This narrow coverage limits the cost-saving potential of these biosimilar competitors, expert said.
As of January 2024, both high and low concentrations of Humira, the originator adalimumab product, are nearly universally covered by Medicare Part D plans, while only half of these plans covered adalimumab biosimilars, according to a newOf the plans that covered both, only 1.5% had lower-tier placement for biosimilars.
Nearly all of Part D plans covered the high-concentration version of adalimumab with a WAC of $6923. This higher concentration is the most popular formulation of the drug, making up an estimated. By comparison, 26.8% of plans covered the high-concentration version of adalimumab-adaz , with a WAC 5% less than the reference product.
All other biosimilars were covered by less than 5% of Medicare Part D plans, even with some having a WAC 86% below Humira.
RA - Rheumatoid Arthritis Rheumatoid Arthritis (RA) Biologic Therapy Biologics Biosimilars Biosimilar Drugs Follow-On Biologics Juvenile Rheumatoid Arthritis Juvenile Ra Juvenile Idiopathic Arthritis Uveitis Hidradenitis Suppurativa Psoriatic Arthritis Arthropathic Psoriasis Psoriatic Arthropathy Psa
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