus Drugs) today announced the addition of Starjemzaยฎ, a new biosimilar medication, to its growing...
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๐๐ข๐ ๐ง๐ โ๐๐๐๐๐ญ๐-๐
๐ซ๐๐โ ๐๐ก๐๐ซ๐ฆ๐๐๐ฒ ๐๐จ๐๐๐ฅ ๐๐ข๐ฅ๐ฅ ๐๐๐ฌ๐ญ ๐๐ฆ๐ฉ๐ฅ๐จ๐ฒ๐๐ซ ๐๐๐ฅ๐ข๐๐ง๐๐ ๐๐ง ๐๐๐ฏ๐๐ง๐ฎ๐ ๐๐ญ๐ซ๐๐๐ฆ Great article from Cathy Kelly in The Pink Sheet on Cigna's new #PBM approach and what it might mean for employers who rely on
insights.citeline.com
Industry watchers are skeptical about broad uptake of the model, but Cigna aims to enroll 50% of fully-ensured employer plans in its first year of broad availability.
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๐๐ก๐ ๐๐๐ฑ๐ญ ๐๐ก๐๐ฌ๐ ๐จ๐ ๐๐๐ซ๐ญ๐ข๐๐๐ฅ ๐๐ง๐ญ๐๐ ๐ซ๐๐ญ๐ข๐จ๐ง: ๐๐ก๐จ๐ฅ๐๐ฌ๐๐ฅ๐๐ซ๐ฌ ๐๐จ๐ข๐ง ๐ญ๐ก๐ ๐๐๐ฆ๐ Appreciate Jennifer P. Ungru of Jones Walker LLP highlighting DCIโs latest analysis on how the Big ThreeโCencora, Cardinal Health, and McKessonโare expanding
joneswalker.com
In recent years, policymakers and stakeholders have begun to question how health plans and PBMs have consolidated power across the drug supply chain by controlling formularies, reimbursement, andโฆ
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๐ก๐๐ฆ๐ฉ๐ฅ๐จ๐ฒ๐๐ซ๐ฌ ๐๐ซ๐ ๐๐ซ๐ข๐ฏ๐ข๐ง๐ ๐๐๐ ๐๐ฏ๐จ๐ฅ๐ฎ๐ญ๐ข๐จ๐ง According to @wtwcorporateโs 2025 Healthcare Survey, employers plan to move aggressively to reshape PBM relationships. By 2027: โ
75% will have taken their PBM out to bid โ
35% will conduct acquisition cost
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๐๐๐ง ๐๐ญ๐๐ญ๐๐ฌ ๐๐๐ช๐ฎ๐ข๐ซ๐ ๐๐๐ฅ๐ข๐ฏ๐๐ซ๐ฒ ๐๐ 340๐-๐๐ข๐ฌ๐๐จ๐ฎ๐ง๐ญ๐๐ ๐๐ซ๐ฎ๐ ๐ฌ ๐๐จ ๐๐ง๐ฅ๐ข๐ฆ๐ข๐ญ๐๐ ๐๐จ๐ง๐ญ๐ซ๐๐๐ญ ๐๐ก๐๐ซ๐ฆ๐๐๐ข๐๐ฌ? Excellent analysis from Steven Boranian of Reed Smith breaking down the key legal questions at the heart of state #340B
druganddevicelawblog.com
We reported two years ago on a Third Circuit opinion holding that the federal government did not have the authority to require drug manufacturers to
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๐ ๐๐๐ฐ ๐๐ฏ๐ข๐๐๐ง๐๐: ๐๐จ๐ฉ๐๐ฒ ๐๐๐๐ฎ๐ฆ๐ฎ๐ฅ๐๐ญ๐จ๐ซ ๐๐๐ง๐ฌ ๐๐๐ฅ๐ฉ ๐๐๐ญ๐ข๐๐ง๐ญ๐ฌ For years, insurersโ copay #accumulator programs have blocked patients from using manufacturer assistance. A new study finds that state bans on accumulators work: โก๏ธ Patient
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Counterintuitive #healthcare fact: Across 12 major countries, net #drug spending accounts for just 9% to 21% of total #healthcare costs. Despite the overheated political rhetoric, U.S. drug spending is (and has been) squarely in the middle of the pack. Everything in the U.S.
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๐ ๐๐๐๐
2026 ๐๐๐ฌ๐ฌ๐ข๐จ๐ง ๐๐ฉ๐จ๐ญ๐ฅ๐ข๐ ๐ก๐ญ: ๐๐ก๐๐ญ'๐ฌ ๐๐๐ฑ๐ญ ๐๐จ๐ซ ๐๐ซ๐จ๐ฏ๐ข๐๐๐ซ-๐๐๐ฆ๐ข๐ง๐ข๐ฌ๐ญ๐๐ซ๐๐ ๐๐ซ๐ฎ๐ ๐ฌ ๐๐ง๐ ๐๐ฎ๐ฒ-๐๐ง๐-๐๐ข๐ฅ๐ฅ How are leading payers, providers, and distributors shaping the future of provider-administered drugs? Join this
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๐๐ฎ๐๐ฌ๐ญ๐ข๐จ๐ง ๐จ๐ ๐ญ๐ก๐ ๐๐๐ฒ: Why do we call it a randomized, double-blind, placebo-controlled studyโฆ when โTrick or Treatmentโ wouldโve worked just fine?๐๐ Happy Halloween, everyone! ๐ป๐งโโ๏ธ๐ฌ๐ฆ๐ท๏ธ๐โโฌ
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The last Rite Aid in Center City has been reincarnated as something spookier. Happy Halloween Eve, everyone! ๐
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From @OutcomesOne: ๐๐ฌ ๐๐ก๐๐ซ๐ฆ๐ ๐
๐๐๐๐ฌ ๐
๐ข๐ง๐๐ง๐๐ข๐๐ฅ ๐๐ซ๐๐ฌ๐ฌ๐ฎ๐ซ๐, ๐๐ก๐๐ซ๐ฆ๐๐๐ฒ ๐๐๐ฅ๐ข๐ฏ๐๐ซ๐ฌ ๐๐๐๐ฌ๐ฎ๐ซ๐๐๐ฅ๐ ๐๐ฆ๐ฉ๐๐๐ญ Learn about Outcomesโ pharmacist-led interventions solution: https://t.co/SG3Gka13Iw Read the article:
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๐๐ข๐ ๐ง๐โ๐ฌ ๐๐๐๐๐ญ๐-๐
๐ซ๐๐ ๐๐ก๐๐ซ๐ฆ๐๐๐ฒ ๐๐จ๐๐๐ฅ: ๐๐ก๐ซ๐๐ ๐๐๐๐ฅ๐ข๐ญ๐ข๐๐ฌ ๐๐๐ก๐ข๐ง๐ ๐๐ญ๐ฌ ๐๐๐ญ๐๐ฌ๐ญ ๐๐ฎ๐ฌ๐ก ๐ญ๐จ ๐๐จ๐ฉ ๐ญ๐ก๐ ๐๐ซ๐จ๐ฌ๐ฌ-๐ญ๐จ-๐๐๐ญ ๐๐ฎ๐๐๐ฅ๐ Real reform or just a rerun? Read my analysis on ๐๐ณ๐ถ๐จ ๐๐ฉ๐ข๐ฏ๐ฏ๐ฆ๐ญ๐ด ๐
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๐๐ซ๐ฎ๐ ๐๐ก๐๐ง๐ง๐๐ฅ๐ฌ ๐๐๐ฐ๐ฌ ๐๐จ๐ฎ๐ง๐๐ฎ๐ฉ, ๐๐๐ญ๐จ๐๐๐ซ 2025 ๐ Itโs time for the ๐๐ณ๐ถ๐จ ๐๐ฉ๐ข๐ฏ๐ฏ๐ฆ๐ญ๐ด Halloween roundup of terrifying tales from the dark corners of the healthcare system. This monthโs tricks and treats include: ๐ง ๐๐๐ฆ๐ฉ๐ข๐ซ๐ข๐! How
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๐จ๐๐จ๐ซ๐ ๐๐ฏ๐ข๐๐๐ง๐๐ ๐ญ๐ก๐๐ญ ๐ญ๐ก๐ ๐ ๐ซ๐จ๐ฌ๐ฌ-๐ญ๐จ-๐ง๐๐ญ ๐๐ฎ๐๐๐ฅ๐ ๐ข๐ฌ ๐ฌ๐ญ๐๐ซ๐ญ๐ข๐ง๐ ๐ญ๐จ ๐ฉ๐จ๐ฉ๐จ According to Bloomberg, Cigna Healthcare will remove rebates from its fully insured health plan members (~2 M lives). By passing rebate value directly to patients
archive.ph
archived 27 Oct 2025 10:03:54 UTC
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๐จ ๐๐๐ฌ๐ญ ๐๐๐ฒ ๐๐จ๐ซ ๐๐ฉ๐๐๐ข๐๐ฅ ๐๐๐ฎ๐ง๐๐ก ๐๐ซ๐ข๐๐ข๐ง๐ ! ๐จ Today (October 27) is your final chance to save on DCIโs new 2025โ26 ๐ฌ๐๐๐๐๐๐๐ ๐น๐๐๐๐๐ ๐๐ ๐ท๐๐๐๐๐๐๐๐๐๐๐๐๐ ๐พ๐๐๐๐๐๐๐๐๐๐ ๐๐๐
๐บ๐๐๐๐๐๐๐๐
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๐๐ก๐ ๐ก๐ข๐๐๐๐ง ๐๐จ๐ฌ๐ญ ๐จ๐ ๐๐จ๐ข๐ง๐ฌ๐ฎ๐ซ๐๐ง๐๐ ๐ธ Even in 2025, many employees still pay list prices for prescriptions. High-deductible health plans keep shifting costs to workers: โก๏ธ 1 in 3 covered employees are in an HDHP โก๏ธ About half pay coinsurance instead of a
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๐ ๐๐๐๐
2026 ๐๐๐ฌ๐ฌ๐ข๐จ๐ง ๐๐ฉ๐จ๐ญ๐ฅ๐ข๐ ๐ก๐ญ: ๐๐ก๐ ๐๐ข๐๐ฐ ๐๐ซ๐จ๐ฆ ๐ญ๐ก๐ ๐๐๐ง๐ฎ๐๐๐๐ญ๐ฎ๐ซ๐๐ซ How are pharmaceutical manufacturers preparing for the evolution of the drug channel? At the 2026 ๐๐ซ๐ฎ๐ ๐๐ก๐๐ง๐ง๐๐ฅ๐ฌ ๐๐๐๐๐๐ซ๐ฌ๐ก๐ข๐ฉ ๐
๐จ๐ซ๐ฎ๐ฆ, three
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From @EVERSANAcompany: ๐๐๐ญโ๐ฌ ๐๐ ๐๐๐๐๐๐: ๐๐ ๐๐๐ฏ๐ ๐๐ง ๐๐๐๐๐ฌ๐ฌ ๐๐ง๐ ๐๐๐๐จ๐ซ๐๐๐๐ข๐ฅ๐ข๐ญ๐ฒ ๐๐ซ๐จ๐๐ฅ๐๐ฆ ๐ญ๐จ ๐๐จ๐ฅ๐ฏ๐ Learn more: https://t.co/doSv0qdStt Read the article: https://t.co/BQbnkkUQ4x
#sponsored
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๐๐ง๐ฌ๐ฎ๐ฌ๐ญ๐๐ข๐ง๐๐๐ฅ๐ (๐๐๐ฃ๐๐๐ญ๐ข๐ฏ๐): ๐ฏ๐ฐ๐ต ๐ค๐ข๐ฑ๐ข๐ฃ๐ญ๐ฆ ๐ฐ๐ง ๐ฃ๐ฆ๐ช๐ฏ๐จ ๐ฑ๐ณ๐ฐ๐ญ๐ฐ๐ฏ๐จ๐ฆ๐ฅ ๐ฐ๐ณ ๐ค๐ฐ๐ฏ๐ต๐ช๐ฏ๐ถ๐ฆ๐ฅ People keep using that word to describe U.S. healthcare premiums. Judging by the past 25 years (๐), I do not think it means what they think it
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