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View Plan Summary. It preferred only the biosimilar Nivestym. Express Scripts did not include any information about Neulasta and its biosimilars. Other product categories with biosimilars have a similarly mixed status for biosimilars. For erythropoiesis-stimulating agents, Express Scripts prefers the innovator brand Procrit and one of its biosimilars Retacrit but excludes the other biosimilar Mircera.
The exclusions have limited impact, because these products are typically reimbursed under the medical not pharmacy benefit. For , Express Scripts made a major change to the hepatitis C category. The other preferred alternatives in this category were Epclusa, Harvoni, and Vosevi. Its formulary also excluded the low list-price, authorized generic versions of Harvoni and Epclusa.
For , Express Scripts maintained the same odd formulary design as it offered in
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