Blue Shield of California's Innovative Move to Cut Humira Costs

Wednesday, 2 October 2024, 04:06

Blue Shield of California is bypassing PBMs in an effort to significantly reduce Humira prices by 90%. Starting January 1, 2025, most members will pay $0 out of pocket for the Humira biosimilar. This revolutionary approach is set to improve access and affordability for many patients.
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Blue Shield of California's Innovative Move to Cut Humira Costs

Blue Shield's Strategic Initiative

In an unprecedented move, Blue Shield of California is bypassing traditional pharmacy benefit managers (PBMs) to implement a substantial price reduction for Humira. This effort marks a significant shift in healthcare pricing strategies.

Why is this Important?

  • Effective date of January 1, 2025
  • Members using Fresenius Kabi's adalimumab-aacf will incur no out-of-pocket costs
  • Expected reduction of drug costs by 90%

This strategy aims to enhance medication accessibility and affordability, significantly benefiting patients who rely on Humira.


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This article was prepared using information from open sources in accordance with the principles of Ethical Policy. The editorial team is not responsible for absolute accuracy, as it relies on data from the sources referenced.


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