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Adam J. Fein

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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
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@DrugChannels
Adam J. Fein
4 hours
๐Œ๐š๐ซ๐ค ๐‚๐ฎ๐›๐š๐ง ๐€๐œ๐œ๐ž๐ฅ๐ž๐ซ๐š๐ญ๐ž๐ฌ ๐ญ๐ก๐ž ๐’๐ญ๐ž๐ฅ๐š๐ซ๐š ๐๐ข๐จ๐ฌ๐ข๐ฆ๐ข๐ฅ๐š๐ซ ๐๐ซ๐ข๐œ๐ž ๐–๐š๐ซ Mark Cuban @mcuban is once again exposing the economic contradictions of the drug channel. The @costplusdrugs launch of Starjemza directly challenges PBM-affiliated
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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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@DrugChannels
Adam J. Fein
11 hours
๐‚๐ข๐ ๐ง๐š โ€˜๐‘๐ž๐›๐š๐ญ๐ž-๐…๐ซ๐ž๐žโ€™ ๐๐ก๐š๐ซ๐ฆ๐š๐œ๐ฒ ๐Œ๐จ๐๐ž๐ฅ ๐–๐ข๐ฅ๐ฅ ๐“๐ž๐ฌ๐ญ ๐„๐ฆ๐ฉ๐ฅ๐จ๐ฒ๐ž๐ซ ๐‘๐ž๐ฅ๐ข๐š๐ง๐œ๐ž ๐Ž๐ง ๐‘๐ž๐ฏ๐ž๐ง๐ฎ๐ž ๐’๐ญ๐ซ๐ž๐š๐ฆ 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
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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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@DrugChannels
Adam J. Fein
1 day
๐“๐ก๐ž ๐๐ž๐ฑ๐ญ ๐๐ก๐š๐ฌ๐ž ๐จ๐Ÿ ๐•๐ž๐ซ๐ญ๐ข๐œ๐š๐ฅ ๐ˆ๐ง๐ญ๐ž๐ ๐ซ๐š๐ญ๐ข๐จ๐ง: ๐–๐ก๐จ๐ฅ๐ž๐ฌ๐š๐ฅ๐ž๐ซ๐ฌ ๐‰๐จ๐ข๐ง ๐ญ๐ก๐ž ๐†๐š๐ฆ๐ž Appreciate Jennifer P. Ungru of Jones Walker LLP highlighting DCIโ€™s latest analysis on how the Big Threeโ€”Cencora, Cardinal Health, and McKessonโ€”are expanding
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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, andโ€ฆ
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@DrugChannels
Adam J. Fein
2 days
๐Ÿ’ก๐„๐ฆ๐ฉ๐ฅ๐จ๐ฒ๐ž๐ซ๐ฌ ๐š๐ซ๐ž ๐ƒ๐ซ๐ข๐ฏ๐ข๐ง๐  ๐๐๐Œ ๐„๐ฏ๐จ๐ฅ๐ฎ๐ญ๐ข๐จ๐ง According to @wtwcorporateโ€™s 2025 Healthcare Survey, employers plan to move aggressively to reshape PBM relationships. By 2027: โœ… 75% will have taken their PBM out to bid โœ… 35% will conduct acquisition cost
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@DrugChannels
Adam J. Fein
3 days
๐‚๐š๐ง ๐’๐ญ๐š๐ญ๐ž๐ฌ ๐‘๐ž๐ช๐ฎ๐ข๐ซ๐ž ๐ƒ๐ž๐ฅ๐ข๐ฏ๐ž๐ซ๐ฒ ๐Ž๐Ÿ 340๐-๐ƒ๐ข๐ฌ๐œ๐จ๐ฎ๐ง๐ญ๐ž๐ ๐ƒ๐ซ๐ฎ๐ ๐ฌ ๐“๐จ ๐”๐ง๐ฅ๐ข๐ฆ๐ข๐ญ๐ž๐ ๐‚๐จ๐ง๐ญ๐ซ๐š๐œ๐ญ ๐๐ก๐š๐ซ๐ฆ๐š๐œ๐ข๐ž๐ฌ? Excellent analysis from Steven Boranian of Reed Smith breaking down the key legal questions at the heart of state #340B
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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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@DrugChannels
Adam J. Fein
3 days
๐Ÿ’Š ๐๐ž๐ฐ ๐„๐ฏ๐ข๐๐ž๐ง๐œ๐ž: ๐‚๐จ๐ฉ๐š๐ฒ ๐€๐œ๐œ๐ฎ๐ฆ๐ฎ๐ฅ๐š๐ญ๐จ๐ซ ๐๐š๐ง๐ฌ ๐‡๐ž๐ฅ๐ฉ ๐๐š๐ญ๐ข๐ž๐ง๐ญ๐ฌ For years, insurersโ€™ copay #accumulator programs have blocked patients from using manufacturer assistance. A new study finds that state bans on accumulators work: โžก๏ธ Patient
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@DrugChannels
Adam J. Fein
4 days
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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@DrugChannels
Adam J. Fein
4 days
๐Ÿš€ ๐ƒ๐‚๐‹๐… 2026 ๐’๐ž๐ฌ๐ฌ๐ข๐จ๐ง ๐’๐ฉ๐จ๐ญ๐ฅ๐ข๐ ๐ก๐ญ: ๐–๐ก๐š๐ญ'๐ฌ ๐๐ž๐ฑ๐ญ ๐Ÿ๐จ๐ซ ๐๐ซ๐จ๐ฏ๐ข๐๐ž๐ซ-๐€๐๐ฆ๐ข๐ง๐ข๐ฌ๐ญ๐ž๐ซ๐ž๐ ๐ƒ๐ซ๐ฎ๐ ๐ฌ ๐š๐ง๐ ๐๐ฎ๐ฒ-๐š๐ง๐-๐๐ข๐ฅ๐ฅ How are leading payers, providers, and distributors shaping the future of provider-administered drugs? Join this
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@DrugChannels
Adam J. Fein
6 days
๐๐ฎ๐ž๐ฌ๐ญ๐ข๐จ๐ง ๐จ๐Ÿ ๐ญ๐ก๐ž ๐๐š๐ฒ: Why do we call it a randomized, double-blind, placebo-controlled studyโ€ฆ when โ€œTrick or Treatmentโ€ wouldโ€™ve worked just fine?๐ŸŽƒ๐Ÿ’Š Happy Halloween, everyone! ๐Ÿ‘ป๐Ÿง›โ€โ™‚๏ธ๐Ÿฌ๐Ÿฆ‡๐Ÿ•ท๏ธ๐Ÿˆโ€โฌ›
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@DrugChannels
Adam J. Fein
7 days
The last Rite Aid in Center City has been reincarnated as something spookier. Happy Halloween Eve, everyone! ๐ŸŽƒ
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@DrugChannels
Adam J. Fein
7 days
From @OutcomesOne: ๐€๐ฌ ๐๐ก๐š๐ซ๐ฆ๐š ๐…๐š๐œ๐ž๐ฌ ๐…๐ข๐ง๐š๐ง๐œ๐ข๐š๐ฅ ๐๐ซ๐ž๐ฌ๐ฌ๐ฎ๐ซ๐ž, ๐๐ก๐š๐ซ๐ฆ๐š๐œ๐ฒ ๐ƒ๐ž๐ฅ๐ข๐ฏ๐ž๐ซ๐ฌ ๐Œ๐ž๐š๐ฌ๐ฎ๐ซ๐š๐›๐ฅ๐ž ๐ˆ๐ฆ๐ฉ๐š๐œ๐ญ Learn about Outcomesโ€™ pharmacist-led interventions solution: https://t.co/SG3Gka13Iw Read the article:
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@DrugChannels
Adam J. Fein
8 days
๐‚๐ข๐ ๐ง๐šโ€™๐ฌ ๐‘๐ž๐›๐š๐ญ๐ž-๐…๐ซ๐ž๐ž ๐๐ก๐š๐ซ๐ฆ๐š๐œ๐ฒ ๐Œ๐จ๐๐ž๐ฅ: ๐“๐ก๐ซ๐ž๐ž ๐‘๐ž๐š๐ฅ๐ข๐ญ๐ข๐ž๐ฌ ๐๐ž๐ก๐ข๐ง๐ ๐ˆ๐ญ๐ฌ ๐‹๐š๐ญ๐ž๐ฌ๐ญ ๐๐ฎ๐ฌ๐ก ๐ญ๐จ ๐๐จ๐ฉ ๐ญ๐ก๐ž ๐†๐ซ๐จ๐ฌ๐ฌ-๐ญ๐จ-๐๐ž๐ญ ๐๐ฎ๐›๐›๐ฅ๐ž Real reform or just a rerun? Read my analysis on ๐˜‹๐˜ณ๐˜ถ๐˜จ ๐˜Š๐˜ฉ๐˜ข๐˜ฏ๐˜ฏ๐˜ฆ๐˜ญ๐˜ด ๐Ÿ‘‡
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@DrugChannels
Adam J. Fein
9 days
๐ƒ๐ซ๐ฎ๐  ๐‚๐ก๐š๐ง๐ง๐ž๐ฅ๐ฌ ๐๐ž๐ฐ๐ฌ ๐‘๐จ๐ฎ๐ง๐๐ฎ๐ฉ, ๐Ž๐œ๐ญ๐จ๐›๐ž๐ซ 2025 ๐ŸŽƒ Itโ€™s time for the ๐˜‹๐˜ณ๐˜ถ๐˜จ ๐˜Š๐˜ฉ๐˜ข๐˜ฏ๐˜ฏ๐˜ฆ๐˜ญ๐˜ด Halloween roundup of terrifying tales from the dark corners of the healthcare system. This monthโ€™s tricks and treats include: ๐Ÿง› ๐•๐š๐ฆ๐ฉ๐ข๐ซ๐ข๐œ! How
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@DrugChannels
Adam J. Fein
10 days
๐Ÿšจ๐Œ๐จ๐ซ๐ž ๐ž๐ฏ๐ข๐๐ž๐ง๐œ๐ž ๐ญ๐ก๐š๐ญ ๐ญ๐ก๐ž ๐ ๐ซ๐จ๐ฌ๐ฌ-๐ญ๐จ-๐ง๐ž๐ญ ๐›๐ฎ๐›๐›๐ฅ๐ž ๐ข๐ฌ ๐ฌ๐ญ๐š๐ซ๐ญ๐ข๐ง๐  ๐ญ๐จ ๐ฉ๐จ๐ฉ๐Ÿšจ 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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@DrugChannels
Adam J. Fein
10 days
๐Ÿšจ ๐‹๐š๐ฌ๐ญ ๐ƒ๐š๐ฒ ๐Ÿ๐จ๐ซ ๐’๐ฉ๐ž๐œ๐ข๐š๐ฅ ๐‹๐š๐ฎ๐ง๐œ๐ก ๐๐ซ๐ข๐œ๐ข๐ง๐ ! ๐Ÿšจ Today (October 27) is your final chance to save on DCIโ€™s new 2025โ€“26 ๐‘ฌ๐’„๐’๐’๐’๐’Ž๐’Š๐’„ ๐‘น๐’†๐’‘๐’๐’“๐’• ๐’๐’ ๐‘ท๐’‰๐’‚๐’“๐’Ž๐’‚๐’„๐’†๐’–๐’•๐’Š๐’„๐’‚๐’ ๐‘พ๐’‰๐’๐’๐’†๐’”๐’‚๐’๐’†๐’“๐’” ๐’‚๐’๐’… ๐‘บ๐’‘๐’†๐’„๐’Š๐’‚๐’๐’•๐’š
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@DrugChannels
Adam J. Fein
11 days
๐“๐ก๐ž ๐ก๐ข๐๐๐ž๐ง ๐œ๐จ๐ฌ๐ญ ๐จ๐Ÿ ๐œ๐จ๐ข๐ง๐ฌ๐ฎ๐ซ๐š๐ง๐œ๐ž ๐Ÿ’ธ Even in 2025, many employees still pay list prices for prescriptions. High-deductible health plans keep shifting costs to workers: โžก๏ธ 1 in 3 covered employees are in an HDHP โžก๏ธ About half pay coinsurance instead of a
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@DrugChannels
Adam J. Fein
11 days
๐Ÿš€ ๐ƒ๐‚๐‹๐… 2026 ๐’๐ž๐ฌ๐ฌ๐ข๐จ๐ง ๐’๐ฉ๐จ๐ญ๐ฅ๐ข๐ ๐ก๐ญ: ๐“๐ก๐ž ๐•๐ข๐ž๐ฐ ๐Ÿ๐ซ๐จ๐ฆ ๐ญ๐ก๐ž ๐Œ๐š๐ง๐ฎ๐Ÿ๐š๐œ๐ญ๐ฎ๐ซ๐ž๐ซ How are pharmaceutical manufacturers preparing for the evolution of the drug channel? At the 2026 ๐ƒ๐ซ๐ฎ๐  ๐‚๐ก๐š๐ง๐ง๐ž๐ฅ๐ฌ ๐‹๐ž๐š๐๐ž๐ซ๐ฌ๐ก๐ข๐ฉ ๐…๐จ๐ซ๐ฎ๐ฆ, three
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@DrugChannels
Adam J. Fein
13 days
From @EVERSANAcompany: ๐‹๐ž๐ญโ€™๐ฌ ๐๐ž ๐ƒ๐ˆ๐‘๐„๐‚๐“: ๐–๐ž ๐‡๐š๐ฏ๐ž ๐š๐ง ๐€๐œ๐œ๐ž๐ฌ๐ฌ ๐š๐ง๐ ๐€๐Ÿ๐Ÿ๐จ๐ซ๐๐š๐›๐ข๐ฅ๐ข๐ญ๐ฒ ๐๐ซ๐จ๐›๐ฅ๐ž๐ฆ ๐ญ๐จ ๐’๐จ๐ฅ๐ฏ๐ž Learn more: https://t.co/doSv0qdStt Read the article: https://t.co/BQbnkkUQ4x #sponsored
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@DrugChannels
Adam J. Fein
14 days
๐”๐ง๐ฌ๐ฎ๐ฌ๐ญ๐š๐ข๐ง๐š๐›๐ฅ๐ž (๐š๐๐ฃ๐ž๐œ๐ญ๐ข๐ฏ๐ž): ๐˜ฏ๐˜ฐ๐˜ต ๐˜ค๐˜ข๐˜ฑ๐˜ข๐˜ฃ๐˜ญ๐˜ฆ ๐˜ฐ๐˜ง ๐˜ฃ๐˜ฆ๐˜ช๐˜ฏ๐˜จ ๐˜ฑ๐˜ณ๐˜ฐ๐˜ญ๐˜ฐ๐˜ฏ๐˜จ๐˜ฆ๐˜ฅ ๐˜ฐ๐˜ณ ๐˜ค๐˜ฐ๐˜ฏ๐˜ต๐˜ช๐˜ฏ๐˜ถ๐˜ฆ๐˜ฅ People keep using that word to describe U.S. healthcare premiums. Judging by the past 25 years (๐Ÿ‘‡), I do not think it means what they think it
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