CVS Caremark’s Post

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Have you seen our latest Drugs to Watch Report? We take a closer look at the pipeline and a new drug in development that may provide a therapeutic alternative and increased tolerability for people with schizophrenia. Read the full Q3 2024 report here: https://cvs.co/3VTzo75

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Danielle Lohmann

Product Leader advancing product management excellence + agility at scale

2w

Why doesn’t CVS Caremark align their clinical policies with the FDA approvals for breakthrough/priority medications? It’s wonderful that these are getting FDA approved, but your members can’t actually obtain coverage for them. I reviewed the Xolair clinical policies for food allergies with all major carriers (twelve in total), and CVS Caremark is the ONLY one that doesn’t align with the FDA. It’s FDA approved for patients with one or more IgE mediated food allergies, yet you require someone to have peanut AND TWO OTHER food allergies. This potentially life saving medication is now inaccessible for so many of your members, including my child. Why?

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