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  2. 5 2025 Medicare Changes Every Retiree Should Know - AOL

    www.aol.com/5-2025-medicare-changes-every...

    The standard Part B monthly premium rose from $174.70 in 2024 to $185.00 in 2025. ... This only applies to drugs that are covered under your Medicare Part D plan. 3. Reduced access to telehealth ...

  3. Formulary (pharmacy) - Wikipedia

    en.wikipedia.org/wiki/Formulary_(pharmacy)

    A formulary is a list of pharmaceutical drugs, often decided upon by a group of people, for various reasons such as insurance coverage or use at a medical facility. [1] Traditionally, a formulary contained a collection of formulas for the compounding and testing of medication (a resource closer to what would be referred to as a pharmacopoeia ...

  4. Pharmacy benefit management - Wikipedia

    en.wikipedia.org/wiki/Pharmacy_benefit_management

    Drugs which do not appear on the formulary at all mean consumers must pay the full list price. To get drugs listed on the formulary, manufacturers are usually required to pay the PBM a manufacturer's rebate, which lowers the net price of the drug, while keeping the list price the same. [20]

  5. What Regence Blue Cross BlueShield Medicare of Oregon ... - AOL

    www.aol.com/regence-medicare-supplement-plans...

    Regence offers Medigap plans in Oregon and parts of Washington, with standardized coverage plus some extras. Find out what these plans cover and cost.

  6. Biden administration to lower costs for 64 drugs through ...

    www.aol.com/news/biden-administration-lower...

    Some patients will pay a lower coinsurance rate for the 64 drugs covered under Wednesday’s announcement, which fall under Medicare Part B, for the period from July 1 to Sept. 30 “since each ...

  7. Medicare Advantage - Wikipedia

    en.wikipedia.org/wiki/Medicare_Advantage

    In 1997 Medicare Advantage was created as part of the 1997 BBA. [3] MA was revised in 2003 and 2010 to incorporate a framework/bid/rebate process. [4] MA grew from almost zero in 1998 to 33.8 million subscribers in 2024, or 55% of Medicare recipients. 98%+ were enrolled in a zero-premium MA-PD plan (including prescription drug coverage). [5]

  8. Medicare announces weight-loss drugs, including Ozempic ... - AOL

    www.aol.com/medicare-announces-15-drugs-price...

    About 5.3 million people on Medicare used the drugs between Nov. 1, 2023, and Oct. 1, 2024, according to the CMS. Together, the 15 drugs selected accounted for $41 billion, or 14%, of total ...

  9. Specialty drugs in the United States - Wikipedia

    en.wikipedia.org/wiki/Specialty_drugs_in_the...

    [3] [4] [5] Medicare defines any drug with a negotiated price of $670 per month or more as a specialty drug. These drugs are placed in a specialty tier requiring a higher patient cost sharing. [11] [12] Drugs are also identified as specialty when there is a special handling requirement [3] or the drug is only available via a limited ...