Clinical Insights: April 3, 2024
Welcome to Pillr Health’s Clinical Insights, designed to help pharmacy professionals stay up to date on the ever-changing pharmaceutical and pharmacy marketplace.
New Drug/Vaccine Approval
Voydeya™ (danicopan) Tablets – New Drug Approval – March 29, 2024 – Voydeya™ (danicopan) has been approved in the US as add-on therapy to ravulizumab or eculizumab for the treatment of extravascular haemolysis (EVH) in adults with paroxysmal nocturnal haemoglobinuria (PNH). Voydeya™ is a first-in-class, oral, Factor D inhibitor developed as an add-on to standard-of-care Ultomiris® (ravulizumab) or Soliris® (eculizumab) to address the needs of the approximately 10-20% of patients with PNH who experience clinically significant EVH while treated with a C5 inhibitor. <Read More> Vafseo® (vadadustat) Tablets – New Drug Approval – March 27, 2024 – Akebia Therapeutics®, Inc. (Nasdaq: AKBA), a biopharmaceutical company with the purpose to better the lives of people impacted by kidney disease, announced that the U.S. Food and Drug Administration (FDA) has approved Vafseo® (vadadustat) Tablets for the treatment of anemia due to chronic kidney disease (CKD) in adults who have been receiving dialysis for at least three months. Vafseo® is a once-daily oral hypoxia-inducible factor prolyl hydroxylase (HIF-PH) inhibitor that activates the physiologic response to hypoxia to stimulate endogenous production of erythropoietin to manage anemia. Vafseo® is now approved in 37 countries. <Read More> Winrevair™ (sotatercept) for Injection – New Orphan Drug Approval – March 26, 2024 – Merck (NYSE: MRK) announced that the U.S. Food and Drug Administration (FDA) has approved sotatercept-csrk (U.S. Brand Name: Winrevair™, for injection, 45mg, 60mg) for the treatment of adults with pulmonary arterial hypertension (PAH, World Health Organization [WHO] Group 1) to increase exercise capacity, improve WHO functional class (FC), and reduce the risk of clinical worsening events. Winrevair™ was previously granted Breakthrough Therapy Designation by the FDA. Winrevair™ is the first FDA-approved activin signaling inhibitor therapy for PAH, representing a new class of therapy that works by improving the balance between pro- and anti-proliferative signaling to regulate vascular cell proliferation underlying PAH. <Read More> Opsynvi® (macitentan and tadalafil) Tablets – New Orphan Drug Approval – March 22, 2024 – Johnson & Johnson announced that the U.S. Food and Drug Administration (FDA) has approved Opsynvi® – a single-tablet combination of macitentan, an endothelin receptor antagonist (ERA), and tadalafil, a phosphodiesterase 5 (PDE5) inhibitor – for the chronic treatment of adults with pulmonary arterial hypertension (PAH, World Health Organization [WHO] Group I) and WHO functional class (FC) II-III. Opsynvi® may be used in patients with PAH who are treatment-naïve or who are already on an ERA, PDE5 inhibitor or both. Opsynvi® may be used in patients who are currently treated concomitantly with stable doses of macitentan 10 mg and tadalafil 40 mg (20 mg x 2) as separate tablets. <Read More> Duvyzat™ (givinostat) Oral Suspension – New Orphan Drug Approval – March 21, 2024 – The U.S. Food and Drug Administration approved Duvyzat™ (givinostat) oral medication for the treatment of Duchenne Muscular Dystrophy (DMD) in patients six years of age and older. Duvyzat™ is the first nonsteroidal drug approved to treat patients with all genetic variants of DMD. It is a histone deacetylase (HDAC) inhibitor that works by targeting pathogenic processes to reduce inflammation and loss of muscle. <Read More> Tryvio™ (aprocitentan) Tablets – New Drug Approval – March 20, 2024 – Idorsia Ltd (SIX: IDIA) announced that the US Food and Drug Administration (FDA) has approved Tryvio™ (aprocitentan) for the treatment of hypertension in combination with other antihypertensive drugs, to lower blood pressure in adult patients who are not adequately controlled on other drugs. Lowering blood pressure reduces the risk of fatal and non-fatal cardiovascular events, primarily strokes and myocardial infarctions. The recommended dosage of Tryvio™ is 12.5 mg orally once daily, with or without food. <Read More>
New Indication/Dosage/Formulation Approval
Vemlidy® (tenofovir alafenamide) Tablets – New Label Expansion – March 27, 2024 – Gilead Sciences, Inc. (Nasdaq: GILD) announced that the U.S. Food and Drug Administration (FDA) has approved the supplemental new drug application (sNDA) for Vemlidy® (tenofovir alafenamide) 25 mg tablets as a once-daily treatment for chronic hepatitis B virus (HBV) infection in pediatric patients six years of age and older and weighing at least 25 kg with compensated liver disease. <Read More> Elahere® (mirvetuximab soravtansine-gynx) Injection – New Label Expansion – March 22, 2024 – AbbVie (NYSE: ABBV) announced that the U.S. Food and Drug Administration (FDA) has granted full approval for Elahere® (mirvetuximab soravtansine-gynx) for the treatment of folate receptor alpha (FRα)-positive, platinum-resistant epithelial ovarian, fallopian tube or primary peritoneal adult cancer patients treated with up to three prior therapies. Patients with these cancers often present with late-stage disease, undergo surgery and are then treated with platinum-based chemotherapy. They may become resistant to this treatment and require another therapy, such as Elahere®. <Read More> Nexletol® (bempedoic acid) and Nexlizet® (bempedoic acid and ezetimibe) Tablets – New Label Expansion – March 22, 2024 – Esperion (NASDAQ: ESPR) announced that the United States Food and Drug Administration (FDA) has approved broad new label expansions for Nexletol® (bempedoic acid) Tablets and Nexlizet® (bempedoic acid and ezetimibe) Tablets based on positive CLEAR Outcomes data that include indications for cardiovascular risk reduction and expanded LDL-C lowering in both primary and secondary prevention patients. In addition, the enhanced labels support the use of Nexletol® and Nexlizet® either alone or in combination with statins. They also include new indications for primary hyperlipidemia, alone or in combination with a statin, and are the only LDL-C lowering non-statin drugs indicated for primary prevention patients. <Read More> Ultomiris® (ravulizumab-cwvz) Injection – New Label Expansion – March 22, 2024 – Ultomiris® (ravulizumab-cwvz) has been approved in the United States (US) as the first and only long-acting C5 complement inhibitor for the treatment of adult patients with anti-aquaporin-4 (AQP4) antibody-positive (Ab+) neuromyelitis optica spectrum disorder (NMOSD). The approval by the US Food and Drug Administration (FDA) was based on positive results from the CHAMPION-NMOSD Phase III trial, which were published in the Annals of Neurology. In the trial, Ultomiris® was compared to an external placebo arm from the pivotal Soliris PREVENT clinical trial. <Read More> Ixinity® (coagulation factor IX (recombinant)) for Injection – New label Expansion – March 22, 2024 – Medexus Pharmaceuticals (TSX: MDP) (OTCQX: MEDXF) announced that the US Food and Drug Administration (FDA) recently approved Medexus's supplemental Biologics License Application (sBLA) for Ixinity® [coagulation factor IX (recombinant)] for the on-demand, prophylactic, and perioperative treatment of pediatric patients under 12 years of age with hemophilia B. Ixinity®, an intravenous recombinant factor IX therapeutic, is now approved for use in all patients with hemophilia B, a hereditary bleeding disorder characterized by a deficiency of clotting factor IX in the blood. <Read More> Iclusig® (ponatinib) Tablets – New Label Expansion – March 19, 2024 – Takeda (TSE:4502/NYSE:TAK) announced that the U.S. Food and Drug Administration (FDA) has approved the supplemental New Drug Application (sNDA) for Iclusig® (ponatinib) for the treatment of adult patients with newly diagnosed Philadelphia chromosome-positive acute lymphoblastic leukemia (Ph+ ALL) in combination with chemotherapy. This indication is approved under accelerated approval based on minimal residual disease (MRD)-negative complete remission (CR) at the end of induction. Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials. This accelerated approval application was granted Priority Review and evaluated under the Real-Time Oncology Review (RTOR) program, an FDA initiative designed to expedite the delivery of cancer medicines by allowing components of an application to be reviewed before submission of the complete application. <Read More> Spevigo® (spesolimab-sbzo) Injection – New Label Expansion – March 18, 2024 – Boehringer Ingelheim announced that the US Food and Drug Administration (FDA) has approved Spevigo® (spesolimab-sbzo) injection for the treatment of generalized pustular psoriasis (GPP) in adults and pediatric patients aged 12 and above weighing ≥40 kg. This approval follows the Chinese National Medical Products Administration’s (NMPA) recent approval of Spevigo® for the reduction of occurrence of generalized pustular psoriasis (GPP) in adolescents from 12 years of age with a body weight ≥40 kg and adults. Spevigo® is a novel, humanized selective IgG1 antibody that binds to interleukin-36 receptor (IL-36R), a key part of a signaling pathway within the immune system shown to be involved in the cause of GPP. <Read More>
New Drug Shortage
March 28, 2024
Fluconazole Tablet (Discontinuation)
Linezolid Tablet (Discontinuation)
March 27, 2024
Insulin Lispro Injection (Discontinuation)
March 26, 2024
Azithromycin for Suspension (Discontinuation)
Barium Sulfate Cream (Discontinuation)
Carbidopa and Levodopa Tablet (Discontinuation)
March 25, 2024
Oxaliplatin Injection (Discontinuation)
March 22, 2024
Somatropin Injection (Discontinuation)
Updated Drug Shortage
April 02, 2024
Epinephrine Injection, Syringes (Currently in Shortage)
April 01, 2024
Azacitidine Injection (Currently in Shortage)
Dexamethasone Sodium Phosphate Injection (Currently in Shortage)
Erythromycin Ointment (Currently in Shortage)
Flurazepam Hydrochloride Capsule (Currently in Shortage)
Ropivacaine Hydrochloride Injection (Currently in Shortage)
Sodium Chloride 0.9% Irrigation (Currently in Shortage)
Sterile Water Irrigant (Currently in Shortage)
Tirzepatide Injection (Currently in Shortage)
March 29, 2024
Cromolyn Sodium Concentrate (Currently in Shortage)
Gentamicin Sulfate Injection (Discontinuation)
March 28, 2024
Atropine Sulfate Injection (Currently in Shortage)
Bupivacaine Hydrochloride Injection (Currently in Shortage)
Bupivacaine Hydrochloride, Epinephrine Bitartrate Injection (Currently in Shortage)
Cytarabine Injection (Currently in Shortage)
Dexmedetomidine Hydrochloride Injection (Currently in Shortage)
Dextrose Monohydrate Injection (Currently in Shortage)
Disopyramide Phosphate Capsule (Currently in Shortage)
Dobutamine Hydrochloride Injection (Currently in Shortage)
Epinephrine Bitartrate, Lidocaine Hydrochloride Injection (Currently in Shortage)
Etomidate Injection (Currently in Shortage)
Gentamicin Sulfate Injection (Currently in Shortage)
Hydrocortisone Sodium Succinate Injection (Currently in Shortage)
Lidocaine Hydrochloride Injection (Currently in Shortage)
Methotrexate Sodium Injection (Currently in Shortage)
Methylprednisolone Acetate Injection (Currently in Shortage)
Potassium Acetate Injection (Currently in Shortage)
Rocuronium Bromide Injection (Currently in Shortage)
Sodium Acetate Injection (Currently in Shortage)
Sodium Chloride 14.6% Injection (Currently in Shortage)
Sodium Chloride 23.4% Injection (Currently in Shortage)
Sodium Phosphate, Dibasic, Anhydrous, Sodium Phosphate, Monobasic, Monohydrate Injection (Currently in Shortage)
Sulfasalazine Tablet (Currently in Shortage)
March 25, 2024
Vecuronium Bromide Injection (Currently in Shortage)
New Drug Recall and Safety Alerts
Atovaquone Oral Suspension, USP 750 mg/5 mL by AvKARE, LLC. – New Voluntary Recall – April 1, 2024 - AvKARE, LLC. is voluntarily recalling lot # AW0221A of Atovaquone Oral Suspension, USP 750mg/5mL to the Consumer/User level, due to the potential Bacillus cereus contamination in the product found during stability testing at a 3rd party lab. <Read More> Methocarbamol Injection, USP 1000 mg/10 mL (100mg/mL) (Single Dose Vial) by Eugia US LLC (f/k/a AuroMedics Pharma LLC) – New Voluntary Recall – March 28, 2024 – Eugia US LLC (f/k/a AuroMedics Pharma LLC) has initiated a voluntary recall of lot number 3MC23011 of Methocarbamol Injection, USP 1000 mg/10 mL (100mg/mL) (Single Dose Vial) - 10mL Vial to the consumer level due to a customer product complaint for the presence of white particles floating inside of the vial. <Read More> Vancomycin Hydrochloride for Oral Solution USP, 250mg/5mL by Amneal Pharmaceuticals, LLC. – New Voluntary Recall – March 27, 2024 – Amneal Pharmaceuticals, LLC. Bridgewater, New Jersey (Amneal), is voluntarily recalling 4 lots (see table below) of Vancomycin Hydrochloride for Oral Solution, USP, 250 mg/5mL packaged in 80 mL, 150 mL, or 300 mL pack sizes, to the Consumer Level. Some bottles may have been overfilled which can result in an over potent dosing regimen. The recommended maximum daily dose allowance for this product is up to 2gm/day and patients prescribed a dosing regimen of 500 mg/10mL would exceed this daily allowance, which may be harmful to patients with renal insufficiency. The error occurred during the manual bottle filling stage of manufacturing. <Read More>
New Generic/Biosimilar Approval and Launch
No new update.
Clinical and Pharmacy News
Biden-Harris Administration Furthers Medicare Drug Price Negotiations, Releases New Data on How the President’s Historic Law Lowers Health Care Costs for Women – April 2, 2024 – The Inflation Reduction Act’s Medicare drug price negotiations and other provisions will lower the cost of prescription drugs for millions of women. The U.S. Department of Health and Human Services’ (HHS) Office of the Assistant Secretary for Planning and Evaluation (ASPE) released new research showing how key Inflation Reduction Act provisions will lower costs for women enrolled in Medicare, including nearly 30 million women enrolled in Part D. Also, HHS announced that the Centers for Medicare & Medicaid Services (CMS) responded to counteroffers from all manufacturers participating in Medicare drug price negotiations – which the Inflation Reduction Act made possible – and invited them to participate in further discussions. <Read More> Highly Pathogenic Avian Influenza A (H5N1) Virus Infection Reported in a Person in the U.S. – April 1, 2024 – A person in the United States has tested positive for highly pathogenic avian influenza (HPAI) A(H5N1) virus (“H5N1 bird flu”), as reported by Texas and confirmed by CDC. This person had exposure to dairy cattle in Texas presumed to be infected with HPAI A(H5N1) viruses. The patient reported eye redness (consistent with conjunctivitis), as their only symptom, and is recovering. The patient was told to isolate and is being treated with an antiviral drug for flu. This infection does not change the H5N1 bird flu human health risk assessment for the U.S. general public, which CDC considers to be low. <Read More> Study: ‘Gamechanger’ Diabetes Drugs Cost up to 400 Times More Than Needed – March 28, 2024 – Drug companies are pricing diabetes medicines at almost 400 times the level necessary to make a profit, according to a new study. Researchers said it would also be possible for modern insulin pens, which are safer and offer more accurate doses than vials and syringes, to be used even in low-income countries if pharmaceutical firms “put people before their astronomical profits”. A new generation of diabetes drugs known as GLP-1 receptor agonists (GLP-1s) include Novo Nordisk’s Ozempic® (semaglutide), taken by some celebrities as a weight-loss aid, and Eli Lilly’s Trulicity® (dulaglutide). They are now a standard part of treatment in high-income countries, but are unaffordable in many parts of the world despite rising rates of the condition. <Read More> ASCO Updates Guidelines on Vaccines in Patients with Cancer – March 27, 2024 – The American Society of Clinical Oncology (ASCO) recently issued a new clinical practice guideline, “Vaccinations of Adults with Cancer,” updating its recommendations for patients with cancer of which vaccines to receive. For adult patients of all ages, the guideline recommends: 1) Influenza vaccine annually, 2) COVID-19 vaccine according to the recommended CDC schedule, 3) Tdap or Td vaccine once, followed by a booster every 10 years, 4) Two doses of recombinant zoster vaccine at least 4 weeks apart, 5) One dose of PCV20 pneumococcal vaccine or 1 dose of PCV15 followed by PPSV23 8 weeks later. <Read More> The Truth About Compounded GLP-1s That Doctors Need to Know – March 26, 2024 – Meanwhile, the APC statement notes, Novo Nordisk and Eli Lilly have sued compounding companies in several states, questioning, among other things, the purity and potency of some compounded products. There are different designations for compounding pharmacies: 503A and 503B. 503As are state-licensed pharmacies and physicians, and 503B pharmacies are federally regulated outsourcing facilities that are strictly regulated by the FDA. This regulation, established following a 2012 fungal meningitis outbreak linked to a compounding pharmacy, ensures higher-quality control and oversight, especially for medications intended for intravenous or epidural use. These standards exceed those required for subcutaneous injections like GLP-1 analogs. <Read More> FDA Warns Consumers to Avoid Certain Topical Pain Relief Products Due to Potential for Dangerous Health Effects – March 26, 2024 – The U.S. Food and Drug Administration is warning consumers not to use certain over-the-counter analgesic (pain relief) products that are marketed for topical use to relieve pain before, during or after certain cosmetic procedures, such as microdermabrasion, laser hair removal, tattooing and piercing. The agency issued warning letters to six companies for marketing these products in violation of federal law. Some of these products are labeled to contain ingredients, such as lidocaine, at concentrations that are higher than what is permitted for over-the-counter, topical pain relief products. <Read More>
340B in the News
Last Call for Comments on the Bipartisan Discussion Draft of the SUSTAIN Act: Shaping 340B for the Future. – March 26, 2024 – Only a few days remain for stakeholders—which includes drug manufacturers, patients, health care providers, pharmacies and others— to take advantage of a rare opportunity to influence the statutory contours of the 340B Drug Pricing Program (the “340B Program” or the “Program”). Specifically, industry stakeholders have until April 1st to submit comments to legislators regarding the Discussion Draft Explanatory Statement and Supplemental RFI (the “RFI”) of the “Supporting Underserved and Strengthening Transparency, Accountability, and Integrity Now and for the Future of 340B Act” (the “Sustain 340B Act”). This bipartisan legislative discussion draft was released by the Senate 340B Working Group (the “Working Group”) earlier this year, to update the 340B Program. <Read More>
Clinical Insights: April 2nd, 2025
New Drug/Vaccine Approval
Qfitlia™ (fitusiran) Injection – New Drug Approval – March 28, 2025 – The US Food and Drug Administration (FDA) has approved Qfitlia™ (fitusiran), the first antithrombin-lowering (AT) therapy for routine prophylaxis to prevent or reduce the frequency of bleeding episodes in adult and pediatric patients (aged 12 or older) with hemophilia A or B with or without factor VIII or IX inhibitors. The approval is based on data from the ATLAS phase 3 studies that demonstrated clinically meaningful bleed protection as measured by annualized bleeding rates (ABR) across hemophilia patients with or without inhibitors. <Read More>
Vykat™ XR FDA Approval History – New Drug Approval – March 26, 2025 – Soleno Therapeutics, Inc. (NASDAQ: SLNO), a biopharmaceutical company developing novel therapeutics for the treatment of rare diseases, announced that the U.S. Food and Drug Administration (FDA) has approved Vykat XR™ (diazoxide choline) extended-release tablets, previously referred to as DCCR, for the treatment of hyperphagia in adults and children 4 years of age and older with Prader-Willi syndrome (PWS). Soleno expects Vykat XR™ to be available in the U.S. beginning in April 2025. <Read More>
Blujepa™ (gepotidacin) Tablets – New Drug Approval – March 25, 2025 – GSK plc (LSE/NYSE: GSK) announced that the US Food and Drug Administration (FDA) has approved Blujepa™ (gepotidacin) for the treatment of female adults (≥40 kg) and paediatric patients (≥12 years, ≥40 kg) with uncomplicated urinary tract infections (uUTIs) caused by the following susceptible microorganisms: Escherichia coli, Klebsiella pneumoniae, Citrobacter freundii complex, Staphylococcus saprophyticus and Enterococcus faecalis. Discovered by GSK scientists, Blujepa™ is a first-in-class oral antibiotic with a novel mechanism of action that is part of GSK’s infectious diseases portfolio. <Read More>
Gozellix® (gallium Ga 68 gozetotide) Injection Kit – New Drug Approval – March 20, 2025 – Telix Pharmaceuticals Limited (ASX: TLX, Nasdaq: TLX, Telix, the Company) announces that the United States (U.S.) Food and Drug Administration (FDA) has approved its New Drug Application (NDA) for Gozellix® (TLX007-CDx, kit for the preparation of gallium-68 (68Ga) gozetotide injection), Telix’s next-generation PSMA-PET imaging agent for prostate cancer. <Read More>
Arbli™ (losartan potassium) Oral Suspension – New Drug Approval – March 13, 2025 – Scienture Holdings, Inc. NASDAQ: SCNX), a holding company for existing and planned pharmaceutical operating companies focused on providing enhanced value to patients, physicians and caregivers through developing, bringing to market, and distributing novel specialty products to satisfy unmet market needs, is pleased to announce the U.S. Food and Drug Administration (FDA) has approved SCN-102, one of the products being developed by Scienture, LLC, a wholly owned subsidiary of Scienture Holdings, Inc., with the brand name Arbli™ (losartan potassium) Oral Suspension, 10 mg/mL. <Read More>
Encelto™ (revakinagene taroretcel-lwey) Intravitreal Implant - formerly NT-501 – New Drug Approval – March 5, 2025 – Neurotech Pharmaceuticals, Inc., a private biotech company focused on developing transformative therapies for chronic eye diseases, announced that the U.S. Food and Drug Administration (FDA), has approved Encelto™ (revakinagene taroretcel-lwey) for the treatment of Macular Telangiectasia type 2 (MacTel). <Read More>
New Indication / Dosage / Formulation Approval
Pluvicto® (lutetium lu 177 vipivotide tetraxetan) Injection – New Label Expansion – March 28, 2025 – Novartis announced that the US Food and Drug Administration (FDA) approved Pluvicto® (lutetium Lu 177 vipivotide tetraxetan) for patients with prostate-specific membrane antigen (PSMA)-positive metastatic castration-resistant prostate cancer (mCRPC) who have been treated with an androgen receptor pathway inhibitor (ARPI) therapy and are considered appropriate to delay chemotherapy. <Read More>
Imfinzi® (durvalumab) Injection – New Label Expansion – March 28, 2025 - AstraZeneca’s Imfinzi® (durvalumab) in combination with gemcitabine and cisplatin as neoadjuvant treatment, followed by Imfinzi® as adjuvant monotherapy after radical cystectomy (surgery to remove the bladder) has been approved in the US for the treatment of adult patients with muscle-invasive bladder cancer (MIBC). <Read More>
Cabometyx® (cabozantinib) Tablets – New Label Expansion – March 26, 2025 - Exelixis, Inc. (Nasdaq: EXEL) announced that the U.S. Food and Drug Administration (FDA) has approved Cabometyx® (cabozantinib) for the treatment of 1) adult and pediatric patients 12 years of age and older with previously treated, unresectable, locally advanced or metastatic, well-differentiated pancreatic neuroendocrine tumors (pNET); and 2) adult and pediatric patients 12 years of age and older with previously treated, unresectable, locally advanced or metastatic, well-differentiated extra-pancreatic NET (epNET). <Read More>
Egrifta WR™ (tesamorelin) Injection – New Label Expansion – March 25, 2025 - Theratechnologies Inc. (“Theratechnologies” or the “Company”) (TSX: TH) (NASDAQ: THTX), a commercial-stage biopharmaceutical company, announced that the U.S. Food and Drug Administration (FDA) has approved the Company’s supplemental Biologics License Application (sBLA) for the F8 formulation of tesamorelin for injection. The Company will commercialize the new formulation under the tradename Egrifta WR™. <Read More>
Amvuttra® (vutrisiran) Injection – New Label Expansion – March 20, 2025 - Alnylam Pharmaceuticals, Inc. (Nasdaq: ALNY), the leading RNAi therapeutics company, announced the U.S. Food and Drug Administration (FDA) approval of the supplemental New Drug Application (sNDA) for its RNAi therapeutic, Amvuttra® (vutrisiran), for the treatment of the cardiomyopathy of wild-type or hereditary transthyretin-mediated amyloidosis (ATTR-CM) in adults to reduce cardiovascular mortality, cardiovascular hospitalizations and urgent heart failure visits. <Read More>
Fabhalta® (iptacopan) Capsules – New Label Expansion – March 20, 2025 - Novartis announced that oral Fabhalta® (iptacopan) has received U.S. Food and Drug Administration (FDA) approval for the treatment of adults with C3 glomerulopathy (C3G), to reduce proteinuria, making it the first and only treatment approved for this condition. <Read More>
Tremfya® (guselkumab) Injection – New Label Expansion – March 20, 2025 - Johnson & Johnson (NYSE: JNJ) announced that the U.S. Food and Drug Administration (FDA) has approved Tremfya® (guselkumab), the first and only IL-23 inhibitor offering both subcutaneous (SC) and intravenous (IV) induction options, for the treatment of adults with moderately to severely active Crohn’s disease (CD), a chronic inflammatory condition of the gastrointestinal tract. <Read More>
Keytruda® (pembrolizumab) for Injection – New Label Expansion – March 19, 2025 - The Food and Drug Administration granted traditional approval to pembrolizumab (Keytruda®, Merck) with trastuzumab, fluoropyrimidine- and platinum-containing chemotherapy for the first-line treatment of adults with locally advanced unresectable or metastatic HER2-positive gastric or gastroesophageal junction (GEJ) adenocarcinoma whose tumors express PD-L1 (CPS ≥1). <Read More>
Iluvien® (fluocinolone acetonide) Intravitreal Implant – New Label Expansion – March 12, 2025 - ANI Pharmaceuticals, Inc. (Nasdaq: ANIP) (ANI or the Company) announced that the U.S. Food and Drug Administration (FDA) has approved an expanded label for Iluvien® (fluocinolone acetonide intravitreal implant) that includes an indication for the treatment of chronic non-infectious uveitis affecting the posterior segment of the eye (NIU-PS). The approval also includes other updates to the label including to the Warnings and Precautions section. <Read More>
Furoscix® (furosemide) Injection – New Label Expansion – March 6, 2025 - scPharmaceuticals Inc. (Nasdaq: SCPH) (the “Company”), a pharmaceutical company committed to revolutionizing cardiorenal healthcare through patient-centric innovations, announced that the U.S. Food and Drug Administration (FDA) has approved the supplemental New Drug Application (sNDA) for Furoscix® to expand the indication to include treatment of edema in patients with chronic kidney disease (CKD). <Read More>
neffy® (epinephrine) Nasal Spray – New Label Expansion – March 5, 2025 - ARS Pharmaceuticals, Inc. (Nasdaq: SPRY), a biopharmaceutical company dedicated to empowering at-risk patients and caregivers to better protect themselves from allergic reactions that could lead to anaphylaxis, announced that the U.S. Food and Drug Administration (FDA) has approved neffy® 1 mg (epinephrine nasal spray) for the treatment of Type I Allergic Reactions, including anaphylaxis, in children who are aged 4 years and older and weigh 15 to < 30 kilograms (33 to < 66 lb.). This approval represents the first significant innovation in the delivery of epinephrine for this patient population in more than 35 years. <Read More>
Tevimbra® (tislelizumab-jsgr) Injection – New Label Expansion – March 4, 2025 – BeiGene, Ltd. (NASDAQ: ONC; HKEX: 06160; SSE: 688235), a global oncology company that intends to change its name to BeOne Medicines Ltd., announced the U.S. Food and Drug Administration (FDA) has approved Tevimbra® (tislelizumab-jsgr), in combination with platinum-containing chemotherapy, for the first-line treatment of adults with unresectable or metastatic esophageal squamous cell carcinoma (ESCC) whose tumors express PD-L1 (≥1). <Read More>
New Drug Shortage
March 28, 2025
Carboplatin Injection (Discontinuation)
Ursodiol Tablet (Discontinuation)
March 24, 2025
Hydrocortisone Cream (Discontinuation)
Montelukast Sodium Granule (Discontinuation)
March 18, 2025
Travoprost Solution/Drops (Discontinuation)
March 17, 2025
Glipizide Tablet, Extended Release (Discontinuation)
March 5, 2025
Ibandronate Sodium Injection (Discontinuation)
Ibutilide Fumarate Injection (Discontinuation)
March 4, 2025
Amlodipine Besylate; Benazepril Hydrochloride Capsule (Discontinuation)
Updated Drug Shortage
March 30, 2025
Bupivacaine Hydrochloride Injection (Currently In Shortage)
Bupivacaine Hydrochloride, Epinephrine Bitartrate Injection (Currently In Shortage)
Clindamycin Phosphate Injection (Currently In Shortage)
Dobutamine Hydrochloride Injection (Currently In Shortage)
Dopamine Hydrochloride Injection (Currently In Shortage)
Epinephrine Bitartrate, Lidocaine Hydrochloride Injection (Currently In Shortage)
Hydrocortisone Sodium Succinate Injection (Currently In Shortage)
Ketamine Hydrochloride Injection (Currently In Shortage)
Lidocaine Hydrochloride Injection (Currently In Shortage)
Methotrexate Sodium Injection (Currently In Shortage)
Methylprednisolone Acetate Injection (Currently In Shortage)
Penicillin G Benzathine Injection (Currently In Shortage)
Sodium Chloride 23.4% Injection (Currently In Shortage)
March 28, 2025
Carboplatin Injection (Currently In Shortage)
March 27, 2025
Lisdexamfetamine Dimesylate Capsule (Currently In Shortage)
March 24, 2025
Amino Acid Injection (Currently In Shortage)
Dextrose Monohydrate 10% Injection (Currently In Shortage)
Dextrose Monohydrate 5% Injection (Currently In Shortage)
Dextrose Monohydrate 70% Injection (Currently In Shortage)
Lactated Ringers Injection (Currently In Shortage)
Midazolam Hydrochloride Injection (Currently In Shortage)
Sodium Chloride 0.9% Injection (Currently In Shortage)
Sodium Chloride 0.9% Irrigation (Currently In Shortage)
Sterile Water Irrigant (Currently In Shortage)
Streptozocin Powder, For Solution (Currently In Shortage)
March 21, 2025
Amphetamine Aspartate Monohydrate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate Tablet (Currently In Shortage)
Nitroglycerin Injection (Currently In Shortage)
New Drug Recall and Safety Alerts
Levetiracetam in 0.75% Sodium Chloride Injection 1,000 mg/100 mL Dr. Reddy’s - New Voluntary Recall – March 13, 2025 – Dr. Reddy’s Laboratories Ltd. (BSE: 500124, NSE: DRREDDY, NYSE: RDY, NSEIFSC: DRREDDY; along with its subsidiaries together referred to as “Dr. Reddy’s”), is recalling one Batch/Lot No: A1540076 of Levetiracetam in 0.75% Sodium Chloride Injection, 1,000 mg/100 mL (10 mg/mL) single-dose infusion bags to the consumer level, in the United States. The product is being recalled because the infusion bag is incorrectly labeled as Levetiracetam in 0.82% Sodium Chloride Injection 500 mg/100 mL single-dose bag, while the aluminum overwrap packaging correctly identifies the product as Levetiracetam in 0.75% Sodium Chloride Injection 1,000 mg/100 mL. <Read More>
New Generic/Biosimilar Approval and Launch
Stoboclo® (denosumab-bmwo) Injection - formerly CT-P41 – New Proliaâ Biosimilar Approval – February 28, 2025 – Celltrion announced that the U.S. Food and Drug Administration (FDA) has approved Stoboclo® (CT-P41, denosumab-bmwo) and Osenvelt® (CT-P41, denosumab-bmwo), biosimilars referencing Prolia® (denosumab) and Xgeva® (denosumab) respectively for all indications of reference products. <Read More>
Osenvelt® (denosumab-bmwo) Injection - formerly CT-P41 – New Xvegaâ Biosimilar Approval – February 28, 2025 – Celltrion announced that the U.S. Food and Drug Administration (FDA) has approved Stoboclo® (CT-P41, denosumab-bmwo) and Osenvelt® (CT-P41, denosumab-bmwo), biosimilars referencing Prolia® (denosumab) and Xgeva® (denosumab) respectively for all indications of reference products. <Read More>
Conexxence® (denosumab-bnht) Injection – New Prolia® Biosimilar Approval – March 25, 2025 – Fresenius announced that the Biologics License Application (BLA) for the denosumab biosimilars Conexxence® (denosumab-bnht) and Bomyntra® (denosumab-bnht) of its operating company Fresenius Kabi has been approved by the U.S. Food and Drug Administration (FDA). These denosumab biosimilars are approved for all indications of the reference products: Prolia® (denosumab) and Xgeva® (denosumab), respectively. In addition, Fresenius’ operating company has reached a Global Settlement with Amgen concerning its denosumab biosimilars. <Read More>
Bomyntra® (denosumab-bnht) Injection – New Xvegaâ Biosimilar Approval – March 25, 2025 – Fresenius announced that the Biologics License Application (BLA) for the denosumab biosimilars Conexxence® (denosumab-bnht) and Bomyntra® (denosumab-bnht) of its operating company Fresenius Kabi has been approved by the U.S. Food and Drug Administration (FDA). These denosumab biosimilars are approved for all indications of the reference products: Prolia® (denosumab) and Xgeva® (denosumab), respectively. In addition, Fresenius’ operating company has reached a Global Settlement with Amgen concerning its denosumab biosimilars. <Read More>
Clinical and Pharmacy News
The Key to Solving Medication Errors is at the Intersection of Technology and Standards – April 1, 2025 – By integrating industry standards into e-prescribing software, prescribing organizations can reduce errors to improve patient outcomes and lessen the burden of medication-related errors on healthcare systems. Here’s a look at the new National Council for Prescription Drug Programs (NCPDP) Sig Standard aimed at improving prescription accuracy. 1.5 million people are affected by medication errors each year, posing a significant risk to patients’ safety and increasing healthcare costs. While providers do everything in their power to prevent medication errors, interoperability and lack of visibility into a patient’s medication history can cause serious challenges. <Read More>
Medical Gaslighting Tops List of Highest Patient Safety Risks – March 28, 2025 – The risks associated with medical professionals dismissing patient, family and caregiver concerns — also called “medical gaslighting” — ranked highest on an annual list of patient safety concerns compiled by the nonprofit organization ECRI. Insufficient governance of AI in health care, the viral spread of medical misinformation, and medical errors and delays in care resulting from cybersecurity breaches also were listed as significant concerns. <Read More>
AI Can Help Doctors Give Intravenous Nutrition to Preemies, Stanford Medicine Study Finds – March 25, 2025 – An algorithm that learned from tens of thousands of nutrition prescriptions for premature babies could reduce medical errors and better identify what nutrients the smallest patients need. Artificial intelligence can improve intravenous nutrition for premature babies, a Stanford Medicine study has shown. The study, which published March 25 in Nature Medicine, is among the first to demonstrate how an AI algorithm can enable doctors to make better clinical decisions for sick newborns. <Read More>
Pharmacy Benefit Managers Lining Pockets at Expense of Patients, Say Lawmakers – March 25, 2025 – Third-party companies known as pharmacy benefit managers, which administer prescription drug benefits for health insurance plans, employers, and other organizations including governments, are driving up prescription drug costs, putting small pharmacies out of business, and interfering in the relationship between doctors and their patients, says Sen. Rochelle Nguyen, a Democrat from Las Vegas and the sponsor of Senate Bill 316, a measure that seeks to reform PBMs. Nevadans are being deprived of “life-changing and life-saving prescription drugs and often have to make difficult decisions based on what they can and cannot afford,” Nguyen told members of the Senate Committee on Labor and Commerce during a hearing Monday, adding escalating prescription prices are just one component of high costs. “This isn’t a magic pill that’s going to solve all our health care problems.” <Read More>
Spending Growth on GLP-1s Outpaces Specialty Drugs: Evernorth Study – March 25, 2025 – Spending on GLP-1 drugs continues to rise, after outpacing trends among specialty drugs for the first time in 2023, according to a new report from Evernorth. Pharmaceutical spending overall has grown significantly in recent years, but it has accelerated since semaglutide earned approval for chronic weight management in 2021. Afterward, the rate of annual growth rose from 2.1% in 2021 to 12.8% in 2024, according to the report. Specialty pharmacy has traditionally been the key source of growth in pharmacy spend. For comparison, in 2019, spending for traditional medications decreased by 5% while spending on specialty drugs grew by 11.5%. <Read More>
How Health Systems Can Thrive in Navigating the Specialty Pharmacy Landscape – March 24, 2025 – Specialty pharmacies must meet complex requirements, introducing administrative requirements that can be challenging for health systems to manage internally. Here some strategies that can be employed. The demand for specialty medications is on the rise in the United States as people living with complex health conditions increasingly rely on new treatments and therapies to manage their health. By partnering with an advisory service, health systems can take advantage of established expertise to evaluate and choose from among the breadth and complexity of potential solutions for operating and optimizing an integrated specialty pharmacy. <Read More>
DEA Warns of Electronic Prescription Fraud – March 21, 2025 – The Drug Enforcement Administration (DEA) recently alerted healthcare providers to a concerning trend: hackers tapping into patient electronic health records (EHRs) to steal doctors’ DEA registration numbers. Armed with those numbers, the thieves have been able to generate tens of thousands of bogus prescriptions and sell them online, the agency explained in a YouTube video. “Electronic prescription fraud is a real emerging trend that we’re seeing all across the country,” said Erin Hager, a DEA diversion investigator in the Phoenix-Tucson Tactical Division Squad. “What’s happening is … bad actors … who have been conducting prescription drug fraud are now utilizing the internet and electronic health record platforms to create electronic prescriptions that they can then send nationwide.” <Read More>
Ensitrelvir Reduced the Risk for COVID-19 by 67% – March 14, 2025 – Ensitrelvir, an antiviral being developed to prevent COVID-19, reduced the risk of developing the infection by 67% in uninfected people after exposure to SARS-CoV-2 compared with placebo at day 10, according to results presented at CROI 2025, held in San Francisco (abstract 200). The SCORPIO-PEP (Stopping COVID-19 pRogression with early Protease InhibitOr treatment–Post-Exposure Prophylaxis) trial assessed 2,387 study participants, who were 12 years of age and older with a negative screening test for SARS-CoV-2 infection and no symptoms at the time of enrollment. The participants were exposed to a person living in the household who developed symptomatic COVID-19. In this double-blind trial, study participants were randomly assigned to receive 125 mg of ensitrelvir or placebo, once daily, and began prophylaxis within 72 hours of symptom onset in the household member with COVID-19, according to Frederick Hayden, MD, a professor emeritus at the University of Virginia School of Medicine, in Charlottesville. <Read More>
340B in the News
The Case for 340B Done Right – March 30, 2025 – The federal 340B Drug Pricing Program, which requires pharmaceutical manufacturers participating in Medicaid to sell outpatient drugs at discounted prices to healthcare organizations that care for many uninsured and low-income patients, is facing intense scrutiny and calls for reform. The program’s intent has always been to stretch limited federal resources to reduce the price of outpatient pharmaceuticals and expand health services to our most vulnerable communities. In too many cases, that’s just not what’s happening, and in recent weeks, the media has been shining a spotlight on some of the most cynical deployment of these funds towards profits over patients. <Read More>
HHS Files Brief in 340B Rebate Model Case – March 17, 2025 – The Department of Health and Human Services said its decision to prevent drug companies from implementing a 340B rebate model “was within its statutory authority,” according to a department brief filed March 17 with the U.S. District Court for the District of Columbia. In addition, the brief said the drug companies’ “proposed cash rebate models would have upended the way the 340B Program has operated for more than thirty years” and the agency’s decision to prevent the models from being implemented was “not arbitrary and capricious.” The HHS brief is in cases brought by Eli Lilly, Bristol Meyers Squibb and Novartis. <Read More>
Clinical Insights: April 2nd, 2025
New Drug/Vaccine Approval
Qfitlia™ (fitusiran) Injection – New Drug Approval – March 28, 2025 – The US Food and Drug Administration (FDA) has approved Qfitlia™ (fitusiran), the first antithrombin-lowering (AT) therapy for routine prophylaxis to prevent or reduce the frequency of bleeding episodes in adult and pediatric patients (aged 12 or older) with hemophilia A or B with or without factor VIII or IX inhibitors. The approval is based on data from the ATLAS phase 3 studies that demonstrated clinically meaningful bleed protection as measured by annualized bleeding rates (ABR) across hemophilia patients with or without inhibitors. <Read More>
Vykat™ XR FDA Approval History – New Drug Approval – March 26, 2025 – Soleno Therapeutics, Inc. (NASDAQ: SLNO), a biopharmaceutical company developing novel therapeutics for the treatment of rare diseases, announced that the U.S. Food and Drug Administration (FDA) has approved Vykat XR™ (diazoxide choline) extended-release tablets, previously referred to as DCCR, for the treatment of hyperphagia in adults and children 4 years of age and older with Prader-Willi syndrome (PWS). Soleno expects Vykat XR™ to be available in the U.S. beginning in April 2025. <Read More>
Blujepa™ (gepotidacin) Tablets – New Drug Approval – March 25, 2025 – GSK plc (LSE/NYSE: GSK) announced that the US Food and Drug Administration (FDA) has approved Blujepa™ (gepotidacin) for the treatment of female adults (≥40 kg) and paediatric patients (≥12 years, ≥40 kg) with uncomplicated urinary tract infections (uUTIs) caused by the following susceptible microorganisms: Escherichia coli, Klebsiella pneumoniae, Citrobacter freundii complex, Staphylococcus saprophyticus and Enterococcus faecalis. Discovered by GSK scientists, Blujepa™ is a first-in-class oral antibiotic with a novel mechanism of action that is part of GSK’s infectious diseases portfolio. <Read More>
Gozellix® (gallium Ga 68 gozetotide) Injection Kit – New Drug Approval – March 20, 2025 – Telix Pharmaceuticals Limited (ASX: TLX, Nasdaq: TLX, Telix, the Company) announces that the United States (U.S.) Food and Drug Administration (FDA) has approved its New Drug Application (NDA) for Gozellix® (TLX007-CDx, kit for the preparation of gallium-68 (68Ga) gozetotide injection), Telix’s next-generation PSMA-PET imaging agent for prostate cancer. <Read More>
Arbli™ (losartan potassium) Oral Suspension – New Drug Approval – March 13, 2025 – Scienture Holdings, Inc. NASDAQ: SCNX), a holding company for existing and planned pharmaceutical operating companies focused on providing enhanced value to patients, physicians and caregivers through developing, bringing to market, and distributing novel specialty products to satisfy unmet market needs, is pleased to announce the U.S. Food and Drug Administration (FDA) has approved SCN-102, one of the products being developed by Scienture, LLC, a wholly owned subsidiary of Scienture Holdings, Inc., with the brand name Arbli™ (losartan potassium) Oral Suspension, 10 mg/mL. <Read More>
Encelto™ (revakinagene taroretcel-lwey) Intravitreal Implant - formerly NT-501 – New Drug Approval – March 5, 2025 – Neurotech Pharmaceuticals, Inc., a private biotech company focused on developing transformative therapies for chronic eye diseases, announced that the U.S. Food and Drug Administration (FDA), has approved Encelto™ (revakinagene taroretcel-lwey) for the treatment of Macular Telangiectasia type 2 (MacTel). <Read More>
New Indication / Dosage / Formulation Approval
Pluvicto® (lutetium lu 177 vipivotide tetraxetan) Injection – New Label Expansion – March 28, 2025 – Novartis announced that the US Food and Drug Administration (FDA) approved Pluvicto® (lutetium Lu 177 vipivotide tetraxetan) for patients with prostate-specific membrane antigen (PSMA)-positive metastatic castration-resistant prostate cancer (mCRPC) who have been treated with an androgen receptor pathway inhibitor (ARPI) therapy and are considered appropriate to delay chemotherapy. <Read More>
Imfinzi® (durvalumab) Injection – New Label Expansion – March 28, 2025 - AstraZeneca’s Imfinzi® (durvalumab) in combination with gemcitabine and cisplatin as neoadjuvant treatment, followed by Imfinzi® as adjuvant monotherapy after radical cystectomy (surgery to remove the bladder) has been approved in the US for the treatment of adult patients with muscle-invasive bladder cancer (MIBC). <Read More>
Cabometyx® (cabozantinib) Tablets – New Label Expansion – March 26, 2025 - Exelixis, Inc. (Nasdaq: EXEL) announced that the U.S. Food and Drug Administration (FDA) has approved Cabometyx® (cabozantinib) for the treatment of 1) adult and pediatric patients 12 years of age and older with previously treated, unresectable, locally advanced or metastatic, well-differentiated pancreatic neuroendocrine tumors (pNET); and 2) adult and pediatric patients 12 years of age and older with previously treated, unresectable, locally advanced or metastatic, well-differentiated extra-pancreatic NET (epNET). <Read More>
Egrifta WR™ (tesamorelin) Injection – New Label Expansion – March 25, 2025 - Theratechnologies Inc. (“Theratechnologies” or the “Company”) (TSX: TH) (NASDAQ: THTX), a commercial-stage biopharmaceutical company, announced that the U.S. Food and Drug Administration (FDA) has approved the Company’s supplemental Biologics License Application (sBLA) for the F8 formulation of tesamorelin for injection. The Company will commercialize the new formulation under the tradename Egrifta WR™. <Read More>
Amvuttra® (vutrisiran) Injection – New Label Expansion – March 20, 2025 - Alnylam Pharmaceuticals, Inc. (Nasdaq: ALNY), the leading RNAi therapeutics company, announced the U.S. Food and Drug Administration (FDA) approval of the supplemental New Drug Application (sNDA) for its RNAi therapeutic, Amvuttra® (vutrisiran), for the treatment of the cardiomyopathy of wild-type or hereditary transthyretin-mediated amyloidosis (ATTR-CM) in adults to reduce cardiovascular mortality, cardiovascular hospitalizations and urgent heart failure visits. <Read More>
Fabhalta® (iptacopan) Capsules – New Label Expansion – March 20, 2025 - Novartis announced that oral Fabhalta® (iptacopan) has received U.S. Food and Drug Administration (FDA) approval for the treatment of adults with C3 glomerulopathy (C3G), to reduce proteinuria, making it the first and only treatment approved for this condition. <Read More>
Tremfya® (guselkumab) Injection – New Label Expansion – March 20, 2025 - Johnson & Johnson (NYSE: JNJ) announced that the U.S. Food and Drug Administration (FDA) has approved Tremfya® (guselkumab), the first and only IL-23 inhibitor offering both subcutaneous (SC) and intravenous (IV) induction options, for the treatment of adults with moderately to severely active Crohn’s disease (CD), a chronic inflammatory condition of the gastrointestinal tract. <Read More>
Keytruda® (pembrolizumab) for Injection – New Label Expansion – March 19, 2025 - The Food and Drug Administration granted traditional approval to pembrolizumab (Keytruda®, Merck) with trastuzumab, fluoropyrimidine- and platinum-containing chemotherapy for the first-line treatment of adults with locally advanced unresectable or metastatic HER2-positive gastric or gastroesophageal junction (GEJ) adenocarcinoma whose tumors express PD-L1 (CPS ≥1). <Read More>
Iluvien® (fluocinolone acetonide) Intravitreal Implant – New Label Expansion – March 12, 2025 - ANI Pharmaceuticals, Inc. (Nasdaq: ANIP) (ANI or the Company) announced that the U.S. Food and Drug Administration (FDA) has approved an expanded label for Iluvien® (fluocinolone acetonide intravitreal implant) that includes an indication for the treatment of chronic non-infectious uveitis affecting the posterior segment of the eye (NIU-PS). The approval also includes other updates to the label including to the Warnings and Precautions section. <Read More>
Furoscix® (furosemide) Injection – New Label Expansion – March 6, 2025 - scPharmaceuticals Inc. (Nasdaq: SCPH) (the “Company”), a pharmaceutical company committed to revolutionizing cardiorenal healthcare through patient-centric innovations, announced that the U.S. Food and Drug Administration (FDA) has approved the supplemental New Drug Application (sNDA) for Furoscix® to expand the indication to include treatment of edema in patients with chronic kidney disease (CKD). <Read More>
neffy® (epinephrine) Nasal Spray – New Label Expansion – March 5, 2025 - ARS Pharmaceuticals, Inc. (Nasdaq: SPRY), a biopharmaceutical company dedicated to empowering at-risk patients and caregivers to better protect themselves from allergic reactions that could lead to anaphylaxis, announced that the U.S. Food and Drug Administration (FDA) has approved neffy® 1 mg (epinephrine nasal spray) for the treatment of Type I Allergic Reactions, including anaphylaxis, in children who are aged 4 years and older and weigh 15 to < 30 kilograms (33 to < 66 lb.). This approval represents the first significant innovation in the delivery of epinephrine for this patient population in more than 35 years. <Read More>
Tevimbra® (tislelizumab-jsgr) Injection – New Label Expansion – March 4, 2025 – BeiGene, Ltd. (NASDAQ: ONC; HKEX: 06160; SSE: 688235), a global oncology company that intends to change its name to BeOne Medicines Ltd., announced the U.S. Food and Drug Administration (FDA) has approved Tevimbra® (tislelizumab-jsgr), in combination with platinum-containing chemotherapy, for the first-line treatment of adults with unresectable or metastatic esophageal squamous cell carcinoma (ESCC) whose tumors express PD-L1 (≥1). <Read More>
New Drug Shortage
March 28, 2025
Carboplatin Injection (Discontinuation)
Ursodiol Tablet (Discontinuation)
March 24, 2025
Hydrocortisone Cream (Discontinuation)
Montelukast Sodium Granule (Discontinuation)
March 18, 2025
Travoprost Solution/Drops (Discontinuation)
March 17, 2025
Glipizide Tablet, Extended Release (Discontinuation)
March 5, 2025
Ibandronate Sodium Injection (Discontinuation)
Ibutilide Fumarate Injection (Discontinuation)
March 4, 2025
Amlodipine Besylate; Benazepril Hydrochloride Capsule (Discontinuation)
Updated Drug Shortage
March 30, 2025
Bupivacaine Hydrochloride Injection (Currently In Shortage)
Bupivacaine Hydrochloride, Epinephrine Bitartrate Injection (Currently In Shortage)
Clindamycin Phosphate Injection (Currently In Shortage)
Dobutamine Hydrochloride Injection (Currently In Shortage)
Dopamine Hydrochloride Injection (Currently In Shortage)
Epinephrine Bitartrate, Lidocaine Hydrochloride Injection (Currently In Shortage)
Hydrocortisone Sodium Succinate Injection (Currently In Shortage)
Ketamine Hydrochloride Injection (Currently In Shortage)
Lidocaine Hydrochloride Injection (Currently In Shortage)
Methotrexate Sodium Injection (Currently In Shortage)
Methylprednisolone Acetate Injection (Currently In Shortage)
Penicillin G Benzathine Injection (Currently In Shortage)
Sodium Chloride 23.4% Injection (Currently In Shortage)
March 28, 2025
Carboplatin Injection (Currently In Shortage)
March 27, 2025
Lisdexamfetamine Dimesylate Capsule (Currently In Shortage)
March 24, 2025
Amino Acid Injection (Currently In Shortage)
Dextrose Monohydrate 10% Injection (Currently In Shortage)
Dextrose Monohydrate 5% Injection (Currently In Shortage)
Dextrose Monohydrate 70% Injection (Currently In Shortage)
Lactated Ringers Injection (Currently In Shortage)
Midazolam Hydrochloride Injection (Currently In Shortage)
Sodium Chloride 0.9% Injection (Currently In Shortage)
Sodium Chloride 0.9% Irrigation (Currently In Shortage)
Sterile Water Irrigant (Currently In Shortage)
Streptozocin Powder, For Solution (Currently In Shortage)
March 21, 2025
Amphetamine Aspartate Monohydrate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate Tablet (Currently In Shortage)
Nitroglycerin Injection (Currently In Shortage)
New Drug Recall and Safety Alerts
Levetiracetam in 0.75% Sodium Chloride Injection 1,000 mg/100 mL Dr. Reddy’s - New Voluntary Recall – March 13, 2025 – Dr. Reddy’s Laboratories Ltd. (BSE: 500124, NSE: DRREDDY, NYSE: RDY, NSEIFSC: DRREDDY; along with its subsidiaries together referred to as “Dr. Reddy’s”), is recalling one Batch/Lot No: A1540076 of Levetiracetam in 0.75% Sodium Chloride Injection, 1,000 mg/100 mL (10 mg/mL) single-dose infusion bags to the consumer level, in the United States. The product is being recalled because the infusion bag is incorrectly labeled as Levetiracetam in 0.82% Sodium Chloride Injection 500 mg/100 mL single-dose bag, while the aluminum overwrap packaging correctly identifies the product as Levetiracetam in 0.75% Sodium Chloride Injection 1,000 mg/100 mL. <Read More>
New Generic/Biosimilar Approval and Launch
Stoboclo® (denosumab-bmwo) Injection - formerly CT-P41 – New Proliaâ Biosimilar Approval – February 28, 2025 – Celltrion announced that the U.S. Food and Drug Administration (FDA) has approved Stoboclo® (CT-P41, denosumab-bmwo) and Osenvelt® (CT-P41, denosumab-bmwo), biosimilars referencing Prolia® (denosumab) and Xgeva® (denosumab) respectively for all indications of reference products. <Read More>
Osenvelt® (denosumab-bmwo) Injection - formerly CT-P41 – New Xvegaâ Biosimilar Approval – February 28, 2025 – Celltrion announced that the U.S. Food and Drug Administration (FDA) has approved Stoboclo® (CT-P41, denosumab-bmwo) and Osenvelt® (CT-P41, denosumab-bmwo), biosimilars referencing Prolia® (denosumab) and Xgeva® (denosumab) respectively for all indications of reference products. <Read More>
Conexxence® (denosumab-bnht) Injection – New Prolia® Biosimilar Approval – March 25, 2025 – Fresenius announced that the Biologics License Application (BLA) for the denosumab biosimilars Conexxence® (denosumab-bnht) and Bomyntra® (denosumab-bnht) of its operating company Fresenius Kabi has been approved by the U.S. Food and Drug Administration (FDA). These denosumab biosimilars are approved for all indications of the reference products: Prolia® (denosumab) and Xgeva® (denosumab), respectively. In addition, Fresenius’ operating company has reached a Global Settlement with Amgen concerning its denosumab biosimilars. <Read More>
Bomyntra® (denosumab-bnht) Injection – New Xvegaâ Biosimilar Approval – March 25, 2025 – Fresenius announced that the Biologics License Application (BLA) for the denosumab biosimilars Conexxence® (denosumab-bnht) and Bomyntra® (denosumab-bnht) of its operating company Fresenius Kabi has been approved by the U.S. Food and Drug Administration (FDA). These denosumab biosimilars are approved for all indications of the reference products: Prolia® (denosumab) and Xgeva® (denosumab), respectively. In addition, Fresenius’ operating company has reached a Global Settlement with Amgen concerning its denosumab biosimilars. <Read More>
Clinical and Pharmacy News
The Key to Solving Medication Errors is at the Intersection of Technology and Standards – April 1, 2025 – By integrating industry standards into e-prescribing software, prescribing organizations can reduce errors to improve patient outcomes and lessen the burden of medication-related errors on healthcare systems. Here’s a look at the new National Council for Prescription Drug Programs (NCPDP) Sig Standard aimed at improving prescription accuracy. 1.5 million people are affected by medication errors each year, posing a significant risk to patients’ safety and increasing healthcare costs. While providers do everything in their power to prevent medication errors, interoperability and lack of visibility into a patient’s medication history can cause serious challenges. <Read More>
Medical Gaslighting Tops List of Highest Patient Safety Risks – March 28, 2025 – The risks associated with medical professionals dismissing patient, family and caregiver concerns — also called “medical gaslighting” — ranked highest on an annual list of patient safety concerns compiled by the nonprofit organization ECRI. Insufficient governance of AI in health care, the viral spread of medical misinformation, and medical errors and delays in care resulting from cybersecurity breaches also were listed as significant concerns. <Read More>
AI Can Help Doctors Give Intravenous Nutrition to Preemies, Stanford Medicine Study Finds – March 25, 2025 – An algorithm that learned from tens of thousands of nutrition prescriptions for premature babies could reduce medical errors and better identify what nutrients the smallest patients need. Artificial intelligence can improve intravenous nutrition for premature babies, a Stanford Medicine study has shown. The study, which published March 25 in Nature Medicine, is among the first to demonstrate how an AI algorithm can enable doctors to make better clinical decisions for sick newborns. <Read More>
Pharmacy Benefit Managers Lining Pockets at Expense of Patients, Say Lawmakers – March 25, 2025 – Third-party companies known as pharmacy benefit managers, which administer prescription drug benefits for health insurance plans, employers, and other organizations including governments, are driving up prescription drug costs, putting small pharmacies out of business, and interfering in the relationship between doctors and their patients, says Sen. Rochelle Nguyen, a Democrat from Las Vegas and the sponsor of Senate Bill 316, a measure that seeks to reform PBMs. Nevadans are being deprived of “life-changing and life-saving prescription drugs and often have to make difficult decisions based on what they can and cannot afford,” Nguyen told members of the Senate Committee on Labor and Commerce during a hearing Monday, adding escalating prescription prices are just one component of high costs. “This isn’t a magic pill that’s going to solve all our health care problems.” <Read More>
Spending Growth on GLP-1s Outpaces Specialty Drugs: Evernorth Study – March 25, 2025 – Spending on GLP-1 drugs continues to rise, after outpacing trends among specialty drugs for the first time in 2023, according to a new report from Evernorth. Pharmaceutical spending overall has grown significantly in recent years, but it has accelerated since semaglutide earned approval for chronic weight management in 2021. Afterward, the rate of annual growth rose from 2.1% in 2021 to 12.8% in 2024, according to the report. Specialty pharmacy has traditionally been the key source of growth in pharmacy spend. For comparison, in 2019, spending for traditional medications decreased by 5% while spending on specialty drugs grew by 11.5%. <Read More>
How Health Systems Can Thrive in Navigating the Specialty Pharmacy Landscape – March 24, 2025 – Specialty pharmacies must meet complex requirements, introducing administrative requirements that can be challenging for health systems to manage internally. Here some strategies that can be employed. The demand for specialty medications is on the rise in the United States as people living with complex health conditions increasingly rely on new treatments and therapies to manage their health. By partnering with an advisory service, health systems can take advantage of established expertise to evaluate and choose from among the breadth and complexity of potential solutions for operating and optimizing an integrated specialty pharmacy. <Read More>
DEA Warns of Electronic Prescription Fraud – March 21, 2025 – The Drug Enforcement Administration (DEA) recently alerted healthcare providers to a concerning trend: hackers tapping into patient electronic health records (EHRs) to steal doctors’ DEA registration numbers. Armed with those numbers, the thieves have been able to generate tens of thousands of bogus prescriptions and sell them online, the agency explained in a YouTube video. “Electronic prescription fraud is a real emerging trend that we’re seeing all across the country,” said Erin Hager, a DEA diversion investigator in the Phoenix-Tucson Tactical Division Squad. “What’s happening is … bad actors … who have been conducting prescription drug fraud are now utilizing the internet and electronic health record platforms to create electronic prescriptions that they can then send nationwide.” <Read More>
Ensitrelvir Reduced the Risk for COVID-19 by 67% – March 14, 2025 – Ensitrelvir, an antiviral being developed to prevent COVID-19, reduced the risk of developing the infection by 67% in uninfected people after exposure to SARS-CoV-2 compared with placebo at day 10, according to results presented at CROI 2025, held in San Francisco (abstract 200). The SCORPIO-PEP (Stopping COVID-19 pRogression with early Protease InhibitOr treatment–Post-Exposure Prophylaxis) trial assessed 2,387 study participants, who were 12 years of age and older with a negative screening test for SARS-CoV-2 infection and no symptoms at the time of enrollment. The participants were exposed to a person living in the household who developed symptomatic COVID-19. In this double-blind trial, study participants were randomly assigned to receive 125 mg of ensitrelvir or placebo, once daily, and began prophylaxis within 72 hours of symptom onset in the household member with COVID-19, according to Frederick Hayden, MD, a professor emeritus at the University of Virginia School of Medicine, in Charlottesville. <Read More>
340B in the News
The Case for 340B Done Right – March 30, 2025 – The federal 340B Drug Pricing Program, which requires pharmaceutical manufacturers participating in Medicaid to sell outpatient drugs at discounted prices to healthcare organizations that care for many uninsured and low-income patients, is facing intense scrutiny and calls for reform. The program’s intent has always been to stretch limited federal resources to reduce the price of outpatient pharmaceuticals and expand health services to our most vulnerable communities. In too many cases, that’s just not what’s happening, and in recent weeks, the media has been shining a spotlight on some of the most cynical deployment of these funds towards profits over patients. <Read More>
HHS Files Brief in 340B Rebate Model Case – March 17, 2025 – The Department of Health and Human Services said its decision to prevent drug companies from implementing a 340B rebate model “was within its statutory authority,” according to a department brief filed March 17 with the U.S. District Court for the District of Columbia. In addition, the brief said the drug companies’ “proposed cash rebate models would have upended the way the 340B Program has operated for more than thirty years” and the agency’s decision to prevent the models from being implemented was “not arbitrary and capricious.” The HHS brief is in cases brought by Eli Lilly, Bristol Meyers Squibb and Novartis. <Read More>
Clinical Insights: April 2nd, 2025
New Drug/Vaccine Approval
Qfitlia™ (fitusiran) Injection – New Drug Approval – March 28, 2025 – The US Food and Drug Administration (FDA) has approved Qfitlia™ (fitusiran), the first antithrombin-lowering (AT) therapy for routine prophylaxis to prevent or reduce the frequency of bleeding episodes in adult and pediatric patients (aged 12 or older) with hemophilia A or B with or without factor VIII or IX inhibitors. The approval is based on data from the ATLAS phase 3 studies that demonstrated clinically meaningful bleed protection as measured by annualized bleeding rates (ABR) across hemophilia patients with or without inhibitors. <Read More>
Vykat™ XR FDA Approval History – New Drug Approval – March 26, 2025 – Soleno Therapeutics, Inc. (NASDAQ: SLNO), a biopharmaceutical company developing novel therapeutics for the treatment of rare diseases, announced that the U.S. Food and Drug Administration (FDA) has approved Vykat XR™ (diazoxide choline) extended-release tablets, previously referred to as DCCR, for the treatment of hyperphagia in adults and children 4 years of age and older with Prader-Willi syndrome (PWS). Soleno expects Vykat XR™ to be available in the U.S. beginning in April 2025. <Read More>
Blujepa™ (gepotidacin) Tablets – New Drug Approval – March 25, 2025 – GSK plc (LSE/NYSE: GSK) announced that the US Food and Drug Administration (FDA) has approved Blujepa™ (gepotidacin) for the treatment of female adults (≥40 kg) and paediatric patients (≥12 years, ≥40 kg) with uncomplicated urinary tract infections (uUTIs) caused by the following susceptible microorganisms: Escherichia coli, Klebsiella pneumoniae, Citrobacter freundii complex, Staphylococcus saprophyticus and Enterococcus faecalis. Discovered by GSK scientists, Blujepa™ is a first-in-class oral antibiotic with a novel mechanism of action that is part of GSK’s infectious diseases portfolio. <Read More>
Gozellix® (gallium Ga 68 gozetotide) Injection Kit – New Drug Approval – March 20, 2025 – Telix Pharmaceuticals Limited (ASX: TLX, Nasdaq: TLX, Telix, the Company) announces that the United States (U.S.) Food and Drug Administration (FDA) has approved its New Drug Application (NDA) for Gozellix® (TLX007-CDx, kit for the preparation of gallium-68 (68Ga) gozetotide injection), Telix’s next-generation PSMA-PET imaging agent for prostate cancer. <Read More>
Arbli™ (losartan potassium) Oral Suspension – New Drug Approval – March 13, 2025 – Scienture Holdings, Inc. NASDAQ: SCNX), a holding company for existing and planned pharmaceutical operating companies focused on providing enhanced value to patients, physicians and caregivers through developing, bringing to market, and distributing novel specialty products to satisfy unmet market needs, is pleased to announce the U.S. Food and Drug Administration (FDA) has approved SCN-102, one of the products being developed by Scienture, LLC, a wholly owned subsidiary of Scienture Holdings, Inc., with the brand name Arbli™ (losartan potassium) Oral Suspension, 10 mg/mL. <Read More>
Encelto™ (revakinagene taroretcel-lwey) Intravitreal Implant - formerly NT-501 – New Drug Approval – March 5, 2025 – Neurotech Pharmaceuticals, Inc., a private biotech company focused on developing transformative therapies for chronic eye diseases, announced that the U.S. Food and Drug Administration (FDA), has approved Encelto™ (revakinagene taroretcel-lwey) for the treatment of Macular Telangiectasia type 2 (MacTel). <Read More>
New Indication / Dosage / Formulation Approval
Pluvicto® (lutetium lu 177 vipivotide tetraxetan) Injection – New Label Expansion – March 28, 2025 – Novartis announced that the US Food and Drug Administration (FDA) approved Pluvicto® (lutetium Lu 177 vipivotide tetraxetan) for patients with prostate-specific membrane antigen (PSMA)-positive metastatic castration-resistant prostate cancer (mCRPC) who have been treated with an androgen receptor pathway inhibitor (ARPI) therapy and are considered appropriate to delay chemotherapy. <Read More>
Imfinzi® (durvalumab) Injection – New Label Expansion – March 28, 2025 - AstraZeneca’s Imfinzi® (durvalumab) in combination with gemcitabine and cisplatin as neoadjuvant treatment, followed by Imfinzi® as adjuvant monotherapy after radical cystectomy (surgery to remove the bladder) has been approved in the US for the treatment of adult patients with muscle-invasive bladder cancer (MIBC). <Read More>
Cabometyx® (cabozantinib) Tablets – New Label Expansion – March 26, 2025 - Exelixis, Inc. (Nasdaq: EXEL) announced that the U.S. Food and Drug Administration (FDA) has approved Cabometyx® (cabozantinib) for the treatment of 1) adult and pediatric patients 12 years of age and older with previously treated, unresectable, locally advanced or metastatic, well-differentiated pancreatic neuroendocrine tumors (pNET); and 2) adult and pediatric patients 12 years of age and older with previously treated, unresectable, locally advanced or metastatic, well-differentiated extra-pancreatic NET (epNET). <Read More>
Egrifta WR™ (tesamorelin) Injection – New Label Expansion – March 25, 2025 - Theratechnologies Inc. (“Theratechnologies” or the “Company”) (TSX: TH) (NASDAQ: THTX), a commercial-stage biopharmaceutical company, announced that the U.S. Food and Drug Administration (FDA) has approved the Company’s supplemental Biologics License Application (sBLA) for the F8 formulation of tesamorelin for injection. The Company will commercialize the new formulation under the tradename Egrifta WR™. <Read More>
Amvuttra® (vutrisiran) Injection – New Label Expansion – March 20, 2025 - Alnylam Pharmaceuticals, Inc. (Nasdaq: ALNY), the leading RNAi therapeutics company, announced the U.S. Food and Drug Administration (FDA) approval of the supplemental New Drug Application (sNDA) for its RNAi therapeutic, Amvuttra® (vutrisiran), for the treatment of the cardiomyopathy of wild-type or hereditary transthyretin-mediated amyloidosis (ATTR-CM) in adults to reduce cardiovascular mortality, cardiovascular hospitalizations and urgent heart failure visits. <Read More>
Fabhalta® (iptacopan) Capsules – New Label Expansion – March 20, 2025 - Novartis announced that oral Fabhalta® (iptacopan) has received U.S. Food and Drug Administration (FDA) approval for the treatment of adults with C3 glomerulopathy (C3G), to reduce proteinuria, making it the first and only treatment approved for this condition. <Read More>
Tremfya® (guselkumab) Injection – New Label Expansion – March 20, 2025 - Johnson & Johnson (NYSE: JNJ) announced that the U.S. Food and Drug Administration (FDA) has approved Tremfya® (guselkumab), the first and only IL-23 inhibitor offering both subcutaneous (SC) and intravenous (IV) induction options, for the treatment of adults with moderately to severely active Crohn’s disease (CD), a chronic inflammatory condition of the gastrointestinal tract. <Read More>
Keytruda® (pembrolizumab) for Injection – New Label Expansion – March 19, 2025 - The Food and Drug Administration granted traditional approval to pembrolizumab (Keytruda®, Merck) with trastuzumab, fluoropyrimidine- and platinum-containing chemotherapy for the first-line treatment of adults with locally advanced unresectable or metastatic HER2-positive gastric or gastroesophageal junction (GEJ) adenocarcinoma whose tumors express PD-L1 (CPS ≥1). <Read More>
Iluvien® (fluocinolone acetonide) Intravitreal Implant – New Label Expansion – March 12, 2025 - ANI Pharmaceuticals, Inc. (Nasdaq: ANIP) (ANI or the Company) announced that the U.S. Food and Drug Administration (FDA) has approved an expanded label for Iluvien® (fluocinolone acetonide intravitreal implant) that includes an indication for the treatment of chronic non-infectious uveitis affecting the posterior segment of the eye (NIU-PS). The approval also includes other updates to the label including to the Warnings and Precautions section. <Read More>
Furoscix® (furosemide) Injection – New Label Expansion – March 6, 2025 - scPharmaceuticals Inc. (Nasdaq: SCPH) (the “Company”), a pharmaceutical company committed to revolutionizing cardiorenal healthcare through patient-centric innovations, announced that the U.S. Food and Drug Administration (FDA) has approved the supplemental New Drug Application (sNDA) for Furoscix® to expand the indication to include treatment of edema in patients with chronic kidney disease (CKD). <Read More>
neffy® (epinephrine) Nasal Spray – New Label Expansion – March 5, 2025 - ARS Pharmaceuticals, Inc. (Nasdaq: SPRY), a biopharmaceutical company dedicated to empowering at-risk patients and caregivers to better protect themselves from allergic reactions that could lead to anaphylaxis, announced that the U.S. Food and Drug Administration (FDA) has approved neffy® 1 mg (epinephrine nasal spray) for the treatment of Type I Allergic Reactions, including anaphylaxis, in children who are aged 4 years and older and weigh 15 to < 30 kilograms (33 to < 66 lb.). This approval represents the first significant innovation in the delivery of epinephrine for this patient population in more than 35 years. <Read More>
Tevimbra® (tislelizumab-jsgr) Injection – New Label Expansion – March 4, 2025 – BeiGene, Ltd. (NASDAQ: ONC; HKEX: 06160; SSE: 688235), a global oncology company that intends to change its name to BeOne Medicines Ltd., announced the U.S. Food and Drug Administration (FDA) has approved Tevimbra® (tislelizumab-jsgr), in combination with platinum-containing chemotherapy, for the first-line treatment of adults with unresectable or metastatic esophageal squamous cell carcinoma (ESCC) whose tumors express PD-L1 (≥1). <Read More>
New Drug Shortage
March 28, 2025
Carboplatin Injection (Discontinuation)
Ursodiol Tablet (Discontinuation)
March 24, 2025
Hydrocortisone Cream (Discontinuation)
Montelukast Sodium Granule (Discontinuation)
March 18, 2025
Travoprost Solution/Drops (Discontinuation)
March 17, 2025
Glipizide Tablet, Extended Release (Discontinuation)
March 5, 2025
Ibandronate Sodium Injection (Discontinuation)
Ibutilide Fumarate Injection (Discontinuation)
March 4, 2025
Amlodipine Besylate; Benazepril Hydrochloride Capsule (Discontinuation)
Updated Drug Shortage
March 30, 2025
Bupivacaine Hydrochloride Injection (Currently In Shortage)
Bupivacaine Hydrochloride, Epinephrine Bitartrate Injection (Currently In Shortage)
Clindamycin Phosphate Injection (Currently In Shortage)
Dobutamine Hydrochloride Injection (Currently In Shortage)
Dopamine Hydrochloride Injection (Currently In Shortage)
Epinephrine Bitartrate, Lidocaine Hydrochloride Injection (Currently In Shortage)
Hydrocortisone Sodium Succinate Injection (Currently In Shortage)
Ketamine Hydrochloride Injection (Currently In Shortage)
Lidocaine Hydrochloride Injection (Currently In Shortage)
Methotrexate Sodium Injection (Currently In Shortage)
Methylprednisolone Acetate Injection (Currently In Shortage)
Penicillin G Benzathine Injection (Currently In Shortage)
Sodium Chloride 23.4% Injection (Currently In Shortage)
March 28, 2025
Carboplatin Injection (Currently In Shortage)
March 27, 2025
Lisdexamfetamine Dimesylate Capsule (Currently In Shortage)
March 24, 2025
Amino Acid Injection (Currently In Shortage)
Dextrose Monohydrate 10% Injection (Currently In Shortage)
Dextrose Monohydrate 5% Injection (Currently In Shortage)
Dextrose Monohydrate 70% Injection (Currently In Shortage)
Lactated Ringers Injection (Currently In Shortage)
Midazolam Hydrochloride Injection (Currently In Shortage)
Sodium Chloride 0.9% Injection (Currently In Shortage)
Sodium Chloride 0.9% Irrigation (Currently In Shortage)
Sterile Water Irrigant (Currently In Shortage)
Streptozocin Powder, For Solution (Currently In Shortage)
March 21, 2025
Amphetamine Aspartate Monohydrate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate Tablet (Currently In Shortage)
Nitroglycerin Injection (Currently In Shortage)
New Drug Recall and Safety Alerts
Levetiracetam in 0.75% Sodium Chloride Injection 1,000 mg/100 mL Dr. Reddy’s - New Voluntary Recall – March 13, 2025 – Dr. Reddy’s Laboratories Ltd. (BSE: 500124, NSE: DRREDDY, NYSE: RDY, NSEIFSC: DRREDDY; along with its subsidiaries together referred to as “Dr. Reddy’s”), is recalling one Batch/Lot No: A1540076 of Levetiracetam in 0.75% Sodium Chloride Injection, 1,000 mg/100 mL (10 mg/mL) single-dose infusion bags to the consumer level, in the United States. The product is being recalled because the infusion bag is incorrectly labeled as Levetiracetam in 0.82% Sodium Chloride Injection 500 mg/100 mL single-dose bag, while the aluminum overwrap packaging correctly identifies the product as Levetiracetam in 0.75% Sodium Chloride Injection 1,000 mg/100 mL. <Read More>
New Generic/Biosimilar Approval and Launch
Stoboclo® (denosumab-bmwo) Injection - formerly CT-P41 – New Proliaâ Biosimilar Approval – February 28, 2025 – Celltrion announced that the U.S. Food and Drug Administration (FDA) has approved Stoboclo® (CT-P41, denosumab-bmwo) and Osenvelt® (CT-P41, denosumab-bmwo), biosimilars referencing Prolia® (denosumab) and Xgeva® (denosumab) respectively for all indications of reference products. <Read More>
Osenvelt® (denosumab-bmwo) Injection - formerly CT-P41 – New Xvegaâ Biosimilar Approval – February 28, 2025 – Celltrion announced that the U.S. Food and Drug Administration (FDA) has approved Stoboclo® (CT-P41, denosumab-bmwo) and Osenvelt® (CT-P41, denosumab-bmwo), biosimilars referencing Prolia® (denosumab) and Xgeva® (denosumab) respectively for all indications of reference products. <Read More>
Conexxence® (denosumab-bnht) Injection – New Prolia® Biosimilar Approval – March 25, 2025 – Fresenius announced that the Biologics License Application (BLA) for the denosumab biosimilars Conexxence® (denosumab-bnht) and Bomyntra® (denosumab-bnht) of its operating company Fresenius Kabi has been approved by the U.S. Food and Drug Administration (FDA). These denosumab biosimilars are approved for all indications of the reference products: Prolia® (denosumab) and Xgeva® (denosumab), respectively. In addition, Fresenius’ operating company has reached a Global Settlement with Amgen concerning its denosumab biosimilars. <Read More>
Bomyntra® (denosumab-bnht) Injection – New Xvegaâ Biosimilar Approval – March 25, 2025 – Fresenius announced that the Biologics License Application (BLA) for the denosumab biosimilars Conexxence® (denosumab-bnht) and Bomyntra® (denosumab-bnht) of its operating company Fresenius Kabi has been approved by the U.S. Food and Drug Administration (FDA). These denosumab biosimilars are approved for all indications of the reference products: Prolia® (denosumab) and Xgeva® (denosumab), respectively. In addition, Fresenius’ operating company has reached a Global Settlement with Amgen concerning its denosumab biosimilars. <Read More>
Clinical and Pharmacy News
The Key to Solving Medication Errors is at the Intersection of Technology and Standards – April 1, 2025 – By integrating industry standards into e-prescribing software, prescribing organizations can reduce errors to improve patient outcomes and lessen the burden of medication-related errors on healthcare systems. Here’s a look at the new National Council for Prescription Drug Programs (NCPDP) Sig Standard aimed at improving prescription accuracy. 1.5 million people are affected by medication errors each year, posing a significant risk to patients’ safety and increasing healthcare costs. While providers do everything in their power to prevent medication errors, interoperability and lack of visibility into a patient’s medication history can cause serious challenges. <Read More>
Medical Gaslighting Tops List of Highest Patient Safety Risks – March 28, 2025 – The risks associated with medical professionals dismissing patient, family and caregiver concerns — also called “medical gaslighting” — ranked highest on an annual list of patient safety concerns compiled by the nonprofit organization ECRI. Insufficient governance of AI in health care, the viral spread of medical misinformation, and medical errors and delays in care resulting from cybersecurity breaches also were listed as significant concerns. <Read More>
AI Can Help Doctors Give Intravenous Nutrition to Preemies, Stanford Medicine Study Finds – March 25, 2025 – An algorithm that learned from tens of thousands of nutrition prescriptions for premature babies could reduce medical errors and better identify what nutrients the smallest patients need. Artificial intelligence can improve intravenous nutrition for premature babies, a Stanford Medicine study has shown. The study, which published March 25 in Nature Medicine, is among the first to demonstrate how an AI algorithm can enable doctors to make better clinical decisions for sick newborns. <Read More>
Pharmacy Benefit Managers Lining Pockets at Expense of Patients, Say Lawmakers – March 25, 2025 – Third-party companies known as pharmacy benefit managers, which administer prescription drug benefits for health insurance plans, employers, and other organizations including governments, are driving up prescription drug costs, putting small pharmacies out of business, and interfering in the relationship between doctors and their patients, says Sen. Rochelle Nguyen, a Democrat from Las Vegas and the sponsor of Senate Bill 316, a measure that seeks to reform PBMs. Nevadans are being deprived of “life-changing and life-saving prescription drugs and often have to make difficult decisions based on what they can and cannot afford,” Nguyen told members of the Senate Committee on Labor and Commerce during a hearing Monday, adding escalating prescription prices are just one component of high costs. “This isn’t a magic pill that’s going to solve all our health care problems.” <Read More>
Spending Growth on GLP-1s Outpaces Specialty Drugs: Evernorth Study – March 25, 2025 – Spending on GLP-1 drugs continues to rise, after outpacing trends among specialty drugs for the first time in 2023, according to a new report from Evernorth. Pharmaceutical spending overall has grown significantly in recent years, but it has accelerated since semaglutide earned approval for chronic weight management in 2021. Afterward, the rate of annual growth rose from 2.1% in 2021 to 12.8% in 2024, according to the report. Specialty pharmacy has traditionally been the key source of growth in pharmacy spend. For comparison, in 2019, spending for traditional medications decreased by 5% while spending on specialty drugs grew by 11.5%. <Read More>
How Health Systems Can Thrive in Navigating the Specialty Pharmacy Landscape – March 24, 2025 – Specialty pharmacies must meet complex requirements, introducing administrative requirements that can be challenging for health systems to manage internally. Here some strategies that can be employed. The demand for specialty medications is on the rise in the United States as people living with complex health conditions increasingly rely on new treatments and therapies to manage their health. By partnering with an advisory service, health systems can take advantage of established expertise to evaluate and choose from among the breadth and complexity of potential solutions for operating and optimizing an integrated specialty pharmacy. <Read More>
DEA Warns of Electronic Prescription Fraud – March 21, 2025 – The Drug Enforcement Administration (DEA) recently alerted healthcare providers to a concerning trend: hackers tapping into patient electronic health records (EHRs) to steal doctors’ DEA registration numbers. Armed with those numbers, the thieves have been able to generate tens of thousands of bogus prescriptions and sell them online, the agency explained in a YouTube video. “Electronic prescription fraud is a real emerging trend that we’re seeing all across the country,” said Erin Hager, a DEA diversion investigator in the Phoenix-Tucson Tactical Division Squad. “What’s happening is … bad actors … who have been conducting prescription drug fraud are now utilizing the internet and electronic health record platforms to create electronic prescriptions that they can then send nationwide.” <Read More>
Ensitrelvir Reduced the Risk for COVID-19 by 67% – March 14, 2025 – Ensitrelvir, an antiviral being developed to prevent COVID-19, reduced the risk of developing the infection by 67% in uninfected people after exposure to SARS-CoV-2 compared with placebo at day 10, according to results presented at CROI 2025, held in San Francisco (abstract 200). The SCORPIO-PEP (Stopping COVID-19 pRogression with early Protease InhibitOr treatment–Post-Exposure Prophylaxis) trial assessed 2,387 study participants, who were 12 years of age and older with a negative screening test for SARS-CoV-2 infection and no symptoms at the time of enrollment. The participants were exposed to a person living in the household who developed symptomatic COVID-19. In this double-blind trial, study participants were randomly assigned to receive 125 mg of ensitrelvir or placebo, once daily, and began prophylaxis within 72 hours of symptom onset in the household member with COVID-19, according to Frederick Hayden, MD, a professor emeritus at the University of Virginia School of Medicine, in Charlottesville. <Read More>
340B in the News
The Case for 340B Done Right – March 30, 2025 – The federal 340B Drug Pricing Program, which requires pharmaceutical manufacturers participating in Medicaid to sell outpatient drugs at discounted prices to healthcare organizations that care for many uninsured and low-income patients, is facing intense scrutiny and calls for reform. The program’s intent has always been to stretch limited federal resources to reduce the price of outpatient pharmaceuticals and expand health services to our most vulnerable communities. In too many cases, that’s just not what’s happening, and in recent weeks, the media has been shining a spotlight on some of the most cynical deployment of these funds towards profits over patients. <Read More>
HHS Files Brief in 340B Rebate Model Case – March 17, 2025 – The Department of Health and Human Services said its decision to prevent drug companies from implementing a 340B rebate model “was within its statutory authority,” according to a department brief filed March 17 with the U.S. District Court for the District of Columbia. In addition, the brief said the drug companies’ “proposed cash rebate models would have upended the way the 340B Program has operated for more than thirty years” and the agency’s decision to prevent the models from being implemented was “not arbitrary and capricious.” The HHS brief is in cases brought by Eli Lilly, Bristol Meyers Squibb and Novartis. <Read More>
Clinical Insights: March 6th, 2025
New Drug/Vaccine Approval
Miudella® (copper) Intrauterine System – New Drug Approval – February 24, 2025 - Sebela Women’s Health Inc., a part of Sebela Pharmaceuticals, announced that the U.S. Food and Drug Administration (FDA) granted approval of Miudella® (copper intrauterine system) for the prevention of pregnancy in females of reproductive potential for up to three years. Miudella® is a next-generation, hormone-free, low-dose copper intrauterine device or IUD, the first to be approved by the FDA in the United States in over 40 years. <Read More>
Ctexli™ (chenodiol) Tablets – New Drug Approval – February 21, 2025 - The U.S. Food and Drug Administration approved Ctexli™ (chenodiol) for the treatment of cerebrotendinous xanthomatosis (CTX) in adults. Ctexli™ is the first FDA-approved drug to treat CTX, a very rare lipid storage disease. <Read More>
Romvimza™ (vimseltinib) Capsules – New Drug Approval – February 14, 2025 - The Food and Drug Administration approved vimseltinib (Romvimza™, Deciphera Pharmaceuticals, LLC), a kinase inhibitor, for adult patients with symptomatic tenosynovial giant cell tumor (TGCT) for which surgical resection will potentially cause worsening functional limitation or severe morbidity. <Read More>
Penmenvy™ (meningococcal groups A, B, C, W, and Y vaccine) Lyophilized Powder for Injection – New Vaccine Approval – February 14, 2025 - GSK plc (LSE/NYSE: GSK) announced that the US Food and Drug Administration (FDA) has approved Penmenvy™ (Meningococcal Groups A, B, C, W, and Y Vaccine) for use in individuals aged 10 through 25 years. The vaccine targets five major serogroups of Neisseria meningitidis (A, B, C, W, and Y) which commonly cause invasive meningococcal disease (IMD). <Read More>
Vimkunya™ (chikungunya vaccine, recombinant) Injection – New Vaccine Approval – February 14, 2025 - Bavarian Nordic A/S (OMX: BAVA) announced that the U.S. Food and Drug Administration (FDA) has approved Vimkunya™ (Chikungunya Vaccine, Recombinant) for injection, the first virus-like particle (VLP) single-dose chikungunya vaccine in the U.S. for persons 12 years of age and older. The FDA approved Vimkunya™ under Priority Review, based on results from two phase 3 clinical trials which enrolled more than 3,500 healthy individuals 12 years of age and older. <Read More>
Gomekli™ (mirdametinib) Capsules and Tablets for Oral Suspension – New Drug Approval – February 11, 2025 - The Food and Drug Administration approved mirdametinib (Gomekliä, SpringWorks Therapeutics, Inc.), a kinase inhibitor, for adult and pediatric patients 2 years of age and older with neurofibromatosis type 1 (NF1) who have symptomatic plexiform neurofibromas (PN) not amenable to complete resection. <Read More>
Emblaveo™ (avibactam and aztreonam) Lyophilized Powder for Injection – New Drug Approval – February 7, 2025 - AbbVie (NYSE: ABBV) announced that the U.S. Food and Drug Administration (FDA) has approved Emblaveo™ (aztreonam and avibactam), as the first and only fixed-dose, intravenous, monobactam/β-lactamase inhibitor combination antibiotic. It is approved in combination with metronidazole, for patients 18 years and older who have limited or no alternative options for the treatment of complicated intra-abdominal infections (cIAI), including those caused by the following susceptible Gram-negative microorganisms: Escherichia coli, Klebsiella pneumoniae, Klebsiella oxytoca, Enterobacter cloacae complex, Citrobacter freundii complex, and Serratia marcescens. <Read More>
Onapgo™ (apomorphine hydrochloride) Subcutaneous Infusion Device - formerly SPN-830 – New Infusion Device Approval – February 4, 2025 - Supernus Pharmaceuticals, Inc. (Nasdaq: SUPN), a biopharmaceutical company focused on developing and commercializing products for the treatment of central nervous system (CNS) diseases, announced that the U.S. Food and Drug Administration (FDA) approved Onapgo™ (apomorphine hydrochloride) injection, formerly known as SPN-830, as the first and only subcutaneous apomorphine infusion device for the treatment of motor fluctuations in adults with advanced Parkinson’s disease (PD). Supernus will make Onapgo™ available in the second quarter of 2025 with a support team of experts, including a robust nurse education program, and access support at launch. <Read More>
New Indication / Dosage / Formulation Approval
TNKase® (tenecteplase) Lyophilized Powder for Injection – New Label Expansion – March 3, 2025 - Genentech, a member of the Roche Group (SIX: RO, ROG; OTCQX: RHHBY), announced that the U.S. Food and Drug Administration (FDA) has approved TNKase® (tenecteplase), a thrombolytic or clot-dissolving agent, for the treatment of acute ischemic stroke (AIS) in adults. This approval of TNKase® marks Genentech’s second approval for stroke, reinforcing the company's long-standing dedication to advancing stroke care as the developer of the only two FDA-approved medicines for AIS, TNKase® and Activase® (alteplase). <Read More>
Odactra® (house dust mite allergen extract) Sublingual Tablets – New Label Expansion – February 27, 2025 - ALK (ALKB:DC / OMX: ALK B) announced that the US Food and Drug Administration (FDA) has approved ALK’s Odactra® tablet for use in young children with house dust mite (HDM) allergy Odactra® is now indicated to treat HDM-induced allergic rhinitis, with or without conjunctivitis, in children aged five through 11, in addition to patients aged 12 through 65. Odactra® is an allergy immunotherapy (AIT) tablet which dissolves under the tongue and helps patients reduce their allergy symptoms and their reliance on symptomatic medication. <Read More>
Sublocade® (buprenorphine) Sustained-Release Injection – New Label Expansion – February 24, 2025 - Indivior PLC (Nasdaq/LSE: INDV), a global leader in addiction treatment, announced that the U.S. Food and Drug Administration (FDA) has approved label changes for Sublocade® including a rapid initiation protocol and alternative injection sites, marking a significant advancement in the treatment of moderate to severe opioid use disorder (OUD). Key label changes include: 1) Rapid initiation Protocol: Healthcare providers can now initiate treatment with Sublocade® after a single dose of transmucosal buprenorphine and a one-hour observation period to confirm tolerability, 2) Alternative Injection Sites: Sublocade® can now be administered subcutaneously in the abdomen, thigh, buttock, or back of the upper arm, offering patients and healthcare providers increased flexibility in treatment administration. <Read More>
Izervay™ (avacincaptad pegol) Intravitreal Solution – New Label Expansion – February 12, 2025 - Astellas Pharma Inc. (TSE: 4503, President and CEO: Naoki Okamura, “Astellas”) announced the U.S. Food and Drug Administration (FDA) approved expanded U.S. Prescribing information for Izervay™ (avacincaptad pegol intravitreal solution) for the treatment of geographic atrophy (GA) secondary to age-related macular degeneration (AMD). As a result, Izervay™ is now approved without a limitation on duration of dosing—providing physicians and patients with greater flexibility when managing GA. <Read More>
Evrysdi® (risdiplam) Powder for Oral Solution and Oral Tablets – New Label Expansion – February 12, 2025 - Genentech, a member of the Roche Group (SIX: RO, ROG; OTCQX: RHHBY), announced that the U.S. Food and Drug Administration (FDA) has approved a New Drug Application (NDA) for an Evrysdi® (risdiplam) tablet for people living with spinal muscular atrophy (SMA). Evrysdi® is the only non-invasive disease-modifying treatment for SMA. The 5 mg Evrysdi® tablet can either be swallowed whole or dispersed in water. <Read More>
Adcetris® (brentuximab vedotin) Injection – New Label Expansion – February 12, 2025 - Pfizer Inc. (NYSE: PFE) announced that the U.S. Food and Drug Administration (FDA) has approved the supplemental Biologics License Application (sBLA) for Adcetris® (brentuximab vedotin) in combination with lenalidomide and a rituximab product for the treatment of adult patients with relapsed or refractory large B-cell lymphoma (LBCL), including diffuse large B-cell lymphoma (DLBCL) not otherwise specified (NOS), DLBCL arising from indolent lymphoma, or high-grade B-cell lymphoma (HGBL), after two or more lines of systemic therapy who are not eligible for autologous hematopoietic stem cell transplantation (auto-HSCT) or chimeric antigen receptor (CAR) T-cell therapy. <Read More>
Susvimo® (ranibizumab) Injection for Intravitreal Use via Ocular Implant – New Label Expansion – February 4, 2025 - Genentech, a member of the Roche Group (SIX: RO, ROG; OTCQX: RHHBY) announced that the U.S. Food and Drug Administration (FDA) has approved Susvimo® (ranibizumab injection) 100 mg/mL for the treatment of diabetic macular edema (DME), a leading cause of vision loss in adults with diabetes, affecting more than 29 million adults worldwide. Susvimo® is the first and only FDA-approved treatment shown to maintain vision in people with DME with fewer treatments than standard-of-care eye injections. Susvimo® is now available to U.S. retina specialists and their patients with DME. <Read More>
Ozempic® (semaglutide) Injection – New Label Expansion – January 28, 2025 - Novo Nordisk announced that the U.S. Food and Drug Administration (FDA) has approved Ozempic® to reduce the risk of kidney disease worsening, kidney failure (end-stage kidney disease), and death due to cardiovascular disease in adults with type 2 diabetes and chronic kidney disease (CKD). This approval, along with its existing indications for adults with type 2 diabetes to improve glycemic control and to reduce the risk of major cardiovascular events in adults also with known heart disease, establishes Ozempic® (semaglutide) injection 0.5 mg, 1 mg, or 2 mg as the most broadly indicated glucagon-like peptide-1 receptor agonist (GLP-1 RA) in its class. <Read More>
Leqembi® (lecanemab-irmb) Injection – New Label Expansion – January 26, 2025 - Eisai Co., Ltd. (Headquarters: Tokyo, CEO: Haruo Naito, “Eisai”) and Biogen Inc. (Nasdaq: BIIB, Corporate headquarters: Cambridge, Massachusetts, CEO: Christopher A. Viehbacher, “Biogen”) announced that the U.S. Food and Drug Administration (FDA) has approved the Supplemental Biologics License Application (sBLA) for once every four weeks lecanemab-irmb (U.S. brand name: Leqembi®) intravenous (IV) maintenance dosing. Leqembi® is indicated for the treatment of Alzheimer's disease (AD) in patients with mild cognitive impairment (MCI) or mild dementia stage of disease (collectively referred to as early AD) in the U.S. After 18 months of once every two weeks initiation phase, a transition to the maintenance dosing regimen of 10 mg/kg once every four weeks may be considered or the regimen of 10 mg/kg once every two weeks may be continued. <Read More>
New Drug Shortage
March 4, 2025
Amlodipine Besylate; Benazepril Hydrochloride Capsule (Discontinuation)
March 3, 2025
Acyclovir Ointment (Discontinuation)
Adalimumab-adbm Injection (Discontinuation)
Bacitracin Ophthalmic Ointment (Currently In Shortage)
Dapagliflozin; Saxaglipitin Hydrochloride Tablet (Discontinuation)
February 28, 2025
Methylphenidate Film, Extended Release (Currently In Shortage)
Pimecrolimus Cream (Discontinuation)
February 26, 2025
Tolterodine Tartrate Capsule, Extended Release (Discontinuation)
Tolterodine Tartrate Tablet (Discontinuation)
February 20, 2025
Silodosin Capsule (Discontinuation)
Updated Drug Shortage
March 4, 2025
Cromolyn Sodium Concentrate (Currently In Shortage)
Flurazepam Hydrochloride Capsule (Currently In Shortage)
March 3, 2025
Methylphenidate Film, Extended Release (Currently In Shortage)
February 28, 2025
Cefotaxime Sodium Powder, for Solution (Currently In Shortage)
Dexmedetomidine Hydrochloride Injection (Currently In Shortage)
February 27, 2025
Triamcinolone Acetonide Injection (Currently In Shortage)
February 26, 2025
Amphetamine Aspartate Monohydrate, Amphetamine Sulfate, Dextroamphetamine
Saccharate, Dextroamphetamine Sulfate Tablet (Currently In Shortage)
Bupivacaine Hydrochloride Injection (Currently In Shortage)
Bupivacaine Hydrochloride, Epinephrine Bitartrate Injection (Currently In Shortage)
Clonazepam Tablet (Currently In Shortage)
Dobutamine Hydrochloride Injection (Currently In Shortage)
Epinephrine Bitartrate, Lidocaine Hydrochloride Injection (Currently In Shortage)
Hydrocortisone Sodium Succinate Injection (Currently In Shortage)
Hydromorphone Hydrochloride Injection (Currently In Shortage)
Lidocaine Hydrochloride Injection (Currently In Shortage)
Lorazepam Injection (Currently In Shortage)
Methotrexate Sodium Injection (Currently In Shortage)
Methylprednisolone Acetate Injection (Currently In Shortage)
Midazolam Hydrochloride Injection (Currently In Shortage)
Morphine Sulfate Injection (Currently In Shortage)
Penicillin G Benzathine Injection (Currently In Shortage)
Quinapril Hydrochloride Tablet (Currently In Shortage)
Quinapril/Hydrochlorothiazide Tablet (Currently In Shortage)
Riluzole Oral Suspension (Currently In Shortage)
Sodium Bicarbonate Injection (Currently In Shortage)
Sodium Chloride 0.9% Injection (Currently In Shortage)
Sodium Chloride 23.4% Injection (Currently In Shortage)
Sterile Water Injection (Currently In Shortage)
New Drug Recall and Safety Alerts
Phenylephrine 40 mg Added to 0.9% Sodium Chloride 250 mL in 250 mL Excel Bags by Central Admixture Pharmacy Services (CAPS) - New Voluntary Recall – February 24, 2025 - Central Admixture Pharmacy is recalling three lots of Phenylephrine 40 mg added to 0.9% Sodium Chloride 250 mL in 250 mL Excel Bags (NDC: 71285-6092-1) to the hospital level. The product is being recalled because CAPS was notified by their raw material supplier of the detection of visible black particulate matter in a single sealed vial of Phenylephrine Hydrochloride. <Read More>
Potassium Chloride Injection, 20 mEq and Potassium Chloride Injection, 10 mEq by ICU Medical – New Voluntary Recall – February 13, 2025 – ICU Medical, Inc. is voluntarily recalling one lot each of Potassium Chloride Inj. bags with overwrap labels 10mEq, packaged in cases of Potassium Chloride Inj. 20 mEq, to the user level. ICU medical has received a customer complaint which states that bags of Potassium Chloride Inj. 20 mEq have incorrect overwrap labels which state Potassium Chloride Inj. 10 mEq. <Read More>
New Generic/Biosimilar Approval and Launch
Ospomyv™ (denosumab-dssb) Injection – New Prolia® Biosimilar Approval – February 16, 2025 - Samsung Bioepis Co., Ltd. announced that the U.S. Food and Drug Administration (FDA) has approved the Biologics License Application (BLA) for Ospomyv™ (denosumab-dssb; SB16; 60 mg pre-filled syringe) and Xbryk™ (denosumab-dssb; SB16; 120 mg vial), biosimilars referencing Prolia® and Xgeva® respectively. In addition, the FDA granted a provisional determination for both Ospomyv™ and Xbryk™'s interchangeability designation. <Read More>
Xbryk™ (denosumab-dssb) Injection – New Xgeva® Biosimilar Approval – February 16, 2025 - Samsung Bioepis Co., Ltd. announced that the U.S. Food and Drug Administration (FDA) has approved the Biologics License Application (BLA) for Ospomyv™ (denosumab-dssb; SB16; 60 mg pre-filled syringe) and Xbryk™ (denosumab-dssb; SB16; 120 mg vial), biosimilars referencing Proliaâ and Xgeva® respectively. In addition, the FDA granted a provisional determination for both Ospomyv™ and Xbryk™'s interchangeability designation. <Read More>
Merilog™ (insulin aspart-szjj) Injection – New Novolog® Biosimilar Approval – February 14, 2025 - The U.S. Food and Drug Administration approved Merilog™ (insulin-aspart-szjj) as biosimilar to NovoLog (insulin aspart) for the improvement of glycemic control in adults and pediatric patients with diabetes mellitus. Merilog™, a rapid-acting human insulin analog, is the first rapid-acting insulin biosimilar product approved by the FDA. As a rapid-acting insulin, Merilog™ helps to lower mealtime blood sugar spikes to improve control of blood sugar in people with diabetes. The approval is for both a 3 milliliter (mL) single-patient-use prefilled pen and a 10 milliliter (mL) multiple-dose vial. <Read More>
Clinical and Pharmacy News
ASTRO Issues Clinical Guideline on Radiation Therapy for Anal Cancer – February 27, 2025 - A new clinical guideline from the American Society for Radiation Oncology (ASTRO) provides guidance on the use of radiation therapy to treat adult patients with primary squamous cell carcinoma of the anal canal and anal margin. The guideline, ASTRO’s first for anal cancer, is published in Practical Radiation Oncology. Although anal cancer is relatively rare compared with colon or rectal cancers, incidence and mortality rates have risen steadily over the past 2 decades, particularly among adults in their 50s. An estimated 10,540 Americans are diagnosed with anal cancer each year, mostly frequently Black men and White women. Overall, women are more than twice as likely as men to develop the disease. <Read More>
Eli Lilly to Expand US Pharma Manufacturing With Four New Sites – February 27, 2025 – Eli Lilly has announced plans to expand its domestic medicine production in the US by establishing four new pharmaceutical manufacturing sites. The move increases the company’s total US capital expansion commitments to more than $50bn since 2020. Three of the four sites will concentrate on active pharmaceutical ingredients manufacturing, aiming to reshore essential small molecule chemical synthesis capabilities and reinforce the company’s supply chain. <Read More>
How AI Drug Manufacturing is Changing the Game – February 26, 2025 – In drug discovery, companies face a long timeline and steep costs to receive drug approvals. The likelihood of getting to market successfully is less than 10%, according to a 2022 study. “Even small advancements in time-to-lead optimization and improvements in the likelihood of clinical success are important to addressing the thousands of diseases that today have no known treatment or cure,” writes Anthony Costa, NVIDIA director of digital biology, in a HealthTech article. Artificial intelligence helps with process control during drug production and can speed up time to market. Drug discovery and drug manufacturing are both part of pharma AI. <Read More>
J&J Sues Samsung Bioepis Over ‘Surreptitious’ Breach of Stelaraâ Biosimilar Contract – February 25, 2025 – Johnson & Johnson (J&J) has sued Samsung Bioepis over a ‘concealed plan’ to supply an unnamed health conglomerate with a private label biosimilar version of blockbuster Stelera (ustekinumab). According to the lawsuit filed on 24 February in New Jersey, J&J alleges that Samsung Bioepis has conducted a “surreptitious and deliberate breach” that “threatens irreparable harm to Janssen” in the time since the existing settlement was reached. Developed by subsidiary Janssen, now J&J Innovative Medicine, Stelara has been J&J’s top selling drug since 2019, bringing in peak sales of $11bn in 2023. It is used to treat multiple inflammatory skin and bowel conditions. <Read More>
How Modern Technology is Shaping the Future of Pharmacy Benefit Management – February 24, 2025 – The pharmacy benefits management (PBM) industry is at a turning point. While 70% of the market still relies on decades-old systems from the big three PBMs, modern technology is quickly transforming the landscape. ’s cloud-based platforms provide real-time data, advanced analytics and seamless integration into the broader healthcare ecosystem. These innovations enable health plans to respond faster, improve member adherence and optimize benefit management. The shift to modern technology is redefining how organizations manage pharmacy benefits. <Read More>
FDA Declares End to Semaglutide Shortage; Clock Ticking on Compounded Versions – February 24, 2025 – In the wake of the FDA’s Feb. 21, 2025 announcement declaring an end to the semaglutide (Ozempicâ/Wegovyâ, Novo Nordisk) shortage, stakeholders in the compounding arena offered their take on the agency’s decision and how it may affect patients’ ability to access—and afford—the blockbuster weight-loss medication. The most immediate result of the action will be to dramatically limit the ability of compounding pharmacies to make their own versions of semaglutide. The FDA announcement gave 503A compounders 60 calendar days to stop production of “essentially a copy” of the GLP-1 medications until April 22 this year; 503B compounders were given 90 days, until May 22. <Read More>
Twenty Drug Interactions You Should Know About – February 21, 2025 – One of the scariest moments of my life happened in 2022 when my father, Tom Donvito, then 75 and unaware of any allergies, experienced an anaphylactic reaction to a hornet sting. After he passed out, my panicked mother called 911, but when the emergency medical technicians arrived, the shot of epinephrine they gave my dad didn’t work – and neither did the second. Why? My dad was on beta blockers, which reduce the effectiveness of epinephrine. Luckily, doctors were able to stabilize him at the hospital. Looking back now, my father doesn’t remember if there was a warning on the safety insert that came with his beta blockers. The EMTs didn’t ask if he was on beta blockers either. <Read More>
Amazon Joins Forces With Memorial Sloan Kettering for AI-Powered Drug Discovery – February 19, 2025 – Amazon Web Services (AWS) and US-based Memorial Sloan Kettering Cancer Center (MSK) have announced a partnership to leverage artificial intelligence (AI), high-performance computing (HPC), and cloud technology to accelerate cancer research and drug discovery. AWS is one of the world’s largest cloud providers, recently reporting a $107.6bn in segment sales in 2024. The partnership will focus on building a longitudinal data resource for cancer research at MSK, a cancer treatment and research institution based in New York City. <Read More>
How PBMs Limit Access to MS Therapies – February 18, 2025 - The rising cost of specialty medications has long been a challenge for patients with chronic diseases, particularly those living with multiple sclerosis. The Federal Trade Commission’s January 2025 report sheds light on how pharmacy benefit managers are driving up prices, increasing barriers to access, and limiting competition in the specialty drug market. According to the report, pharmacy benefit managers (PBMs) marked up specialty generic drugs by hundreds or even thousands of percent, generating $7.3 billion in revenue over five years. This price inflation disproportionately affects multiple sclerosis (MS) patients, who rely on specialty generics such as Ampyraâ to manage symptoms and maintain their quality of life. However, instead of benefiting from the cost savings generics are supposed to offer, these patients often find their medications out of reach. <Read More>
Pharmacy Benefit Managers Raised Prices by Over 1,000% on Specialty Drugs – February 14, 2025 – Reporters covering the cost of prescription drugs should be aware of two reports from the Federal Trade Commission on pharmacy benefit managers (PBMs): the first on July 9 and the second on Jan. 14. In the latest report, “Specialty Generic Drugs: A Growing Profit Center for Vertically Integrated Pharmacy Benefit Managers,” the FTC staff reported that the three largest PBMs drove up the price of specialty generic drugs for patients with cancer, multiple sclerosis, HIV and pulmonary hypertension by more than 1,000% in some cases and by hundreds of percent in other cases. Together, the nation’s three largest PBMs manage 79% of all prescription drug claims for some 270 million Americans, the FTC staff noted in the July report, “Pharmacy Benefit Managers: The Powerful Middlemen Inflating Drug Costs and Squeezing Main Street Pharmacies.” <Read More>
The Remarkable Evolution of HIV/AIDS Treatment – February 14, 2025 – HIV/AIDS was a death sentence. Until LGBT people, people living with HIV, and allies demanded action and pushed the scientific establishment to address the crisis. What followed is nothing short of extraordinary. First came the discovery that AZT (azidothymidine), a drug previously abandoned as a failed cancer treatment, suppressed HIV replication in a petri dish without killing normal cells. Under significant pressure from activists and the public, the FDA fast-tracked testing and review, and approved the drug to treat AIDS in 1987. It worked. <Read More>
LAAO or DOAC? Mayo Clinic AI Helps Guide Treatment of AFib Patients – February 14, 2025 – Researchers have developed a new artificial intelligence (AI) algorithm that can identify atrial fibrillation (AFib) patients who may benefit from left atrial appendage occlusion (LAAO). The group shared its findings in JACC: Clinical Electrophysiology. “Lifelong oral anticoagulation is recommended for stroke prevention in most patients with AFib, and clinical guidelines recommend direct oral anticoagulant (DOAC) in preference to warfarin in most patients,” wrote first author Che Ngufor, PhD, an AI specialist with Mayo Clinic, and colleagues. “However, oral anticoagulation increases the risk of bleeding and the adherence to lifelong drug therapy is poor, leaving many patients undertreated. Transcatheter LAAO offers an attractive alternative to lifelong drug therapy, but how to select the best candidates for LAAO remains unclear in everyday clinical practice.” <Read More>
Identifying Weak Planks on the Bridge to Medication Safety – February 12, 2025 – A new review of all 50 state boards of pharmacy regulations by the Institute for Safe Medication Practices has shown that only one or two boards provided detailed guidance for pharmacy drug labeling, ISMP presenters noted at the NASP 2024 Annual Meeting & Expo, in Nashville, Tenn. “Most boards have just generalized, high-level suggestions outside listing requirements for a legal label,” said Jennifer Young, PharmD, BCPS, CSP, a medication safety specialist with ISMP, who noted that an ISMP fellow prepared the pharmacy board review in preparation for the NASP presentation. “I’ve worked in a variety of places in my career, and in each pharmacy, sometimes each store, they had their own preferences and nuances.” <Read More>
340B in the News
The 340B Reimbursement Battle: What Hospitals and Insurers Need to Know – February 12, 2025 – The U.S. Supreme Court’s ruling in American Hospital Association (“AHA”) v. Becerra (2022) sent shockwaves through the 340B drug pricing program when it held that CMS’ reduction of reimbursement for drugs purchased under the 340B program was not permitted by law. The Supreme Court chose not to address potential remedies and remanded the case back to the D.C. District Court for further proceedings on how to correct the underpayments. Instead of vacating the unlawful reimbursement rates, the District Court decided to remand without vacatur, allowing HHS the opportunity to remediate its underpayments. AHA v. Becerra (2023). <Read More>
Clinical Insights: March 6th, 2025
New Drug/Vaccine Approval
Miudella® (copper) Intrauterine System – New Drug Approval – February 24, 2025 - Sebela Women’s Health Inc., a part of Sebela Pharmaceuticals, announced that the U.S. Food and Drug Administration (FDA) granted approval of Miudella® (copper intrauterine system) for the prevention of pregnancy in females of reproductive potential for up to three years. Miudella® is a next-generation, hormone-free, low-dose copper intrauterine device or IUD, the first to be approved by the FDA in the United States in over 40 years. <Read More>
Ctexli™ (chenodiol) Tablets – New Drug Approval – February 21, 2025 - The U.S. Food and Drug Administration approved Ctexli™ (chenodiol) for the treatment of cerebrotendinous xanthomatosis (CTX) in adults. Ctexli™ is the first FDA-approved drug to treat CTX, a very rare lipid storage disease. <Read More>
Romvimza™ (vimseltinib) Capsules – New Drug Approval – February 14, 2025 - The Food and Drug Administration approved vimseltinib (Romvimza™, Deciphera Pharmaceuticals, LLC), a kinase inhibitor, for adult patients with symptomatic tenosynovial giant cell tumor (TGCT) for which surgical resection will potentially cause worsening functional limitation or severe morbidity. <Read More>
Penmenvy™ (meningococcal groups A, B, C, W, and Y vaccine) Lyophilized Powder for Injection – New Vaccine Approval – February 14, 2025 - GSK plc (LSE/NYSE: GSK) announced that the US Food and Drug Administration (FDA) has approved Penmenvy™ (Meningococcal Groups A, B, C, W, and Y Vaccine) for use in individuals aged 10 through 25 years. The vaccine targets five major serogroups of Neisseria meningitidis (A, B, C, W, and Y) which commonly cause invasive meningococcal disease (IMD). <Read More>
Vimkunya™ (chikungunya vaccine, recombinant) Injection – New Vaccine Approval – February 14, 2025 - Bavarian Nordic A/S (OMX: BAVA) announced that the U.S. Food and Drug Administration (FDA) has approved Vimkunya™ (Chikungunya Vaccine, Recombinant) for injection, the first virus-like particle (VLP) single-dose chikungunya vaccine in the U.S. for persons 12 years of age and older. The FDA approved Vimkunya™ under Priority Review, based on results from two phase 3 clinical trials which enrolled more than 3,500 healthy individuals 12 years of age and older. <Read More>
Gomekli™ (mirdametinib) Capsules and Tablets for Oral Suspension – New Drug Approval – February 11, 2025 - The Food and Drug Administration approved mirdametinib (Gomekliä, SpringWorks Therapeutics, Inc.), a kinase inhibitor, for adult and pediatric patients 2 years of age and older with neurofibromatosis type 1 (NF1) who have symptomatic plexiform neurofibromas (PN) not amenable to complete resection. <Read More>
Emblaveo™ (avibactam and aztreonam) Lyophilized Powder for Injection – New Drug Approval – February 7, 2025 - AbbVie (NYSE: ABBV) announced that the U.S. Food and Drug Administration (FDA) has approved Emblaveo™ (aztreonam and avibactam), as the first and only fixed-dose, intravenous, monobactam/β-lactamase inhibitor combination antibiotic. It is approved in combination with metronidazole, for patients 18 years and older who have limited or no alternative options for the treatment of complicated intra-abdominal infections (cIAI), including those caused by the following susceptible Gram-negative microorganisms: Escherichia coli, Klebsiella pneumoniae, Klebsiella oxytoca, Enterobacter cloacae complex, Citrobacter freundii complex, and Serratia marcescens. <Read More>
Onapgo™ (apomorphine hydrochloride) Subcutaneous Infusion Device - formerly SPN-830 – New Infusion Device Approval – February 4, 2025 - Supernus Pharmaceuticals, Inc. (Nasdaq: SUPN), a biopharmaceutical company focused on developing and commercializing products for the treatment of central nervous system (CNS) diseases, announced that the U.S. Food and Drug Administration (FDA) approved Onapgo™ (apomorphine hydrochloride) injection, formerly known as SPN-830, as the first and only subcutaneous apomorphine infusion device for the treatment of motor fluctuations in adults with advanced Parkinson’s disease (PD). Supernus will make Onapgo™ available in the second quarter of 2025 with a support team of experts, including a robust nurse education program, and access support at launch. <Read More>
New Indication / Dosage / Formulation Approval
TNKase® (tenecteplase) Lyophilized Powder for Injection – New Label Expansion – March 3, 2025 - Genentech, a member of the Roche Group (SIX: RO, ROG; OTCQX: RHHBY), announced that the U.S. Food and Drug Administration (FDA) has approved TNKase® (tenecteplase), a thrombolytic or clot-dissolving agent, for the treatment of acute ischemic stroke (AIS) in adults. This approval of TNKase® marks Genentech’s second approval for stroke, reinforcing the company's long-standing dedication to advancing stroke care as the developer of the only two FDA-approved medicines for AIS, TNKase® and Activase® (alteplase). <Read More>
Odactra® (house dust mite allergen extract) Sublingual Tablets – New Label Expansion – February 27, 2025 - ALK (ALKB:DC / OMX: ALK B) announced that the US Food and Drug Administration (FDA) has approved ALK’s Odactra® tablet for use in young children with house dust mite (HDM) allergy Odactra® is now indicated to treat HDM-induced allergic rhinitis, with or without conjunctivitis, in children aged five through 11, in addition to patients aged 12 through 65. Odactra® is an allergy immunotherapy (AIT) tablet which dissolves under the tongue and helps patients reduce their allergy symptoms and their reliance on symptomatic medication. <Read More>
Sublocade® (buprenorphine) Sustained-Release Injection – New Label Expansion – February 24, 2025 - Indivior PLC (Nasdaq/LSE: INDV), a global leader in addiction treatment, announced that the U.S. Food and Drug Administration (FDA) has approved label changes for Sublocade® including a rapid initiation protocol and alternative injection sites, marking a significant advancement in the treatment of moderate to severe opioid use disorder (OUD). Key label changes include: 1) Rapid initiation Protocol: Healthcare providers can now initiate treatment with Sublocade® after a single dose of transmucosal buprenorphine and a one-hour observation period to confirm tolerability, 2) Alternative Injection Sites: Sublocade® can now be administered subcutaneously in the abdomen, thigh, buttock, or back of the upper arm, offering patients and healthcare providers increased flexibility in treatment administration. <Read More>
Izervay™ (avacincaptad pegol) Intravitreal Solution – New Label Expansion – February 12, 2025 - Astellas Pharma Inc. (TSE: 4503, President and CEO: Naoki Okamura, “Astellas”) announced the U.S. Food and Drug Administration (FDA) approved expanded U.S. Prescribing information for Izervay™ (avacincaptad pegol intravitreal solution) for the treatment of geographic atrophy (GA) secondary to age-related macular degeneration (AMD). As a result, Izervay™ is now approved without a limitation on duration of dosing—providing physicians and patients with greater flexibility when managing GA. <Read More>
Evrysdi® (risdiplam) Powder for Oral Solution and Oral Tablets – New Label Expansion – February 12, 2025 - Genentech, a member of the Roche Group (SIX: RO, ROG; OTCQX: RHHBY), announced that the U.S. Food and Drug Administration (FDA) has approved a New Drug Application (NDA) for an Evrysdi® (risdiplam) tablet for people living with spinal muscular atrophy (SMA). Evrysdi® is the only non-invasive disease-modifying treatment for SMA. The 5 mg Evrysdi® tablet can either be swallowed whole or dispersed in water. <Read More>
Adcetris® (brentuximab vedotin) Injection – New Label Expansion – February 12, 2025 - Pfizer Inc. (NYSE: PFE) announced that the U.S. Food and Drug Administration (FDA) has approved the supplemental Biologics License Application (sBLA) for Adcetris® (brentuximab vedotin) in combination with lenalidomide and a rituximab product for the treatment of adult patients with relapsed or refractory large B-cell lymphoma (LBCL), including diffuse large B-cell lymphoma (DLBCL) not otherwise specified (NOS), DLBCL arising from indolent lymphoma, or high-grade B-cell lymphoma (HGBL), after two or more lines of systemic therapy who are not eligible for autologous hematopoietic stem cell transplantation (auto-HSCT) or chimeric antigen receptor (CAR) T-cell therapy. <Read More>
Susvimo® (ranibizumab) Injection for Intravitreal Use via Ocular Implant – New Label Expansion – February 4, 2025 - Genentech, a member of the Roche Group (SIX: RO, ROG; OTCQX: RHHBY) announced that the U.S. Food and Drug Administration (FDA) has approved Susvimo® (ranibizumab injection) 100 mg/mL for the treatment of diabetic macular edema (DME), a leading cause of vision loss in adults with diabetes, affecting more than 29 million adults worldwide. Susvimo® is the first and only FDA-approved treatment shown to maintain vision in people with DME with fewer treatments than standard-of-care eye injections. Susvimo® is now available to U.S. retina specialists and their patients with DME. <Read More>
Ozempic® (semaglutide) Injection – New Label Expansion – January 28, 2025 - Novo Nordisk announced that the U.S. Food and Drug Administration (FDA) has approved Ozempic® to reduce the risk of kidney disease worsening, kidney failure (end-stage kidney disease), and death due to cardiovascular disease in adults with type 2 diabetes and chronic kidney disease (CKD). This approval, along with its existing indications for adults with type 2 diabetes to improve glycemic control and to reduce the risk of major cardiovascular events in adults also with known heart disease, establishes Ozempic® (semaglutide) injection 0.5 mg, 1 mg, or 2 mg as the most broadly indicated glucagon-like peptide-1 receptor agonist (GLP-1 RA) in its class. <Read More>
Leqembi® (lecanemab-irmb) Injection – New Label Expansion – January 26, 2025 - Eisai Co., Ltd. (Headquarters: Tokyo, CEO: Haruo Naito, “Eisai”) and Biogen Inc. (Nasdaq: BIIB, Corporate headquarters: Cambridge, Massachusetts, CEO: Christopher A. Viehbacher, “Biogen”) announced that the U.S. Food and Drug Administration (FDA) has approved the Supplemental Biologics License Application (sBLA) for once every four weeks lecanemab-irmb (U.S. brand name: Leqembi®) intravenous (IV) maintenance dosing. Leqembi® is indicated for the treatment of Alzheimer's disease (AD) in patients with mild cognitive impairment (MCI) or mild dementia stage of disease (collectively referred to as early AD) in the U.S. After 18 months of once every two weeks initiation phase, a transition to the maintenance dosing regimen of 10 mg/kg once every four weeks may be considered or the regimen of 10 mg/kg once every two weeks may be continued. <Read More>
New Drug Shortage
March 4, 2025
Amlodipine Besylate; Benazepril Hydrochloride Capsule (Discontinuation)
March 3, 2025
Acyclovir Ointment (Discontinuation)
Adalimumab-adbm Injection (Discontinuation)
Bacitracin Ophthalmic Ointment (Currently In Shortage)
Dapagliflozin; Saxaglipitin Hydrochloride Tablet (Discontinuation)
February 28, 2025
Methylphenidate Film, Extended Release (Currently In Shortage)
Pimecrolimus Cream (Discontinuation)
February 26, 2025
Tolterodine Tartrate Capsule, Extended Release (Discontinuation)
Tolterodine Tartrate Tablet (Discontinuation)
February 20, 2025
Silodosin Capsule (Discontinuation)
Updated Drug Shortage
March 4, 2025
Cromolyn Sodium Concentrate (Currently In Shortage)
Flurazepam Hydrochloride Capsule (Currently In Shortage)
March 3, 2025
Methylphenidate Film, Extended Release (Currently In Shortage)
February 28, 2025
Cefotaxime Sodium Powder, for Solution (Currently In Shortage)
Dexmedetomidine Hydrochloride Injection (Currently In Shortage)
February 27, 2025
Triamcinolone Acetonide Injection (Currently In Shortage)
February 26, 2025
Amphetamine Aspartate Monohydrate, Amphetamine Sulfate, Dextroamphetamine
Saccharate, Dextroamphetamine Sulfate Tablet (Currently In Shortage)
Bupivacaine Hydrochloride Injection (Currently In Shortage)
Bupivacaine Hydrochloride, Epinephrine Bitartrate Injection (Currently In Shortage)
Clonazepam Tablet (Currently In Shortage)
Dobutamine Hydrochloride Injection (Currently In Shortage)
Epinephrine Bitartrate, Lidocaine Hydrochloride Injection (Currently In Shortage)
Hydrocortisone Sodium Succinate Injection (Currently In Shortage)
Hydromorphone Hydrochloride Injection (Currently In Shortage)
Lidocaine Hydrochloride Injection (Currently In Shortage)
Lorazepam Injection (Currently In Shortage)
Methotrexate Sodium Injection (Currently In Shortage)
Methylprednisolone Acetate Injection (Currently In Shortage)
Midazolam Hydrochloride Injection (Currently In Shortage)
Morphine Sulfate Injection (Currently In Shortage)
Penicillin G Benzathine Injection (Currently In Shortage)
Quinapril Hydrochloride Tablet (Currently In Shortage)
Quinapril/Hydrochlorothiazide Tablet (Currently In Shortage)
Riluzole Oral Suspension (Currently In Shortage)
Sodium Bicarbonate Injection (Currently In Shortage)
Sodium Chloride 0.9% Injection (Currently In Shortage)
Sodium Chloride 23.4% Injection (Currently In Shortage)
Sterile Water Injection (Currently In Shortage)
New Drug Recall and Safety Alerts
Phenylephrine 40 mg Added to 0.9% Sodium Chloride 250 mL in 250 mL Excel Bags by Central Admixture Pharmacy Services (CAPS) - New Voluntary Recall – February 24, 2025 - Central Admixture Pharmacy is recalling three lots of Phenylephrine 40 mg added to 0.9% Sodium Chloride 250 mL in 250 mL Excel Bags (NDC: 71285-6092-1) to the hospital level. The product is being recalled because CAPS was notified by their raw material supplier of the detection of visible black particulate matter in a single sealed vial of Phenylephrine Hydrochloride. <Read More>
Potassium Chloride Injection, 20 mEq and Potassium Chloride Injection, 10 mEq by ICU Medical – New Voluntary Recall – February 13, 2025 – ICU Medical, Inc. is voluntarily recalling one lot each of Potassium Chloride Inj. bags with overwrap labels 10mEq, packaged in cases of Potassium Chloride Inj. 20 mEq, to the user level. ICU medical has received a customer complaint which states that bags of Potassium Chloride Inj. 20 mEq have incorrect overwrap labels which state Potassium Chloride Inj. 10 mEq. <Read More>
New Generic/Biosimilar Approval and Launch
Ospomyv™ (denosumab-dssb) Injection – New Prolia® Biosimilar Approval – February 16, 2025 - Samsung Bioepis Co., Ltd. announced that the U.S. Food and Drug Administration (FDA) has approved the Biologics License Application (BLA) for Ospomyv™ (denosumab-dssb; SB16; 60 mg pre-filled syringe) and Xbryk™ (denosumab-dssb; SB16; 120 mg vial), biosimilars referencing Prolia® and Xgeva® respectively. In addition, the FDA granted a provisional determination for both Ospomyv™ and Xbryk™'s interchangeability designation. <Read More>
Xbryk™ (denosumab-dssb) Injection – New Xgeva® Biosimilar Approval – February 16, 2025 - Samsung Bioepis Co., Ltd. announced that the U.S. Food and Drug Administration (FDA) has approved the Biologics License Application (BLA) for Ospomyv™ (denosumab-dssb; SB16; 60 mg pre-filled syringe) and Xbryk™ (denosumab-dssb; SB16; 120 mg vial), biosimilars referencing Proliaâ and Xgeva® respectively. In addition, the FDA granted a provisional determination for both Ospomyv™ and Xbryk™'s interchangeability designation. <Read More>
Merilog™ (insulin aspart-szjj) Injection – New Novolog® Biosimilar Approval – February 14, 2025 - The U.S. Food and Drug Administration approved Merilog™ (insulin-aspart-szjj) as biosimilar to NovoLog (insulin aspart) for the improvement of glycemic control in adults and pediatric patients with diabetes mellitus. Merilog™, a rapid-acting human insulin analog, is the first rapid-acting insulin biosimilar product approved by the FDA. As a rapid-acting insulin, Merilog™ helps to lower mealtime blood sugar spikes to improve control of blood sugar in people with diabetes. The approval is for both a 3 milliliter (mL) single-patient-use prefilled pen and a 10 milliliter (mL) multiple-dose vial. <Read More>
Clinical and Pharmacy News
ASTRO Issues Clinical Guideline on Radiation Therapy for Anal Cancer – February 27, 2025 - A new clinical guideline from the American Society for Radiation Oncology (ASTRO) provides guidance on the use of radiation therapy to treat adult patients with primary squamous cell carcinoma of the anal canal and anal margin. The guideline, ASTRO’s first for anal cancer, is published in Practical Radiation Oncology. Although anal cancer is relatively rare compared with colon or rectal cancers, incidence and mortality rates have risen steadily over the past 2 decades, particularly among adults in their 50s. An estimated 10,540 Americans are diagnosed with anal cancer each year, mostly frequently Black men and White women. Overall, women are more than twice as likely as men to develop the disease. <Read More>
Eli Lilly to Expand US Pharma Manufacturing With Four New Sites – February 27, 2025 – Eli Lilly has announced plans to expand its domestic medicine production in the US by establishing four new pharmaceutical manufacturing sites. The move increases the company’s total US capital expansion commitments to more than $50bn since 2020. Three of the four sites will concentrate on active pharmaceutical ingredients manufacturing, aiming to reshore essential small molecule chemical synthesis capabilities and reinforce the company’s supply chain. <Read More>
How AI Drug Manufacturing is Changing the Game – February 26, 2025 – In drug discovery, companies face a long timeline and steep costs to receive drug approvals. The likelihood of getting to market successfully is less than 10%, according to a 2022 study. “Even small advancements in time-to-lead optimization and improvements in the likelihood of clinical success are important to addressing the thousands of diseases that today have no known treatment or cure,” writes Anthony Costa, NVIDIA director of digital biology, in a HealthTech article. Artificial intelligence helps with process control during drug production and can speed up time to market. Drug discovery and drug manufacturing are both part of pharma AI. <Read More>
J&J Sues Samsung Bioepis Over ‘Surreptitious’ Breach of Stelaraâ Biosimilar Contract – February 25, 2025 – Johnson & Johnson (J&J) has sued Samsung Bioepis over a ‘concealed plan’ to supply an unnamed health conglomerate with a private label biosimilar version of blockbuster Stelera (ustekinumab). According to the lawsuit filed on 24 February in New Jersey, J&J alleges that Samsung Bioepis has conducted a “surreptitious and deliberate breach” that “threatens irreparable harm to Janssen” in the time since the existing settlement was reached. Developed by subsidiary Janssen, now J&J Innovative Medicine, Stelara has been J&J’s top selling drug since 2019, bringing in peak sales of $11bn in 2023. It is used to treat multiple inflammatory skin and bowel conditions. <Read More>
How Modern Technology is Shaping the Future of Pharmacy Benefit Management – February 24, 2025 – The pharmacy benefits management (PBM) industry is at a turning point. While 70% of the market still relies on decades-old systems from the big three PBMs, modern technology is quickly transforming the landscape. ’s cloud-based platforms provide real-time data, advanced analytics and seamless integration into the broader healthcare ecosystem. These innovations enable health plans to respond faster, improve member adherence and optimize benefit management. The shift to modern technology is redefining how organizations manage pharmacy benefits. <Read More>
FDA Declares End to Semaglutide Shortage; Clock Ticking on Compounded Versions – February 24, 2025 – In the wake of the FDA’s Feb. 21, 2025 announcement declaring an end to the semaglutide (Ozempicâ/Wegovyâ, Novo Nordisk) shortage, stakeholders in the compounding arena offered their take on the agency’s decision and how it may affect patients’ ability to access—and afford—the blockbuster weight-loss medication. The most immediate result of the action will be to dramatically limit the ability of compounding pharmacies to make their own versions of semaglutide. The FDA announcement gave 503A compounders 60 calendar days to stop production of “essentially a copy” of the GLP-1 medications until April 22 this year; 503B compounders were given 90 days, until May 22. <Read More>
Twenty Drug Interactions You Should Know About – February 21, 2025 – One of the scariest moments of my life happened in 2022 when my father, Tom Donvito, then 75 and unaware of any allergies, experienced an anaphylactic reaction to a hornet sting. After he passed out, my panicked mother called 911, but when the emergency medical technicians arrived, the shot of epinephrine they gave my dad didn’t work – and neither did the second. Why? My dad was on beta blockers, which reduce the effectiveness of epinephrine. Luckily, doctors were able to stabilize him at the hospital. Looking back now, my father doesn’t remember if there was a warning on the safety insert that came with his beta blockers. The EMTs didn’t ask if he was on beta blockers either. <Read More>
Amazon Joins Forces With Memorial Sloan Kettering for AI-Powered Drug Discovery – February 19, 2025 – Amazon Web Services (AWS) and US-based Memorial Sloan Kettering Cancer Center (MSK) have announced a partnership to leverage artificial intelligence (AI), high-performance computing (HPC), and cloud technology to accelerate cancer research and drug discovery. AWS is one of the world’s largest cloud providers, recently reporting a $107.6bn in segment sales in 2024. The partnership will focus on building a longitudinal data resource for cancer research at MSK, a cancer treatment and research institution based in New York City. <Read More>
How PBMs Limit Access to MS Therapies – February 18, 2025 - The rising cost of specialty medications has long been a challenge for patients with chronic diseases, particularly those living with multiple sclerosis. The Federal Trade Commission’s January 2025 report sheds light on how pharmacy benefit managers are driving up prices, increasing barriers to access, and limiting competition in the specialty drug market. According to the report, pharmacy benefit managers (PBMs) marked up specialty generic drugs by hundreds or even thousands of percent, generating $7.3 billion in revenue over five years. This price inflation disproportionately affects multiple sclerosis (MS) patients, who rely on specialty generics such as Ampyraâ to manage symptoms and maintain their quality of life. However, instead of benefiting from the cost savings generics are supposed to offer, these patients often find their medications out of reach. <Read More>
Pharmacy Benefit Managers Raised Prices by Over 1,000% on Specialty Drugs – February 14, 2025 – Reporters covering the cost of prescription drugs should be aware of two reports from the Federal Trade Commission on pharmacy benefit managers (PBMs): the first on July 9 and the second on Jan. 14. In the latest report, “Specialty Generic Drugs: A Growing Profit Center for Vertically Integrated Pharmacy Benefit Managers,” the FTC staff reported that the three largest PBMs drove up the price of specialty generic drugs for patients with cancer, multiple sclerosis, HIV and pulmonary hypertension by more than 1,000% in some cases and by hundreds of percent in other cases. Together, the nation’s three largest PBMs manage 79% of all prescription drug claims for some 270 million Americans, the FTC staff noted in the July report, “Pharmacy Benefit Managers: The Powerful Middlemen Inflating Drug Costs and Squeezing Main Street Pharmacies.” <Read More>
The Remarkable Evolution of HIV/AIDS Treatment – February 14, 2025 – HIV/AIDS was a death sentence. Until LGBT people, people living with HIV, and allies demanded action and pushed the scientific establishment to address the crisis. What followed is nothing short of extraordinary. First came the discovery that AZT (azidothymidine), a drug previously abandoned as a failed cancer treatment, suppressed HIV replication in a petri dish without killing normal cells. Under significant pressure from activists and the public, the FDA fast-tracked testing and review, and approved the drug to treat AIDS in 1987. It worked. <Read More>
LAAO or DOAC? Mayo Clinic AI Helps Guide Treatment of AFib Patients – February 14, 2025 – Researchers have developed a new artificial intelligence (AI) algorithm that can identify atrial fibrillation (AFib) patients who may benefit from left atrial appendage occlusion (LAAO). The group shared its findings in JACC: Clinical Electrophysiology. “Lifelong oral anticoagulation is recommended for stroke prevention in most patients with AFib, and clinical guidelines recommend direct oral anticoagulant (DOAC) in preference to warfarin in most patients,” wrote first author Che Ngufor, PhD, an AI specialist with Mayo Clinic, and colleagues. “However, oral anticoagulation increases the risk of bleeding and the adherence to lifelong drug therapy is poor, leaving many patients undertreated. Transcatheter LAAO offers an attractive alternative to lifelong drug therapy, but how to select the best candidates for LAAO remains unclear in everyday clinical practice.” <Read More>
Identifying Weak Planks on the Bridge to Medication Safety – February 12, 2025 – A new review of all 50 state boards of pharmacy regulations by the Institute for Safe Medication Practices has shown that only one or two boards provided detailed guidance for pharmacy drug labeling, ISMP presenters noted at the NASP 2024 Annual Meeting & Expo, in Nashville, Tenn. “Most boards have just generalized, high-level suggestions outside listing requirements for a legal label,” said Jennifer Young, PharmD, BCPS, CSP, a medication safety specialist with ISMP, who noted that an ISMP fellow prepared the pharmacy board review in preparation for the NASP presentation. “I’ve worked in a variety of places in my career, and in each pharmacy, sometimes each store, they had their own preferences and nuances.” <Read More>
340B in the News
The 340B Reimbursement Battle: What Hospitals and Insurers Need to Know – February 12, 2025 – The U.S. Supreme Court’s ruling in American Hospital Association (“AHA”) v. Becerra (2022) sent shockwaves through the 340B drug pricing program when it held that CMS’ reduction of reimbursement for drugs purchased under the 340B program was not permitted by law. The Supreme Court chose not to address potential remedies and remanded the case back to the D.C. District Court for further proceedings on how to correct the underpayments. Instead of vacating the unlawful reimbursement rates, the District Court decided to remand without vacatur, allowing HHS the opportunity to remediate its underpayments. AHA v. Becerra (2023). <Read More>
Clinical Insights: March 6th, 2025
New Drug/Vaccine Approval
Miudella® (copper) Intrauterine System – New Drug Approval – February 24, 2025 - Sebela Women’s Health Inc., a part of Sebela Pharmaceuticals, announced that the U.S. Food and Drug Administration (FDA) granted approval of Miudella® (copper intrauterine system) for the prevention of pregnancy in females of reproductive potential for up to three years. Miudella® is a next-generation, hormone-free, low-dose copper intrauterine device or IUD, the first to be approved by the FDA in the United States in over 40 years. <Read More>
Ctexli™ (chenodiol) Tablets – New Drug Approval – February 21, 2025 - The U.S. Food and Drug Administration approved Ctexli™ (chenodiol) for the treatment of cerebrotendinous xanthomatosis (CTX) in adults. Ctexli™ is the first FDA-approved drug to treat CTX, a very rare lipid storage disease. <Read More>
Romvimza™ (vimseltinib) Capsules – New Drug Approval – February 14, 2025 - The Food and Drug Administration approved vimseltinib (Romvimza™, Deciphera Pharmaceuticals, LLC), a kinase inhibitor, for adult patients with symptomatic tenosynovial giant cell tumor (TGCT) for which surgical resection will potentially cause worsening functional limitation or severe morbidity. <Read More>
Penmenvy™ (meningococcal groups A, B, C, W, and Y vaccine) Lyophilized Powder for Injection – New Vaccine Approval – February 14, 2025 - GSK plc (LSE/NYSE: GSK) announced that the US Food and Drug Administration (FDA) has approved Penmenvy™ (Meningococcal Groups A, B, C, W, and Y Vaccine) for use in individuals aged 10 through 25 years. The vaccine targets five major serogroups of Neisseria meningitidis (A, B, C, W, and Y) which commonly cause invasive meningococcal disease (IMD). <Read More>
Vimkunya™ (chikungunya vaccine, recombinant) Injection – New Vaccine Approval – February 14, 2025 - Bavarian Nordic A/S (OMX: BAVA) announced that the U.S. Food and Drug Administration (FDA) has approved Vimkunya™ (Chikungunya Vaccine, Recombinant) for injection, the first virus-like particle (VLP) single-dose chikungunya vaccine in the U.S. for persons 12 years of age and older. The FDA approved Vimkunya™ under Priority Review, based on results from two phase 3 clinical trials which enrolled more than 3,500 healthy individuals 12 years of age and older. <Read More>
Gomekli™ (mirdametinib) Capsules and Tablets for Oral Suspension – New Drug Approval – February 11, 2025 - The Food and Drug Administration approved mirdametinib (Gomekliä, SpringWorks Therapeutics, Inc.), a kinase inhibitor, for adult and pediatric patients 2 years of age and older with neurofibromatosis type 1 (NF1) who have symptomatic plexiform neurofibromas (PN) not amenable to complete resection. <Read More>
Emblaveo™ (avibactam and aztreonam) Lyophilized Powder for Injection – New Drug Approval – February 7, 2025 - AbbVie (NYSE: ABBV) announced that the U.S. Food and Drug Administration (FDA) has approved Emblaveo™ (aztreonam and avibactam), as the first and only fixed-dose, intravenous, monobactam/β-lactamase inhibitor combination antibiotic. It is approved in combination with metronidazole, for patients 18 years and older who have limited or no alternative options for the treatment of complicated intra-abdominal infections (cIAI), including those caused by the following susceptible Gram-negative microorganisms: Escherichia coli, Klebsiella pneumoniae, Klebsiella oxytoca, Enterobacter cloacae complex, Citrobacter freundii complex, and Serratia marcescens. <Read More>
Onapgo™ (apomorphine hydrochloride) Subcutaneous Infusion Device - formerly SPN-830 – New Infusion Device Approval – February 4, 2025 - Supernus Pharmaceuticals, Inc. (Nasdaq: SUPN), a biopharmaceutical company focused on developing and commercializing products for the treatment of central nervous system (CNS) diseases, announced that the U.S. Food and Drug Administration (FDA) approved Onapgo™ (apomorphine hydrochloride) injection, formerly known as SPN-830, as the first and only subcutaneous apomorphine infusion device for the treatment of motor fluctuations in adults with advanced Parkinson’s disease (PD). Supernus will make Onapgo™ available in the second quarter of 2025 with a support team of experts, including a robust nurse education program, and access support at launch. <Read More>
New Indication / Dosage / Formulation Approval
TNKase® (tenecteplase) Lyophilized Powder for Injection – New Label Expansion – March 3, 2025 - Genentech, a member of the Roche Group (SIX: RO, ROG; OTCQX: RHHBY), announced that the U.S. Food and Drug Administration (FDA) has approved TNKase® (tenecteplase), a thrombolytic or clot-dissolving agent, for the treatment of acute ischemic stroke (AIS) in adults. This approval of TNKase® marks Genentech’s second approval for stroke, reinforcing the company's long-standing dedication to advancing stroke care as the developer of the only two FDA-approved medicines for AIS, TNKase® and Activase® (alteplase). <Read More>
Odactra® (house dust mite allergen extract) Sublingual Tablets – New Label Expansion – February 27, 2025 - ALK (ALKB:DC / OMX: ALK B) announced that the US Food and Drug Administration (FDA) has approved ALK’s Odactra® tablet for use in young children with house dust mite (HDM) allergy Odactra® is now indicated to treat HDM-induced allergic rhinitis, with or without conjunctivitis, in children aged five through 11, in addition to patients aged 12 through 65. Odactra® is an allergy immunotherapy (AIT) tablet which dissolves under the tongue and helps patients reduce their allergy symptoms and their reliance on symptomatic medication. <Read More>
Sublocade® (buprenorphine) Sustained-Release Injection – New Label Expansion – February 24, 2025 - Indivior PLC (Nasdaq/LSE: INDV), a global leader in addiction treatment, announced that the U.S. Food and Drug Administration (FDA) has approved label changes for Sublocade® including a rapid initiation protocol and alternative injection sites, marking a significant advancement in the treatment of moderate to severe opioid use disorder (OUD). Key label changes include: 1) Rapid initiation Protocol: Healthcare providers can now initiate treatment with Sublocade® after a single dose of transmucosal buprenorphine and a one-hour observation period to confirm tolerability, 2) Alternative Injection Sites: Sublocade® can now be administered subcutaneously in the abdomen, thigh, buttock, or back of the upper arm, offering patients and healthcare providers increased flexibility in treatment administration. <Read More>
Izervay™ (avacincaptad pegol) Intravitreal Solution – New Label Expansion – February 12, 2025 - Astellas Pharma Inc. (TSE: 4503, President and CEO: Naoki Okamura, “Astellas”) announced the U.S. Food and Drug Administration (FDA) approved expanded U.S. Prescribing information for Izervay™ (avacincaptad pegol intravitreal solution) for the treatment of geographic atrophy (GA) secondary to age-related macular degeneration (AMD). As a result, Izervay™ is now approved without a limitation on duration of dosing—providing physicians and patients with greater flexibility when managing GA. <Read More>
Evrysdi® (risdiplam) Powder for Oral Solution and Oral Tablets – New Label Expansion – February 12, 2025 - Genentech, a member of the Roche Group (SIX: RO, ROG; OTCQX: RHHBY), announced that the U.S. Food and Drug Administration (FDA) has approved a New Drug Application (NDA) for an Evrysdi® (risdiplam) tablet for people living with spinal muscular atrophy (SMA). Evrysdi® is the only non-invasive disease-modifying treatment for SMA. The 5 mg Evrysdi® tablet can either be swallowed whole or dispersed in water. <Read More>
Adcetris® (brentuximab vedotin) Injection – New Label Expansion – February 12, 2025 - Pfizer Inc. (NYSE: PFE) announced that the U.S. Food and Drug Administration (FDA) has approved the supplemental Biologics License Application (sBLA) for Adcetris® (brentuximab vedotin) in combination with lenalidomide and a rituximab product for the treatment of adult patients with relapsed or refractory large B-cell lymphoma (LBCL), including diffuse large B-cell lymphoma (DLBCL) not otherwise specified (NOS), DLBCL arising from indolent lymphoma, or high-grade B-cell lymphoma (HGBL), after two or more lines of systemic therapy who are not eligible for autologous hematopoietic stem cell transplantation (auto-HSCT) or chimeric antigen receptor (CAR) T-cell therapy. <Read More>
Susvimo® (ranibizumab) Injection for Intravitreal Use via Ocular Implant – New Label Expansion – February 4, 2025 - Genentech, a member of the Roche Group (SIX: RO, ROG; OTCQX: RHHBY) announced that the U.S. Food and Drug Administration (FDA) has approved Susvimo® (ranibizumab injection) 100 mg/mL for the treatment of diabetic macular edema (DME), a leading cause of vision loss in adults with diabetes, affecting more than 29 million adults worldwide. Susvimo® is the first and only FDA-approved treatment shown to maintain vision in people with DME with fewer treatments than standard-of-care eye injections. Susvimo® is now available to U.S. retina specialists and their patients with DME. <Read More>
Ozempic® (semaglutide) Injection – New Label Expansion – January 28, 2025 - Novo Nordisk announced that the U.S. Food and Drug Administration (FDA) has approved Ozempic® to reduce the risk of kidney disease worsening, kidney failure (end-stage kidney disease), and death due to cardiovascular disease in adults with type 2 diabetes and chronic kidney disease (CKD). This approval, along with its existing indications for adults with type 2 diabetes to improve glycemic control and to reduce the risk of major cardiovascular events in adults also with known heart disease, establishes Ozempic® (semaglutide) injection 0.5 mg, 1 mg, or 2 mg as the most broadly indicated glucagon-like peptide-1 receptor agonist (GLP-1 RA) in its class. <Read More>
Leqembi® (lecanemab-irmb) Injection – New Label Expansion – January 26, 2025 - Eisai Co., Ltd. (Headquarters: Tokyo, CEO: Haruo Naito, “Eisai”) and Biogen Inc. (Nasdaq: BIIB, Corporate headquarters: Cambridge, Massachusetts, CEO: Christopher A. Viehbacher, “Biogen”) announced that the U.S. Food and Drug Administration (FDA) has approved the Supplemental Biologics License Application (sBLA) for once every four weeks lecanemab-irmb (U.S. brand name: Leqembi®) intravenous (IV) maintenance dosing. Leqembi® is indicated for the treatment of Alzheimer's disease (AD) in patients with mild cognitive impairment (MCI) or mild dementia stage of disease (collectively referred to as early AD) in the U.S. After 18 months of once every two weeks initiation phase, a transition to the maintenance dosing regimen of 10 mg/kg once every four weeks may be considered or the regimen of 10 mg/kg once every two weeks may be continued. <Read More>
New Drug Shortage
March 4, 2025
Amlodipine Besylate; Benazepril Hydrochloride Capsule (Discontinuation)
March 3, 2025
Acyclovir Ointment (Discontinuation)
Adalimumab-adbm Injection (Discontinuation)
Bacitracin Ophthalmic Ointment (Currently In Shortage)
Dapagliflozin; Saxaglipitin Hydrochloride Tablet (Discontinuation)
February 28, 2025
Methylphenidate Film, Extended Release (Currently In Shortage)
Pimecrolimus Cream (Discontinuation)
February 26, 2025
Tolterodine Tartrate Capsule, Extended Release (Discontinuation)
Tolterodine Tartrate Tablet (Discontinuation)
February 20, 2025
Silodosin Capsule (Discontinuation)
Updated Drug Shortage
March 4, 2025
Cromolyn Sodium Concentrate (Currently In Shortage)
Flurazepam Hydrochloride Capsule (Currently In Shortage)
March 3, 2025
Methylphenidate Film, Extended Release (Currently In Shortage)
February 28, 2025
Cefotaxime Sodium Powder, for Solution (Currently In Shortage)
Dexmedetomidine Hydrochloride Injection (Currently In Shortage)
February 27, 2025
Triamcinolone Acetonide Injection (Currently In Shortage)
February 26, 2025
Amphetamine Aspartate Monohydrate, Amphetamine Sulfate, Dextroamphetamine
Saccharate, Dextroamphetamine Sulfate Tablet (Currently In Shortage)
Bupivacaine Hydrochloride Injection (Currently In Shortage)
Bupivacaine Hydrochloride, Epinephrine Bitartrate Injection (Currently In Shortage)
Clonazepam Tablet (Currently In Shortage)
Dobutamine Hydrochloride Injection (Currently In Shortage)
Epinephrine Bitartrate, Lidocaine Hydrochloride Injection (Currently In Shortage)
Hydrocortisone Sodium Succinate Injection (Currently In Shortage)
Hydromorphone Hydrochloride Injection (Currently In Shortage)
Lidocaine Hydrochloride Injection (Currently In Shortage)
Lorazepam Injection (Currently In Shortage)
Methotrexate Sodium Injection (Currently In Shortage)
Methylprednisolone Acetate Injection (Currently In Shortage)
Midazolam Hydrochloride Injection (Currently In Shortage)
Morphine Sulfate Injection (Currently In Shortage)
Penicillin G Benzathine Injection (Currently In Shortage)
Quinapril Hydrochloride Tablet (Currently In Shortage)
Quinapril/Hydrochlorothiazide Tablet (Currently In Shortage)
Riluzole Oral Suspension (Currently In Shortage)
Sodium Bicarbonate Injection (Currently In Shortage)
Sodium Chloride 0.9% Injection (Currently In Shortage)
Sodium Chloride 23.4% Injection (Currently In Shortage)
Sterile Water Injection (Currently In Shortage)
New Drug Recall and Safety Alerts
Phenylephrine 40 mg Added to 0.9% Sodium Chloride 250 mL in 250 mL Excel Bags by Central Admixture Pharmacy Services (CAPS) - New Voluntary Recall – February 24, 2025 - Central Admixture Pharmacy is recalling three lots of Phenylephrine 40 mg added to 0.9% Sodium Chloride 250 mL in 250 mL Excel Bags (NDC: 71285-6092-1) to the hospital level. The product is being recalled because CAPS was notified by their raw material supplier of the detection of visible black particulate matter in a single sealed vial of Phenylephrine Hydrochloride. <Read More>
Potassium Chloride Injection, 20 mEq and Potassium Chloride Injection, 10 mEq by ICU Medical – New Voluntary Recall – February 13, 2025 – ICU Medical, Inc. is voluntarily recalling one lot each of Potassium Chloride Inj. bags with overwrap labels 10mEq, packaged in cases of Potassium Chloride Inj. 20 mEq, to the user level. ICU medical has received a customer complaint which states that bags of Potassium Chloride Inj. 20 mEq have incorrect overwrap labels which state Potassium Chloride Inj. 10 mEq. <Read More>
New Generic/Biosimilar Approval and Launch
Ospomyv™ (denosumab-dssb) Injection – New Prolia® Biosimilar Approval – February 16, 2025 - Samsung Bioepis Co., Ltd. announced that the U.S. Food and Drug Administration (FDA) has approved the Biologics License Application (BLA) for Ospomyv™ (denosumab-dssb; SB16; 60 mg pre-filled syringe) and Xbryk™ (denosumab-dssb; SB16; 120 mg vial), biosimilars referencing Prolia® and Xgeva® respectively. In addition, the FDA granted a provisional determination for both Ospomyv™ and Xbryk™'s interchangeability designation. <Read More>
Xbryk™ (denosumab-dssb) Injection – New Xgeva® Biosimilar Approval – February 16, 2025 - Samsung Bioepis Co., Ltd. announced that the U.S. Food and Drug Administration (FDA) has approved the Biologics License Application (BLA) for Ospomyv™ (denosumab-dssb; SB16; 60 mg pre-filled syringe) and Xbryk™ (denosumab-dssb; SB16; 120 mg vial), biosimilars referencing Proliaâ and Xgeva® respectively. In addition, the FDA granted a provisional determination for both Ospomyv™ and Xbryk™'s interchangeability designation. <Read More>
Merilog™ (insulin aspart-szjj) Injection – New Novolog® Biosimilar Approval – February 14, 2025 - The U.S. Food and Drug Administration approved Merilog™ (insulin-aspart-szjj) as biosimilar to NovoLog (insulin aspart) for the improvement of glycemic control in adults and pediatric patients with diabetes mellitus. Merilog™, a rapid-acting human insulin analog, is the first rapid-acting insulin biosimilar product approved by the FDA. As a rapid-acting insulin, Merilog™ helps to lower mealtime blood sugar spikes to improve control of blood sugar in people with diabetes. The approval is for both a 3 milliliter (mL) single-patient-use prefilled pen and a 10 milliliter (mL) multiple-dose vial. <Read More>
Clinical and Pharmacy News
ASTRO Issues Clinical Guideline on Radiation Therapy for Anal Cancer – February 27, 2025 - A new clinical guideline from the American Society for Radiation Oncology (ASTRO) provides guidance on the use of radiation therapy to treat adult patients with primary squamous cell carcinoma of the anal canal and anal margin. The guideline, ASTRO’s first for anal cancer, is published in Practical Radiation Oncology. Although anal cancer is relatively rare compared with colon or rectal cancers, incidence and mortality rates have risen steadily over the past 2 decades, particularly among adults in their 50s. An estimated 10,540 Americans are diagnosed with anal cancer each year, mostly frequently Black men and White women. Overall, women are more than twice as likely as men to develop the disease. <Read More>
Eli Lilly to Expand US Pharma Manufacturing With Four New Sites – February 27, 2025 – Eli Lilly has announced plans to expand its domestic medicine production in the US by establishing four new pharmaceutical manufacturing sites. The move increases the company’s total US capital expansion commitments to more than $50bn since 2020. Three of the four sites will concentrate on active pharmaceutical ingredients manufacturing, aiming to reshore essential small molecule chemical synthesis capabilities and reinforce the company’s supply chain. <Read More>
How AI Drug Manufacturing is Changing the Game – February 26, 2025 – In drug discovery, companies face a long timeline and steep costs to receive drug approvals. The likelihood of getting to market successfully is less than 10%, according to a 2022 study. “Even small advancements in time-to-lead optimization and improvements in the likelihood of clinical success are important to addressing the thousands of diseases that today have no known treatment or cure,” writes Anthony Costa, NVIDIA director of digital biology, in a HealthTech article. Artificial intelligence helps with process control during drug production and can speed up time to market. Drug discovery and drug manufacturing are both part of pharma AI. <Read More>
J&J Sues Samsung Bioepis Over ‘Surreptitious’ Breach of Stelaraâ Biosimilar Contract – February 25, 2025 – Johnson & Johnson (J&J) has sued Samsung Bioepis over a ‘concealed plan’ to supply an unnamed health conglomerate with a private label biosimilar version of blockbuster Stelera (ustekinumab). According to the lawsuit filed on 24 February in New Jersey, J&J alleges that Samsung Bioepis has conducted a “surreptitious and deliberate breach” that “threatens irreparable harm to Janssen” in the time since the existing settlement was reached. Developed by subsidiary Janssen, now J&J Innovative Medicine, Stelara has been J&J’s top selling drug since 2019, bringing in peak sales of $11bn in 2023. It is used to treat multiple inflammatory skin and bowel conditions. <Read More>
How Modern Technology is Shaping the Future of Pharmacy Benefit Management – February 24, 2025 – The pharmacy benefits management (PBM) industry is at a turning point. While 70% of the market still relies on decades-old systems from the big three PBMs, modern technology is quickly transforming the landscape. ’s cloud-based platforms provide real-time data, advanced analytics and seamless integration into the broader healthcare ecosystem. These innovations enable health plans to respond faster, improve member adherence and optimize benefit management. The shift to modern technology is redefining how organizations manage pharmacy benefits. <Read More>
FDA Declares End to Semaglutide Shortage; Clock Ticking on Compounded Versions – February 24, 2025 – In the wake of the FDA’s Feb. 21, 2025 announcement declaring an end to the semaglutide (Ozempicâ/Wegovyâ, Novo Nordisk) shortage, stakeholders in the compounding arena offered their take on the agency’s decision and how it may affect patients’ ability to access—and afford—the blockbuster weight-loss medication. The most immediate result of the action will be to dramatically limit the ability of compounding pharmacies to make their own versions of semaglutide. The FDA announcement gave 503A compounders 60 calendar days to stop production of “essentially a copy” of the GLP-1 medications until April 22 this year; 503B compounders were given 90 days, until May 22. <Read More>
Twenty Drug Interactions You Should Know About – February 21, 2025 – One of the scariest moments of my life happened in 2022 when my father, Tom Donvito, then 75 and unaware of any allergies, experienced an anaphylactic reaction to a hornet sting. After he passed out, my panicked mother called 911, but when the emergency medical technicians arrived, the shot of epinephrine they gave my dad didn’t work – and neither did the second. Why? My dad was on beta blockers, which reduce the effectiveness of epinephrine. Luckily, doctors were able to stabilize him at the hospital. Looking back now, my father doesn’t remember if there was a warning on the safety insert that came with his beta blockers. The EMTs didn’t ask if he was on beta blockers either. <Read More>
Amazon Joins Forces With Memorial Sloan Kettering for AI-Powered Drug Discovery – February 19, 2025 – Amazon Web Services (AWS) and US-based Memorial Sloan Kettering Cancer Center (MSK) have announced a partnership to leverage artificial intelligence (AI), high-performance computing (HPC), and cloud technology to accelerate cancer research and drug discovery. AWS is one of the world’s largest cloud providers, recently reporting a $107.6bn in segment sales in 2024. The partnership will focus on building a longitudinal data resource for cancer research at MSK, a cancer treatment and research institution based in New York City. <Read More>
How PBMs Limit Access to MS Therapies – February 18, 2025 - The rising cost of specialty medications has long been a challenge for patients with chronic diseases, particularly those living with multiple sclerosis. The Federal Trade Commission’s January 2025 report sheds light on how pharmacy benefit managers are driving up prices, increasing barriers to access, and limiting competition in the specialty drug market. According to the report, pharmacy benefit managers (PBMs) marked up specialty generic drugs by hundreds or even thousands of percent, generating $7.3 billion in revenue over five years. This price inflation disproportionately affects multiple sclerosis (MS) patients, who rely on specialty generics such as Ampyraâ to manage symptoms and maintain their quality of life. However, instead of benefiting from the cost savings generics are supposed to offer, these patients often find their medications out of reach. <Read More>
Pharmacy Benefit Managers Raised Prices by Over 1,000% on Specialty Drugs – February 14, 2025 – Reporters covering the cost of prescription drugs should be aware of two reports from the Federal Trade Commission on pharmacy benefit managers (PBMs): the first on July 9 and the second on Jan. 14. In the latest report, “Specialty Generic Drugs: A Growing Profit Center for Vertically Integrated Pharmacy Benefit Managers,” the FTC staff reported that the three largest PBMs drove up the price of specialty generic drugs for patients with cancer, multiple sclerosis, HIV and pulmonary hypertension by more than 1,000% in some cases and by hundreds of percent in other cases. Together, the nation’s three largest PBMs manage 79% of all prescription drug claims for some 270 million Americans, the FTC staff noted in the July report, “Pharmacy Benefit Managers: The Powerful Middlemen Inflating Drug Costs and Squeezing Main Street Pharmacies.” <Read More>
The Remarkable Evolution of HIV/AIDS Treatment – February 14, 2025 – HIV/AIDS was a death sentence. Until LGBT people, people living with HIV, and allies demanded action and pushed the scientific establishment to address the crisis. What followed is nothing short of extraordinary. First came the discovery that AZT (azidothymidine), a drug previously abandoned as a failed cancer treatment, suppressed HIV replication in a petri dish without killing normal cells. Under significant pressure from activists and the public, the FDA fast-tracked testing and review, and approved the drug to treat AIDS in 1987. It worked. <Read More>
LAAO or DOAC? Mayo Clinic AI Helps Guide Treatment of AFib Patients – February 14, 2025 – Researchers have developed a new artificial intelligence (AI) algorithm that can identify atrial fibrillation (AFib) patients who may benefit from left atrial appendage occlusion (LAAO). The group shared its findings in JACC: Clinical Electrophysiology. “Lifelong oral anticoagulation is recommended for stroke prevention in most patients with AFib, and clinical guidelines recommend direct oral anticoagulant (DOAC) in preference to warfarin in most patients,” wrote first author Che Ngufor, PhD, an AI specialist with Mayo Clinic, and colleagues. “However, oral anticoagulation increases the risk of bleeding and the adherence to lifelong drug therapy is poor, leaving many patients undertreated. Transcatheter LAAO offers an attractive alternative to lifelong drug therapy, but how to select the best candidates for LAAO remains unclear in everyday clinical practice.” <Read More>
Identifying Weak Planks on the Bridge to Medication Safety – February 12, 2025 – A new review of all 50 state boards of pharmacy regulations by the Institute for Safe Medication Practices has shown that only one or two boards provided detailed guidance for pharmacy drug labeling, ISMP presenters noted at the NASP 2024 Annual Meeting & Expo, in Nashville, Tenn. “Most boards have just generalized, high-level suggestions outside listing requirements for a legal label,” said Jennifer Young, PharmD, BCPS, CSP, a medication safety specialist with ISMP, who noted that an ISMP fellow prepared the pharmacy board review in preparation for the NASP presentation. “I’ve worked in a variety of places in my career, and in each pharmacy, sometimes each store, they had their own preferences and nuances.” <Read More>
340B in the News
The 340B Reimbursement Battle: What Hospitals and Insurers Need to Know – February 12, 2025 – The U.S. Supreme Court’s ruling in American Hospital Association (“AHA”) v. Becerra (2022) sent shockwaves through the 340B drug pricing program when it held that CMS’ reduction of reimbursement for drugs purchased under the 340B program was not permitted by law. The Supreme Court chose not to address potential remedies and remanded the case back to the D.C. District Court for further proceedings on how to correct the underpayments. Instead of vacating the unlawful reimbursement rates, the District Court decided to remand without vacatur, allowing HHS the opportunity to remediate its underpayments. AHA v. Becerra (2023). <Read More>
Clinical Insights: February 6, 2025
New Drug/Vaccine Approval
Journavx™ (suzetrigine) Tablets - formerly VX-548 – New Drug Approval – January 30, 2025 - The U.S. Food and Drug Administration approved Journavx™ (suzetrigine) 50 milligram oral tablets, a first-in-class non-opioid analgesic, to treat moderate to severe acute pain in adults. Journavx™ reduces pain by targeting a pain-signaling pathway involving sodium channels in the peripheral nervous system, before pain signals reach the brain. Journavx™ is the first drug to be approved in this new class of pain management medicines. <Read More>
Symbravo™ (meloxicam and rizatriptan) Tablets - formerly AXS-07 – New Drug Approval – January 30, 2025 - Axsome Therapeutics, Inc. (NASDAQ: AXSM), a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) disorders, announced that the U.S. Food and Drug Administration (FDA) has approved Symbravo® (meloxicam and rizatriptan) for the acute treatment of migraine with or without aura in adults. Symbravo® represents a novel multi-mechanistic approach to treating migraine that targets multiple pathways underlying a migraine attack. <Read More>
Grafapex™ (treosulfan) Lyophilized Powder for Injection – New Drug Approval – January 22, 2025 - Medexus Pharmaceuticals (TSX: MDP) (OTCQX: MEDXF) is pleased to provide a business update regarding the successful completion of the regulatory review process for Grafapex™ (treosulfan) for injection with the US Food and Drug Administration and, in addition, to announce preliminary estimates of the company's operating and financial results for the company's third fiscal quarter ended December 31, 2024 (which remain subject to completion of Medexus's financial closing procedures). All dollar amounts in this news release are in US dollars unless specified otherwise. <Read More>
Datroway® (datopotamab deruxtecan-dlnk) Lyophilized Powder for Injection – New Drug Approval – January 17, 2025 - The Food and Drug Administration approved datopotamab deruxtecan-dlnk (Datroway®, Daiichi Sankyo, Inc.), a Trop-2-directed antibody and topoisomerase inhibitor conjugate, for adult patients with unresectable or metastatic, hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative (IHC 0, IHC1+ or IHC2+/ISH-) breast cancer who have received prior endocrine-based therapy and chemotherapy for unresectable or metastatic disease. <Read More>
Opdivo® Qvantig™ (nivolumab and hyaluronidase-nvhy) Subcutaneous Injection – New Drug Approval – December 27, 2024 - The Food and Drug Administration approved nivolumab and hyaluronidase-nvhy (Opdivo® Qvantig™, Bristol Myers Squibb Company) for subcutaneous injection across approved adult, solid tumor nivolumab (Opdivo®, Bristol Myers Squibb Company) indications as monotherapy, monotherapy maintenance following completion of Opdivo® plus Yervoy® (ipilimumab) combination therapy, or in combination with chemotherapy or cabozantinib. <Read More>
Alhemo® (concizumab-mtci) Injection – New Drug Approval – December 20, 2024 - The U.S. Food and Drug Administration has approved Alhemo® (concizumab-mtci) for routine prophylaxis to prevent or reduce the frequency of bleeding episodes in adult and pediatric patients 12 years of age and older with hemophilia A with factor VIII inhibitors or hemophilia B with factor IX inhibitors. Alhemo® is injected subcutaneously (under the skin) daily. <Read More>
Alyftrek™ (deutivacaftor, tezacaftor and vanzacaftor) – New Drug Approval – December 20, 2024 - Vertex Pharmaceuticals Incorporated (Nasdaq: VRTX) announced that the U.S. Food and Drug Administration (FDA) has approved Alyftrek™ (vanzacaftor/tezacaftor/deutivacaftor), a once-daily next-in-class triple combination cystic fibrosis transmembrane conductance regulator (CFTR) modulator for the treatment of cystic fibrosis (CF) in people 6 years and older who have at least one F508del mutation or another mutation in the CFTR gene that is responsive to Alyftrek™. <Read More>
Tryngolza™ (olezarsen) Injection – New Drug Approval – December 19, 2024 - The U.S. Food and Drug Administration has approved Tryngolza™ (olezarsen), used with diet, to reduce triglycerides (TG) in adults with familial chylomicronemia syndrome (FCS). This is a first-in-class approval, meaning Tryngolza™ uses a new mechanism of action, or works differently in the body, than other therapies currently used to treat FCS. Tryngolza™ is injected subcutaneously (under the skin) once per month. <Read More>
Symvess™ (acellular tissue engineered vessel-tyod) for Surgical Vascular Implantation – New Drug Approval – December 19, 2024 - The U.S. Food and Drug Administration approved Symvess™, the first acellular tissue engineered vessel indicated for use in adults as a vascular conduit for extremity arterial injury when urgent revascularization (restoration of blood flow) is needed to avoid imminent limb loss, and autologous vein graft is not feasible. Vascular trauma occurs when a blood vessel is injured such as a rupture of an artery in the extremities, which can lead to serious, life-threatening complications such as hemorrhage or blood clotting. <Read More>
Ryoncil® (remestemcel-L-rknd) Cell Suspension for Intravenous Infusion – New Drug Approval – December 18, 2024 - The FDA approved remestemcel-L-rknd (brand name Ryoncil®), an allogeneic bone marrow-derived mesenchymal stromal cell therapy, for steroid-refractory acute graft versus host disease in pediatric patients 2 months of age and older. Ryoncil® is the first FDA-approved mesenchymal stromal cell therapy. <Read More>
Ensacove™ (ensartinib) Capsules – New Drug Approval – December 18, 2024 - The Food and Drug Administration approved ensartinib (Ensacove™, Xcovery Holdings, Inc.) for adult patients with anaplastic lymphoma kinase (ALK)-positive locally advanced or metastatic non-small cell lung cancer (NSCLC) who have not previously received an ALK-inhibitor. <Read More>
Crenessity™ (crinecerfont) Capsules and Oral Solution – New Drug Approval – December 13, 2024 - The U.S. Food and Drug Administration approved Crenessity™ (crinecerfont) to be used together with glucocorticoids (steroids) to control androgen (a testosterone-like hormone) levels in adults and pediatric patients 4 years of age and older with classic congenital adrenal hyperplasia (CAH). <Read More>
Unloxcyt™ (cosibelimab-ipdl) Injection – New Drug Approval – December 13, 2024 - The Food and Drug Administration approved cosibelimab-ipdl (Unloxcyt™, Checkpoint Therapeutics, Inc.), a programmed death ligand-1 (PD-L1) blocking antibody, for adults with metastatic cutaneous squamous cell carcinoma (mCSCC) or locally advanced CSCC (laCSCC) who are not candidates for curative surgery or curative radiation. <Read More>
Bizengri® (zenocutuzumab-zbco) Injection – New Drug Approval – December 4, 2024 - The Food and Drug Administration granted accelerated approval to zenocutuzumab-zbco (Bizengri®, Merus N.V.) for adults with the following: 1) advanced, unresectable, or metastatic non-small cell lung cancer (NSCLC) harboring a neuregulin 1 (NRG1) gene fusion with disease progression on or after prior systemic therapy, or 2) advanced, unresectable, or metastatic pancreatic adenocarcinoma harboring a NRG1 gene fusion with disease progression on or after prior systemic therapy. This represents the first FDA approval of a systemic therapy for patients with NSCLC or pancreatic adenocarcinoma harboring an NRG1 gene fusion. <Read More>
Attruby™ (acoramidis) Tablets – New Drug Approval – November 25, 2024 - The U.S. Food and Drug Administration has approved Attruby™ (acoramidis) to treat adults with cardiomyopathy (disorder that affects heart muscle) of wild-type or variant (hereditary) transthyretin-mediated amyloidosis (ATTR-CM) to reduce death and hospitalization related to heart problems. ATTR-CM is a rare and serious disease that affects the heart muscle. In patients with ATTR-CM, there is a build-up of protein deposits in the heart, causing the walls of the heart to become stiff, and making the left ventricle unable to properly relax and fill with blood (called cardiomyopathy). As the condition progresses, the heart can become unable to pump blood out adequately, causing heart failure. <Read More>
Imkeldi™ (imatinib mesylate) Oral Solution – New Drug Approval – November 22, 2024 - Shorla Oncology (‘Shorla’), a U.S.-Ireland specialty pharmaceutical company, announced that the FDA has approved Imkeldi™ (imatinib) oral solution, the first oral liquid form of imatinib to treat certain forms of leukemia and other cancers. “We are thrilled to offer an oral solution option for patients with leukemia and other cancers, a meaningful advancement for thousands in need,” said Sharon Cunningham, chief executive officer of Shorla. “Oral solutions may ensure more precise and consistent dosing, offering a convenient alternative to compounding for patients who have difficulty swallowing or require dosing tailored to body surface area.” <Read More>
Rapiblyk™ (landiolol) Lyophilized Powder for Injection – New Drug Approval – November 22, 2024 - AOP Orphan Pharmaceuticals GmbH (AOP Health), based in Vienna, Austria, announced that the U.S. Food and Drug Administration (FDA) has granted regulatory approval for Rapiblyk™ (landiolol) in the hospital critical care setting for the treatment of the severe heart condition supraventricular tachycardia (atrial fibrillation and atrial flutter). The approval is based on clinical studies which demonstrated that Rapiblyk™ (landiolol) enables rapid management of the heart rate with minimal reduction of blood pressure. The approval will provide patients in the U.S. with a new treatment option and is an important step for AOP Health in bringing its mission to help patients and make an impact on rare diseases and critical care to the United States for the first time. <Read More>
New Indication/Dosage/Formulation Approval
Enhertu® (fam-trastuzumab deruxtecan-nxki) Injection – New Label Expansion – January 28, 2025 – AstraZeneca and Daiichi Sankyo’s Enhertu® (trastuzumab deruxtecan) has been approved in the US for the treatment of adult patients with unresectable or metastatic hormone receptor (HR)-positive, HER2-low (IHC 1+ or IHC 2+/ISH-) or HER2-ultralow (IHC 0 with membrane staining) breast cancer, as determined by a Food and Drug Administration (FDA)-approved test, that has progressed on one or more endocrine therapies in the metastatic setting. <Read More>
Ozempic® (semaglutide) Injection – New Label Expansion – January 28, 2025 – Novo Nordisk announced that the U.S. Food and Drug Administration (FDA) has approved Ozempic® to reduce the risk of kidney disease worsening, kidney failure (end-stage kidney disease), and death due to cardiovascular disease in adults with type 2 diabetes and chronic kidney disease (CKD). This approval, along with its existing indications for adults with type 2 diabetes to improve glycemic control and to reduce the risk of major cardiovascular events in adults also with known heart disease, establishes Ozempic® (semaglutide) injection 0.5 mg, 1 mg, or 2 mg as the most broadly indicated glucagon-like peptide-1 receptor agonist (GLP-1 RA) in its class. <Read More>
Leqembi® (lecanemab-irmb) Injection – New Label Expansion – January 27, 2025 – Eisai Co., Ltd. (Headquarters: Tokyo, CEO: Haruo Naito, “Eisai”) and Biogen Inc. (NASDAQ: BIIB, Corporate headquarters: Cambridge, Massachusetts, CEO: Christopher A. Viehbacher, “Biogen”) announced that the U.S. Food and Drug Administration (FDA) has approved the Supplemental Biologics License Application (sBLA) for once every four weeks lecanemab-irmb (U.S. brand name: Leqembi®) intravenous (IV) maintenance dosing. Leqembi® is indicated for the treatment of Alzheimer's disease (AD) in patients with mild cognitive impairment (MCI) or mild dementia stage of disease (collectively referred to as early AD) in the U.S. After 18 months of once every two weeks initiation phase, a transition to the maintenance dosing regimen of 10 mg/kg once every four weeks may be considered or the regimen of 10 mg/kg once every two weeks may be continued. <Read More>
Spravato® (esketamine) Nasal Spray – New Label Expansion – January 17, 2025 – Johnson & Johnson (NYSE: JNJ) announced the U.S. Food and Drug Administration (FDA) approval of a supplemental New Drug Application (sNDA) for Spravato® (esketamine) CIII nasal spray, making this innovative treatment the first and only monotherapy for adults living with major depressive disorder (MDD) who have had an inadequate response to at least two oral antidepressants. <Read More>
Lumakras® (sotorasib) Tablets – New Label Expansion – January 16, 2025 – The Food and Drug Administration approved sotorasib (Lumakras®, Amgen Inc.) with panitumumab (Vectibix®, Amgen Inc.) for adult patients with KRAS G12C-mutated metastatic colorectal cancer (mCRC), as determined by an FDA-approved test, who have received prior fluoropyrimidine-, oxaliplatin-, and irinotecan-based chemotherapy. <Read More>
Calquence® (acalabrutinib) Capsules and Tablets – New Label Expansion – January 16, 2025 – AstraZeneca’s Calquence® (acalabrutinib) in combination with bendamustine and rituximab has been approved in the US for the treatment of adult patients with previously untreated mantle cell lymphoma (MCL) who are ineligible for autologous hematopoietic stem cell transplantation. The approval was granted by the Food and Drug Administration (FDA) after securing Priority Review. It was based on results from the ECHO Phase III trial which were presented at the European Hematology Association 2024 Congress. <Read More>
Omvoh® (mirikizumab-mrkz) Injection – New Label Expansion – January 15, 2025 – Eli Lilly and Company (NYSE: LLY) announced that the U.S. Food and Drug Administration (FDA) has approved Omvoh® (mirikizumab-mrkz) for the treatment of moderately to severely active Crohn's disease in adults. Omvoh® is now approved in the U.S. for two types of inflammatory bowel disease (IBD), following its October 2023 approval as a first-in-class treatment for moderately to severely active ulcerative colitis (UC) in adults. <Read More>
Niktimvo™ (axatilimab-csfr) Injection – New Label Expansion – January 15, 2025 – Incyte (NASDAQ:INCY) and Syndax Pharmaceuticals (Nasdaq:SNDX) announced that the U.S. Food and Drug Administration (FDA) has approved Niktimvo™ (axatilimab-csfr) in 9 mg and 22 mg vial sizes. The Companies expect product to be available for order in the U.S. in early February. Niktimvo™ is approved for the treatment of chronic graft-versus-host disease (GVHD) after failure of at least two prior lines of systemic therapy in adult and pediatric patients weighing at least 40 kg (88.2 lbs). Niktimvo™ is the first and only FDA-approved prescription treatment for chronic GVHD that targets CSF-1R to reduce the drivers of inflammation and fibrosis. <Read More>
Tevimbra® (tislelizumab-jsgr) Injection – New Label Expansion – December 26, 2024 – BeiGene, Ltd. (NASDAQ: BGNE; HKEX: 06160; SSE: 688235), a global oncology company that intends to change its name to BeOne Medicines Ltd., announced the U.S. Food and Drug Administration (FDA) has approved Tevimbra® (tislelizumab-jsgr), in combination with platinum and fluoropyrimidine-based chemotherapy, for the first-line treatment of unresectable or metastatic HER2-negative gastric or gastroesophageal junction adenocarcinoma (G/GEJ) in adults whose tumors express PD-L1 (≥1). <Read More>
Zepbound® (tirzepatide) Injection – New Label Expansion – December 20, 2024 – Eli Lilly and Company (NYSE: LLY) announced the U.S. Food and Drug Administration (FDA) approved Zepbound® (tirzepatide) as the first and only prescription medicine for adults with moderate-to-severe obstructive sleep apnea (OSA) and obesity. Zepbound® may help adults with moderate-to-severe obstructive sleep apnea and obesity improve their sleep disorder. It should be used with a reduced-calorie diet and increased physical activity. <Read More>
Braftovi® (encorafenib) Capsules – New Label Expansion – December 20, 2024 – Pfizer Inc. (NYSE: PFE) announced that the U.S. Food and Drug Administration (FDA) has approved Braftovi® (encorafenib) in combination with cetuximab (marketed as Erbitux®) and mFOLFOX6 (fluorouracil, leucovorin, and oxaliplatin) for the treatment of patients with metastatic colorectal cancer (mCRC) with a BRAF V600E mutation, as detected by an FDA-approved test. <Read More>
Trikafta® (elexacaftor/tezacaftor/ivacaftor and ivacaftor) Tablets and Oral Granules – New Label Expansion – December 20, 2024 – Vertex Pharmaceuticals Incorporated (Nasdaq: VRTX) announced the U.S. Food and Drug Administration (FDA) has approved the expanded use of Trikafta® (elexacaftor/tezacaftor/ivacaftor and ivacaftor) for the treatment of people with cystic fibrosis (CF) ages 2 and older who have at least one F508del mutation in the cystic fibrosis transmembrane conductance regulator (CFTR) gene or a mutation that is responsive to Trikafta® based on clinical and/or in vitro data. In addition, safety information on liver injury and liver failure has been updated from warnings and precautions to a boxed warning. With this approval, 94 additional non-F508del CFTR mutations have been added to the Trikafta® label, and approximately 300 additional people with CF in the U.S. are now eligible for a medicine to treat the underlying cause of their disease for the first time. <Read More>
Imcivree® (setmelanotide) Injection – New Label Expansion – December 20, 2024 – Rhythm Pharmaceuticals, Inc. (Nasdaq: RYTM), a commercial-stage biopharmaceutical company focused on transforming the lives of patients living with rare neuroendocrine diseases, announced that the U.S. Food and Drug Administration (FDA) has approved an expanded indication for Imcivree® (setmelanotide) to include children as young as 2 years old. Imcivree® is indicated to reduce excess body weight and maintain weight reduction long-term in patients 2 years of age and older with syndromic or monogenic obesity due to Bardet-Biedl syndrome (BBS) or genetically confirmed pro-opiomelanocortin (POMC), including proprotein convertase subtilisin/kexin type 1 (PCSK1), deficiency or leptin receptor (LEPR) deficiency. <Read More>
Gemtesa® (vibegron) Tablets – New Label Expansion – December 18, 2024 – Sumitomo Pharma America, Inc. (SMPA) announced that the U.S. Food and Drug Administration (FDA) has approved Gemtesa® (vibegron), a beta-3 (β3) adrenergic receptor agonist, dosed once-daily (75 mg), for the treatment of men with overactive bladder (OAB) symptoms, such as urge urinary incontinence, urgency, and urinary frequency, who are receiving pharmacological therapy for benign prostatic hyperplasia (BPH). This approval marks Gemtesa® as the first and only β3 agonist approved to treat patients living with OAB and being treated for BPH. It is currently available for prescription in the U.S. <Read More>
Nemluvio® (nemolizumab) for Injection – New Label Expansion – December 13, 2024 – Galderma announced that the United States (U.S.) Food and Drug Administration (FDA) has approved Nemluvio® (nemolizumab) for the treatment of patients 12 years and older with moderate-to-severe atopic dermatitis, in combination with topical corticosteroids (TCS) and/or calcineurin inhibitors (TCI) when the disease is not adequately controlled with topical prescription therapies. This follows the recent U.S. FDA approval of Nemluvio® for subcutaneous injection for the treatment of adults with prurigo nodularis in August 2024. <Read More>
Vtama® (tapinarof) Cream – New Label Expansion – December 12, 2024 – Organon (NYSE: OGN), a global healthcare company with a mission to improve the health of women throughout their lives, announced that the U.S. Food and Drug Administration (FDA) has approved Vtama® (tapinarof) cream, 1%, an aryl hydrocarbon receptor agonist, for an additional indication of the topical treatment of atopic dermatitis (AD) in adults and pediatric patients 2 years of age and older. Organon received the FDA approval prior to its extended target action date (PDUFA) of March 12, 2025. <Read More>
Imfinzi® (durvalumab) Injection – New Label Expansion – December 4, 2024 – AstraZeneca’s Imfinzi® (durvalumab) has been approved in the US for the treatment of adult patients with limited-stage small cell lung cancer (LS-SCLC) whose disease has not progressed following concurrent platinum-based chemotherapy and radiation therapy. The approval was granted by the Food and Drug Administration (FDA) after securing Priority Review and Breakthrough Therapy Designation. It was based on results from the ADRIATIC Phase III trial which were presented during the Plenary Session of the 2024 American Society of Clinical Oncology (ASCO) Annual Meeting and subsequently published in the New England Journal of Medicine. <Read More>
Acetadote® (acetylcysteine) Injection – New Label Expansion – November 26, 2024 – Cumberland Pharmaceuticals Inc. (Nasdaq: CPIX), a specialty pharmaceutical company focused on delivering high-quality products to improve patient care, announced the FDA has approved a supplemental New Drug Application (sNDA) for its Acetadote® (N-acetylcysteine for injection) product. Acetadote® is an intravenous (IV) formulation of N-acetylcysteine (NAC) indicated to prevent or lessen liver injury after ingestion of potentially toxic quantities of acetaminophen. <Read More>
Bimzelx® (bimekizumab-bkzx) Injection – New Label Expansion – November 20, 2024 – UCB, a global biopharmaceutical company, announced that the U.S. Food and Drug Administration (FDA) has approved Bimzelx® (bimekizumab-bkzx) for the treatment of adults with moderate to severe hidradenitis suppurativa (HS). Bimekizumab-bkzx is the first and only approved medicine designed to selectively inhibit interleukin 17F (IL-17F) in addition to interleukin 17A (IL-17A). <Read More>
New Drug Shortage
January 31, 2025
Epoprostenol Sodium Injection (Discontinuation)
January 30, 2025
Ramipril Capsule (Discontinuation)
January 28, 2025
Donepezil Hydrochloride Tablet (Discontinuation)
Lidocaine Ointment (Discontinuation)
Lidocaine Ointment (Discontinuation)
Teriflunomide Tablet (Discontinuation)
January 27, 2025
Bendamustine Hydrochloride Injection (Discontinuation)
January 24, 2025
Peginterferon alfa-2a Injection (Currently In Shortage)
Updated Drug Shortage
January 28, 2025
Amoxapine Tablet (Resolved)
January 27, 2025
Atropine Sulfate Injection (Currently In Shortage)
Bupivacaine Hydrochloride Injection (Currently In Shortage)
Bupivacaine Hydrochloride, Epinephrine Bitartrate Injection (Currently In Shortage)
Clindamycin Phosphate Injection (Currently In Shortage)
Dexmedetomidine Hydrochloride Injection (Currently In Shortage)
Dextrose 50% Injection (Currently In Shortage)
Dextrose Monohydrate 5% Injection (Currently In Shortage)
Dobutamine Hydrochloride Injection (Currently In Shortage)
Dopamine Hydrochloride Injection (Currently In Shortage)
Epinephrine Bitartrate, Lidocaine Hydrochloride Injection (Currently In Shortage)
Etomidate Injection (Currently In Shortage)
Heparin Sodium Injection (Currently In Shortage)
Hydrocortisone Sodium Succinate Injection (Currently In Shortage)
Hydromorphone Hydrochloride Injection (Currently In Shortage)
Ketamine Hydrochloride Injection (Currently In Shortage)
Lidocaine Hydrochloride Injection (Currently In Shortage)
Lorazepam Injection (Currently In Shortage)
Methotrexate Sodium Injection (Currently In Shortage)
Methylprednisolone Acetate Injection (Currently In Shortage)
Midazolam Hydrochloride Injection (Currently In Shortage)
Morphine Sulfate Injection (Currently In Shortage)
Penicillin G Benzathine Injection (Currently In Shortage)
Sodium Acetate Injection (Currently In Shortage)
Sodium Bicarbonate Injection (Currently In Shortage)
Sodium Chloride 0.9% Injection (Currently In Shortage)
Sodium Chloride 23.4% Injection (Currently In Shortage)
Sterile Water Injection (Currently In Shortage)
January 24, 2025
Amphetamine Aspartate Monohydrate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate Tablet (Currently In Shortage)
Dopamine Hydrochloride Injection (Currently In Shortage)
Etomidate Injection (Currently In Shortage)
Fentanyl Citrate Injection (Currently In Shortage)
Hydromorphone Hydrochloride Injection (Currently In Shortage)
Ketamine Hydrochloride Injection (Currently In Shortage)
Leucovorin Calcium Injection (Currently In Shortage)
Lidocaine Hydrochloride Injection (Currently In Shortage)
Midazolam Hydrochloride Injection (Currently In Shortage)
Morphine Sulfate Injection (Currently In Shortage)
Promethazine Hydrochloride Injection (Currently In Shortage)
January 23, 2025
Amoxapine Tablet (Currently In Shortage)
Amoxicillin Powder, For Suspension (Currently In Shortage)
Amphetamine Aspartate Monohydrate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate Tablet (Currently In Shortage)
Azacitidine Injection (Currently In Shortage)
Carboplatin Injection (Currently In Shortage)
Clonazepam Tablet (Currently In Shortage)
Hydromorphone Hydrochloride Injection (Currently In Shortage)
Lisdexamfetamine Dimesylate Capsule (Currently In Shortage)
Mefloquine Hydrochloride Tablet (Currently In Shortage)
Methotrexate Sodium Injection (Currently In Shortage)
Methylphenidate Hydrochloride Tablet, Extended Release (Currently In Shortage)
Oxazepam Capsule (Currently In Shortage)
Streptozocin Powder, For Solution (Currently In Shortage)
January 22, 2025
Dexmedetomidine Hydrochloride Injection (Currently In Shortage)
Vecuronium Bromide Injection (Resolved)
New Drug Recall and Safety Alerts
Fentanyl Transdermal System 25 mcg/h by Alvogen – New Voluntary Recall – January 31, 2025 - Alvogen, Inc. is voluntarily recalling one lot of Fentanyl Transdermal System 25 mcg/h transdermal patches to the consumer level. The reason for the recall is that there is a potential that patches could be multi-stacked, adhered one on top of the other, in a single product pouch. This transdermal system is manufactured by Kindeva Drug Delivery L.P., Northridge, CA and is distributed by Alvogen, Inc. as a private label distributor. <Read More>
Phenylephrine Hydrochloride Injection, USP, 10 mg/ mL (Pharmacy Bulk Package) by Provepharm Inc. – New Voluntary Recall – January 24, 2025 - Provepharm Inc. is voluntarily recalling lot number 24020027; Expiry Date December 2025 of Phenylephrine hydrochloride Injection, USP, 10 mg/ mL (Pharmacy Bulk Package) at the hospital/institutional level. This recall was initiated based on a customer complaint from a pharmacy after observing a visible black particulate matter found in a single-sealed vial of the product. <Read More>
New Generic/Biosimilar Approval and Launch
Avtozma® (tocilizumab-anoh) Injection – New Actemra® Biosimilar Approval – January 30, 2025 - Celltrion announced that the U.S. Food and Drug Administration (FDA) has approved Avtozma® (CT-P47, tocilizumab-anoh) in both an intravenous (IV) and subcutaneous (SC) formulation as a biosimilar to Actemra®. Avtozma® is indicated for the treatment of multiple diseases including rheumatoid arthritis (RA), giant cell arteritis (GCA), polyarticular juvenile idiopathic arthritis (pJIA), systemic juvenile idiopathic arthritis (sJIA) and coronavirus disease (COVID-19). <Read More>
Steqeyma® (ustekinumab-stba) Injection – New Stelara® Biosimilar Approval – December 17, 2024 - Celltrion announced that the U.S. Food and Drug Administration (FDA) has approved Steqeyma® (ustekinumab-stba), a biosimilar to Stelara® (ustekinumab), for subcutaneous injection or intravenous infusion in adult and pediatric patients with plaque psoriasis and psoriatic arthritis, as well as adult patients with Crohn's disease and ulcerative colitis. <Read More>
Yesintek™ (ustekinumab-kfce) Injection – New Stelara® Biosimilar Approval – November 29, 2024 – Biocon Biologics Ltd (BBL), a fully integrated global biosimilars company and subsidiary of Biocon Ltd (BSE code: 532523, NSE: BIOCON), announced that the U.S. Food and Drug Administration (FDA) has approved Yesintek™ (ustekinumab-kfce), a biosimilar to the reference product, Stelara® (ustekinumab). <Read More>
Clinical and Pharmacy News
Guidelines Call for Widespread Type 1 Diabetes Screening in Children – February 4, 2025 – A University of Florida Health physician-scientist led an international team of Type 1 diabetes experts who recently developed new treatment guidelines emphasizing wider screening for the disease among children and adolescents in the general population before symptoms arise. That would include screening the young relatives of those with Type 1 diabetes, such as siblings, because they are at higher genetic risk of developing diabetes. The effort was led by Michael Haller, M.D., chief of pediatric endocrinology in the UF College of Medicine's Department of Pediatrics and a member of the UF Diabetes Institute. The guidelines cover screening, staging, and strategies to preserve beta cell function in children and adolescents with Type 1 diabetes. <Read More>
Trump Tariffs Will Escalate Costs and Disrupt the Medical Supply Chain, Industry Execs Warn – February 3, 2025 – Double-digit tariffs, if they take effect as proposed, threaten to escalate healthcare costs, disrupt supply chains and create affordability challenges for patients, healthcare executives say. President Donald Trump on Saturday signed executive orders intending to impose sweeping tariffs on the country’s three largest trading partners. The Trump administration imposed 25% tariffs on imports from Canada and Mexico plus a 10% tariff on Chinese imports. <Read More>
Automated Follow-up Alerts Pharmacists to Cancer Patients’ Needs – January 28, 2025 – Early automated follow-up of cancer patients can help pharmacists more efficiently manage side effects of oral oncolytic medications, according to data presented at the ASHP Midyear 2024 Clinical Meeting & Exhibition, in New Orleans (poster 4-058). To improve adverse event (AE) detection and prevention, a team from Vanderbilt University Medical Center’s Specialty Pharmacy, in Nashville Tenn., sent an electronic early monitoring questionnaire to patients who were starting oral anticancer treatment. The questionnaire, distributed via the patient portal inbox, “resulted in higher [rates of], and faster time to, pharmacists identifying and addressing AEs from newly initiated oral anticancer therapy in patients who responded compared to those who did not respond or were in the usual-care arm,” explained presenter Brooke Looney, PharmD, CSP, the oncology/hematology clinical lead at Vanderbilt. <Read More>
AI’s Potential in Women’s Health Exciting, Says Gates Foundation Leader – January 21, 2025 – The health disparity between women and men is a pressing global challenge, experts highlighted in a discussion at the World Economic Forum Annual Meeting 2025 in Switzerland. Despite comprising half the global population, women spend 25% more of their lives in poor health compared to men, according to a 2024 report by the World Economic Forum and McKinsey Health Institute. Addressing this gap could not only improve millions of lives, but also add at least $1trn to the global economy annually by 2040, said Anita Zaidi, president of gender equality at the Bill & Melinda Gates Foundation, quoting the report. Innovations in artificial intelligence (AI), digital health tools, and cross-sector collaboration are expected to help bridge this disparity. <Read More>
Will PBM Reform Save Pharmacies From Closing? – January 15, 2025 – In May 2024, nearly 90% of pharmacies were closed for a day as thousands of pharmacists protested over “over drug shortages, pharmacy closures and fears medications could be sold online, as well as higher pay.” More recently in November 2024, pharmacy owners voted in favor of cutting hours and stopping home deliveries in a protest over funding. Given multiple recent news articles saying that pharmacies are struggling amid problems caused by pharmacy benefit managers (PBMs) , you might not be surprised by these examples. However, these two news stores are not from the U.S. They are from France and the United Kingdom — two countries that do not have the large PBMs that are frequently criticized in America. <Read More>
Despite Risks and Scant Evidence, Muscle Relaxants Still Used to Treat Chronic Pain – January 14, 2025 – The CDC has guidelines recommending that clinicians avoid using opioids to manage chronic noncancer pain. Now data published in JAMA Network Open indicate that as physicians heed opioid guidelines, prescriptions for skeletal muscle relaxants (SMRs) for chronic pain have risen—despite risks posed by SMRs and a lack of evidence supporting their long-term use (JAMA Network Open 2024;7[9]:e2434835). “This means that, when thinking about using muscle relaxants for chronic pain conditions, we should be vigilant and cautious,” said study author Benjamin J. Oldfield, MD, an internal medicine/pediatric specialist at the Yale School of Medicine, in New Haven, Conn. “As physicians, it may not be the right option to prescribe, and to continue to refill, muscle relaxants for the majority of chronic pain conditions.” <Read More>
Drugmakers Hiked Prices for Hundreds of Drugs in Early January – January 14, 2025 – Drugmakers raised the list prices on 575 name-brand drugs in just the first two days of the new year, according to drug price research firm 46brooklyn. Drugs for diabetes, HIV, cancer saw price hikes, among others. For years a 10% annual price hike was fairly normal, but they've started coming down in recent years. This year's median price hike so far is only 4%, says Antonio Ciaccia, CEO of 46brooklyn. "While it's early, if that number held throughout the year, that would make it the lowest median price increase in over a decade," says Ciaccia. January is typically a popular time to raise prices on brand name drugs, but companies can raise them throughout the year. There could even be more later this month, he says. <Read More>
Clearing the Path for New Uses for Generic Drugs – January 9, 2025 – Repurposing generic drugs as new treatments for life-threatening diseases is an exciting yet largely overlooked opportunity due to a lack of market-driven incentives. The low profit margins for generic drugs mean that pharmaceutical companies rarely invest in research, regulatory efforts, and marketing for new uses. Nonprofit organizations and other non-commercial non-manufacturers are increasing efforts to repurpose widely available generic drugs and rapidly expand affordable treatment options for patients. <Read More>
Pharmacological Treatment in Autism: A Proposal for Guidelines on Common Co-Occurring Psychiatric Symptoms – January 7, 2025 – The prevalence of autism spectrum disorder (ASD) has surged, with an estimated 1 in 36 eight-year-olds in the United States meeting criteria for ASD in 2020. Autistic individuals face elevated rates of co-occurring medical, psychiatric, and behavioral conditions compared to non-autistic individuals. The rising ASD-patient demand is increasingly outpacing the capacity of ASD-specialty clinics, resulting in urgent need for autism-competent providers in general practice settings. This work aims to empower healthcare providers, especially primary care providers (PCPs), with guidelines for the recognition and safe pharmacologic management of common co-occurring psychiatric and behavioral conditions in ASD. <Read More>
Senate Introduces Bipartisan Bill to Ban Co‑ownership of Pharmacies and Pharmacy Benefits Managers – December 13, 2024 – Senators Elizabeth Warren, D-Mass., and Josh Hawley, R-Mo., introduced in the Senate the Patients Before Monopolies Act (PBM Act), a bill “[t]o prohibit pharmacy benefit managers and pharmacies from being under common ownership, and for other purposes.” The PBM Act would make it unlawful for any person to “own, operate, control, or direct the operation of” any type of pharmacy if that person also “own[s], operate[s], or control[s]” an insurance company or pharmacy benefits manager (PBM). This bill follows nearly a year of heightened government scrutiny of PBMs and allegations of harm resulting from vertical integration and price fixing. If passed, the PBM Act would prevent PBMs and payors from being in a position of control over pharmacies through which they can affect the competitive harms alleged. <Read More>
Drugmakers and Pharmacists Battle Over Who Gets to Make Obesity Drugs – December 12, 2024 – Ozempic® and similar drugs for Type 2 diabetes and weight loss are in such high demand that the drugmakers have had a hard time keeping up. So compounding pharmacies stepped in to fill the gap, making their own versions of the drugs for more than two years. The compounded versions are especially popular as cheaper alternatives for people whose insurance doesn't cover them. But now the brand name manufacturers are pushing the compounding pharmacies to stop. Novo Nordisk and Eli Lilly are moving to end compounding of their medicines for good. <Read More>
Pharmacists’ Key Role in the Management of Humira Biosimilars – November 27, 2024 – The introduction of adalimumab (Humira®, AbbVie) biosimilars to the US market in 2023 brought significant changes for providers, patients, and pharmacies. Since its introduction in 2002, Humira has been one of the world’s bestselling drugs for treating inflammatory conditions…Pharmacists have been challenged in managing the complexity of switching patients from the reference product to various biosimilars, including navigating clinical appropriateness, education, insurance, affordability, and several practical hurdles. We aim to provide an update on what is new, what we have learned over the past 12 months, and what we are anticipating in the Humira biosimilar market. <Read More>
ASTRO Releases Updated Guidelines for Treating Locally Advanced Rectal Cancer – November 25, 2024 – The American Society for Radiation Oncology (ASTRO) issued an updated clinical guideline for physicians who use radiation therapy to treat patients with locally advanced rectal cancer. This update incorporates new data on patient selection and best practices from several practice-changing clinical trials published since the prior guideline was issued in 2020. The updated ASTRO guideline is published in Practical Radiation Oncology. <Read More>
Top Three Pharmacy Benefit Managers Will Face FTC in Joint Trial for Insulin Rebate Cases – November 20, 2024 – Administrative Law Judge D. Michael Chappell ordered that the country’s largest pharmacy benefit managers (PBMs) have to face the FTC together in an administrative case. The case alleges that the three largest PBMs―Caremark, Express Scripts and OptumRX―used unfair rebate schemes to artificially inflate the price of insulin. In mid-October, the PBMs each moved for separate proceedings, arguing that a consolidated trial could create confusion. The judge held that the factual differences in each of the cases were “minimal and manageable.” Judge Chappell noted that many of the respondents’ arguments regarding confusion of the evidence cited to authority regarding jury trials, but the current case is a bench trial. <Read More>
Market Trends to Watch for Health Systems and Their Specialty Pharmacies – November 18, 2024 – The overall market for specialty medications has grown dramatically over the past decade, and that trend is expected to continue for at least the next five years. Health systems, patients and pharmacies will experience shifting market dynamics that add challenges to providing specialty care, including price increases, an aging population driving increased utilization and a growing wave of innovative therapies that add new patients to the specialty pool. In response, health systems have sharpened their focus on integrating specialty pharmacy care to now include pharmacy needs within their hospitals to help improve patient outcomes and experiences. <Read More>
Management of Stage III Non–Small Cell Lung Cancer: ASCO Guideline Rapid Recommendation Update Clinical Insights – November 18, 2024 – Stage III non–small cell lung cancer (NSCLC) is a highly heterogeneous disease with a range of treatment options that have been highlighted in the ASCO guidelines (Figs 1 and 2).1-3 Historically, treatment was largely determined by resectability and nodal extent, without personalization on the basis of molecular subtype. Several recent trials favor molecular profile–guided precision therapy of both resectable and unresectable stage III NSCLC: highlighting the need for guideline-concordant biomarker testing for all patients with stage III NSCLC. In addition, new data address incorporation of perioperative immunotherapy, expanding treatment options for patients with resectable disease. This article provides additional context and insight into common clinical situations encountered by oncologists with a review of recent trials that update the standard of care for both resectable and unresectable stage III NSCLC. <Read More>
340B in the News
New Administration’s Impact on 340B Program: TBD – January 16, 2025 – How could the second Trump administration affect the federal 340B Drug Pricing Program? It’s yet to be determined, according to policy experts. Predicting how the election could ultimately affect the program “is above my pay grade,” joked Maureen Testoni, JD, the president and CEO of 340B Health, a nonprofit organization representing more than 1,500 hospitals and health systems that participate in the 340B program. However, during President-elect Donald Trump’s prior term, “we didn’t see a lot of action on 340B,” she said in a Nov. 19 press briefing. Early on in that administration, Medicare cut its reimbursement for Part B 340B drugs by nearly 30% and redistributed the money through higher payments for nondrug services to all hospitals paid under the Medicare Outpatient Prospective Payment System, Ms. Testoni said. But hospital associations sued over the cuts, and the U.S. Supreme Court overturned them in 2022. <Read More>
Clinical Insights: February 6, 2025
New Drug/Vaccine Approval
Journavx™ (suzetrigine) Tablets - formerly VX-548 – New Drug Approval – January 30, 2025 - The U.S. Food and Drug Administration approved Journavx™ (suzetrigine) 50 milligram oral tablets, a first-in-class non-opioid analgesic, to treat moderate to severe acute pain in adults. Journavx™ reduces pain by targeting a pain-signaling pathway involving sodium channels in the peripheral nervous system, before pain signals reach the brain. Journavx™ is the first drug to be approved in this new class of pain management medicines. <Read More>
Symbravo™ (meloxicam and rizatriptan) Tablets - formerly AXS-07 – New Drug Approval – January 30, 2025 - Axsome Therapeutics, Inc. (NASDAQ: AXSM), a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) disorders, announced that the U.S. Food and Drug Administration (FDA) has approved Symbravo® (meloxicam and rizatriptan) for the acute treatment of migraine with or without aura in adults. Symbravo® represents a novel multi-mechanistic approach to treating migraine that targets multiple pathways underlying a migraine attack. <Read More>
Grafapex™ (treosulfan) Lyophilized Powder for Injection – New Drug Approval – January 22, 2025 - Medexus Pharmaceuticals (TSX: MDP) (OTCQX: MEDXF) is pleased to provide a business update regarding the successful completion of the regulatory review process for Grafapex™ (treosulfan) for injection with the US Food and Drug Administration and, in addition, to announce preliminary estimates of the company's operating and financial results for the company's third fiscal quarter ended December 31, 2024 (which remain subject to completion of Medexus's financial closing procedures). All dollar amounts in this news release are in US dollars unless specified otherwise. <Read More>
Datroway® (datopotamab deruxtecan-dlnk) Lyophilized Powder for Injection – New Drug Approval – January 17, 2025 - The Food and Drug Administration approved datopotamab deruxtecan-dlnk (Datroway®, Daiichi Sankyo, Inc.), a Trop-2-directed antibody and topoisomerase inhibitor conjugate, for adult patients with unresectable or metastatic, hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative (IHC 0, IHC1+ or IHC2+/ISH-) breast cancer who have received prior endocrine-based therapy and chemotherapy for unresectable or metastatic disease. <Read More>
Opdivo® Qvantig™ (nivolumab and hyaluronidase-nvhy) Subcutaneous Injection – New Drug Approval – December 27, 2024 - The Food and Drug Administration approved nivolumab and hyaluronidase-nvhy (Opdivo® Qvantig™, Bristol Myers Squibb Company) for subcutaneous injection across approved adult, solid tumor nivolumab (Opdivo®, Bristol Myers Squibb Company) indications as monotherapy, monotherapy maintenance following completion of Opdivo® plus Yervoy® (ipilimumab) combination therapy, or in combination with chemotherapy or cabozantinib. <Read More>
Alhemo® (concizumab-mtci) Injection – New Drug Approval – December 20, 2024 - The U.S. Food and Drug Administration has approved Alhemo® (concizumab-mtci) for routine prophylaxis to prevent or reduce the frequency of bleeding episodes in adult and pediatric patients 12 years of age and older with hemophilia A with factor VIII inhibitors or hemophilia B with factor IX inhibitors. Alhemo® is injected subcutaneously (under the skin) daily. <Read More>
Alyftrek™ (deutivacaftor, tezacaftor and vanzacaftor) – New Drug Approval – December 20, 2024 - Vertex Pharmaceuticals Incorporated (Nasdaq: VRTX) announced that the U.S. Food and Drug Administration (FDA) has approved Alyftrek™ (vanzacaftor/tezacaftor/deutivacaftor), a once-daily next-in-class triple combination cystic fibrosis transmembrane conductance regulator (CFTR) modulator for the treatment of cystic fibrosis (CF) in people 6 years and older who have at least one F508del mutation or another mutation in the CFTR gene that is responsive to Alyftrek™. <Read More>
Tryngolza™ (olezarsen) Injection – New Drug Approval – December 19, 2024 - The U.S. Food and Drug Administration has approved Tryngolza™ (olezarsen), used with diet, to reduce triglycerides (TG) in adults with familial chylomicronemia syndrome (FCS). This is a first-in-class approval, meaning Tryngolza™ uses a new mechanism of action, or works differently in the body, than other therapies currently used to treat FCS. Tryngolza™ is injected subcutaneously (under the skin) once per month. <Read More>
Symvess™ (acellular tissue engineered vessel-tyod) for Surgical Vascular Implantation – New Drug Approval – December 19, 2024 - The U.S. Food and Drug Administration approved Symvess™, the first acellular tissue engineered vessel indicated for use in adults as a vascular conduit for extremity arterial injury when urgent revascularization (restoration of blood flow) is needed to avoid imminent limb loss, and autologous vein graft is not feasible. Vascular trauma occurs when a blood vessel is injured such as a rupture of an artery in the extremities, which can lead to serious, life-threatening complications such as hemorrhage or blood clotting. <Read More>
Ryoncil® (remestemcel-L-rknd) Cell Suspension for Intravenous Infusion – New Drug Approval – December 18, 2024 - The FDA approved remestemcel-L-rknd (brand name Ryoncil®), an allogeneic bone marrow-derived mesenchymal stromal cell therapy, for steroid-refractory acute graft versus host disease in pediatric patients 2 months of age and older. Ryoncil® is the first FDA-approved mesenchymal stromal cell therapy. <Read More>
Ensacove™ (ensartinib) Capsules – New Drug Approval – December 18, 2024 - The Food and Drug Administration approved ensartinib (Ensacove™, Xcovery Holdings, Inc.) for adult patients with anaplastic lymphoma kinase (ALK)-positive locally advanced or metastatic non-small cell lung cancer (NSCLC) who have not previously received an ALK-inhibitor. <Read More>
Crenessity™ (crinecerfont) Capsules and Oral Solution – New Drug Approval – December 13, 2024 - The U.S. Food and Drug Administration approved Crenessity™ (crinecerfont) to be used together with glucocorticoids (steroids) to control androgen (a testosterone-like hormone) levels in adults and pediatric patients 4 years of age and older with classic congenital adrenal hyperplasia (CAH). <Read More>
Unloxcyt™ (cosibelimab-ipdl) Injection – New Drug Approval – December 13, 2024 - The Food and Drug Administration approved cosibelimab-ipdl (Unloxcyt™, Checkpoint Therapeutics, Inc.), a programmed death ligand-1 (PD-L1) blocking antibody, for adults with metastatic cutaneous squamous cell carcinoma (mCSCC) or locally advanced CSCC (laCSCC) who are not candidates for curative surgery or curative radiation. <Read More>
Bizengri® (zenocutuzumab-zbco) Injection – New Drug Approval – December 4, 2024 - The Food and Drug Administration granted accelerated approval to zenocutuzumab-zbco (Bizengri®, Merus N.V.) for adults with the following: 1) advanced, unresectable, or metastatic non-small cell lung cancer (NSCLC) harboring a neuregulin 1 (NRG1) gene fusion with disease progression on or after prior systemic therapy, or 2) advanced, unresectable, or metastatic pancreatic adenocarcinoma harboring a NRG1 gene fusion with disease progression on or after prior systemic therapy. This represents the first FDA approval of a systemic therapy for patients with NSCLC or pancreatic adenocarcinoma harboring an NRG1 gene fusion. <Read More>
Attruby™ (acoramidis) Tablets – New Drug Approval – November 25, 2024 - The U.S. Food and Drug Administration has approved Attruby™ (acoramidis) to treat adults with cardiomyopathy (disorder that affects heart muscle) of wild-type or variant (hereditary) transthyretin-mediated amyloidosis (ATTR-CM) to reduce death and hospitalization related to heart problems. ATTR-CM is a rare and serious disease that affects the heart muscle. In patients with ATTR-CM, there is a build-up of protein deposits in the heart, causing the walls of the heart to become stiff, and making the left ventricle unable to properly relax and fill with blood (called cardiomyopathy). As the condition progresses, the heart can become unable to pump blood out adequately, causing heart failure. <Read More>
Imkeldi™ (imatinib mesylate) Oral Solution – New Drug Approval – November 22, 2024 - Shorla Oncology (‘Shorla’), a U.S.-Ireland specialty pharmaceutical company, announced that the FDA has approved Imkeldi™ (imatinib) oral solution, the first oral liquid form of imatinib to treat certain forms of leukemia and other cancers. “We are thrilled to offer an oral solution option for patients with leukemia and other cancers, a meaningful advancement for thousands in need,” said Sharon Cunningham, chief executive officer of Shorla. “Oral solutions may ensure more precise and consistent dosing, offering a convenient alternative to compounding for patients who have difficulty swallowing or require dosing tailored to body surface area.” <Read More>
Rapiblyk™ (landiolol) Lyophilized Powder for Injection – New Drug Approval – November 22, 2024 - AOP Orphan Pharmaceuticals GmbH (AOP Health), based in Vienna, Austria, announced that the U.S. Food and Drug Administration (FDA) has granted regulatory approval for Rapiblyk™ (landiolol) in the hospital critical care setting for the treatment of the severe heart condition supraventricular tachycardia (atrial fibrillation and atrial flutter). The approval is based on clinical studies which demonstrated that Rapiblyk™ (landiolol) enables rapid management of the heart rate with minimal reduction of blood pressure. The approval will provide patients in the U.S. with a new treatment option and is an important step for AOP Health in bringing its mission to help patients and make an impact on rare diseases and critical care to the United States for the first time. <Read More>
New Indication/Dosage/Formulation Approval
Enhertu® (fam-trastuzumab deruxtecan-nxki) Injection – New Label Expansion – January 28, 2025 – AstraZeneca and Daiichi Sankyo’s Enhertu® (trastuzumab deruxtecan) has been approved in the US for the treatment of adult patients with unresectable or metastatic hormone receptor (HR)-positive, HER2-low (IHC 1+ or IHC 2+/ISH-) or HER2-ultralow (IHC 0 with membrane staining) breast cancer, as determined by a Food and Drug Administration (FDA)-approved test, that has progressed on one or more endocrine therapies in the metastatic setting. <Read More>
Ozempic® (semaglutide) Injection – New Label Expansion – January 28, 2025 – Novo Nordisk announced that the U.S. Food and Drug Administration (FDA) has approved Ozempic® to reduce the risk of kidney disease worsening, kidney failure (end-stage kidney disease), and death due to cardiovascular disease in adults with type 2 diabetes and chronic kidney disease (CKD). This approval, along with its existing indications for adults with type 2 diabetes to improve glycemic control and to reduce the risk of major cardiovascular events in adults also with known heart disease, establishes Ozempic® (semaglutide) injection 0.5 mg, 1 mg, or 2 mg as the most broadly indicated glucagon-like peptide-1 receptor agonist (GLP-1 RA) in its class. <Read More>
Leqembi® (lecanemab-irmb) Injection – New Label Expansion – January 27, 2025 – Eisai Co., Ltd. (Headquarters: Tokyo, CEO: Haruo Naito, “Eisai”) and Biogen Inc. (NASDAQ: BIIB, Corporate headquarters: Cambridge, Massachusetts, CEO: Christopher A. Viehbacher, “Biogen”) announced that the U.S. Food and Drug Administration (FDA) has approved the Supplemental Biologics License Application (sBLA) for once every four weeks lecanemab-irmb (U.S. brand name: Leqembi®) intravenous (IV) maintenance dosing. Leqembi® is indicated for the treatment of Alzheimer's disease (AD) in patients with mild cognitive impairment (MCI) or mild dementia stage of disease (collectively referred to as early AD) in the U.S. After 18 months of once every two weeks initiation phase, a transition to the maintenance dosing regimen of 10 mg/kg once every four weeks may be considered or the regimen of 10 mg/kg once every two weeks may be continued. <Read More>
Spravato® (esketamine) Nasal Spray – New Label Expansion – January 17, 2025 – Johnson & Johnson (NYSE: JNJ) announced the U.S. Food and Drug Administration (FDA) approval of a supplemental New Drug Application (sNDA) for Spravato® (esketamine) CIII nasal spray, making this innovative treatment the first and only monotherapy for adults living with major depressive disorder (MDD) who have had an inadequate response to at least two oral antidepressants. <Read More>
Lumakras® (sotorasib) Tablets – New Label Expansion – January 16, 2025 – The Food and Drug Administration approved sotorasib (Lumakras®, Amgen Inc.) with panitumumab (Vectibix®, Amgen Inc.) for adult patients with KRAS G12C-mutated metastatic colorectal cancer (mCRC), as determined by an FDA-approved test, who have received prior fluoropyrimidine-, oxaliplatin-, and irinotecan-based chemotherapy. <Read More>
Calquence® (acalabrutinib) Capsules and Tablets – New Label Expansion – January 16, 2025 – AstraZeneca’s Calquence® (acalabrutinib) in combination with bendamustine and rituximab has been approved in the US for the treatment of adult patients with previously untreated mantle cell lymphoma (MCL) who are ineligible for autologous hematopoietic stem cell transplantation. The approval was granted by the Food and Drug Administration (FDA) after securing Priority Review. It was based on results from the ECHO Phase III trial which were presented at the European Hematology Association 2024 Congress. <Read More>
Omvoh® (mirikizumab-mrkz) Injection – New Label Expansion – January 15, 2025 – Eli Lilly and Company (NYSE: LLY) announced that the U.S. Food and Drug Administration (FDA) has approved Omvoh® (mirikizumab-mrkz) for the treatment of moderately to severely active Crohn's disease in adults. Omvoh® is now approved in the U.S. for two types of inflammatory bowel disease (IBD), following its October 2023 approval as a first-in-class treatment for moderately to severely active ulcerative colitis (UC) in adults. <Read More>
Niktimvo™ (axatilimab-csfr) Injection – New Label Expansion – January 15, 2025 – Incyte (NASDAQ:INCY) and Syndax Pharmaceuticals (Nasdaq:SNDX) announced that the U.S. Food and Drug Administration (FDA) has approved Niktimvo™ (axatilimab-csfr) in 9 mg and 22 mg vial sizes. The Companies expect product to be available for order in the U.S. in early February. Niktimvo™ is approved for the treatment of chronic graft-versus-host disease (GVHD) after failure of at least two prior lines of systemic therapy in adult and pediatric patients weighing at least 40 kg (88.2 lbs). Niktimvo™ is the first and only FDA-approved prescription treatment for chronic GVHD that targets CSF-1R to reduce the drivers of inflammation and fibrosis. <Read More>
Tevimbra® (tislelizumab-jsgr) Injection – New Label Expansion – December 26, 2024 – BeiGene, Ltd. (NASDAQ: BGNE; HKEX: 06160; SSE: 688235), a global oncology company that intends to change its name to BeOne Medicines Ltd., announced the U.S. Food and Drug Administration (FDA) has approved Tevimbra® (tislelizumab-jsgr), in combination with platinum and fluoropyrimidine-based chemotherapy, for the first-line treatment of unresectable or metastatic HER2-negative gastric or gastroesophageal junction adenocarcinoma (G/GEJ) in adults whose tumors express PD-L1 (≥1). <Read More>
Zepbound® (tirzepatide) Injection – New Label Expansion – December 20, 2024 – Eli Lilly and Company (NYSE: LLY) announced the U.S. Food and Drug Administration (FDA) approved Zepbound® (tirzepatide) as the first and only prescription medicine for adults with moderate-to-severe obstructive sleep apnea (OSA) and obesity. Zepbound® may help adults with moderate-to-severe obstructive sleep apnea and obesity improve their sleep disorder. It should be used with a reduced-calorie diet and increased physical activity. <Read More>
Braftovi® (encorafenib) Capsules – New Label Expansion – December 20, 2024 – Pfizer Inc. (NYSE: PFE) announced that the U.S. Food and Drug Administration (FDA) has approved Braftovi® (encorafenib) in combination with cetuximab (marketed as Erbitux®) and mFOLFOX6 (fluorouracil, leucovorin, and oxaliplatin) for the treatment of patients with metastatic colorectal cancer (mCRC) with a BRAF V600E mutation, as detected by an FDA-approved test. <Read More>
Trikafta® (elexacaftor/tezacaftor/ivacaftor and ivacaftor) Tablets and Oral Granules – New Label Expansion – December 20, 2024 – Vertex Pharmaceuticals Incorporated (Nasdaq: VRTX) announced the U.S. Food and Drug Administration (FDA) has approved the expanded use of Trikafta® (elexacaftor/tezacaftor/ivacaftor and ivacaftor) for the treatment of people with cystic fibrosis (CF) ages 2 and older who have at least one F508del mutation in the cystic fibrosis transmembrane conductance regulator (CFTR) gene or a mutation that is responsive to Trikafta® based on clinical and/or in vitro data. In addition, safety information on liver injury and liver failure has been updated from warnings and precautions to a boxed warning. With this approval, 94 additional non-F508del CFTR mutations have been added to the Trikafta® label, and approximately 300 additional people with CF in the U.S. are now eligible for a medicine to treat the underlying cause of their disease for the first time. <Read More>
Imcivree® (setmelanotide) Injection – New Label Expansion – December 20, 2024 – Rhythm Pharmaceuticals, Inc. (Nasdaq: RYTM), a commercial-stage biopharmaceutical company focused on transforming the lives of patients living with rare neuroendocrine diseases, announced that the U.S. Food and Drug Administration (FDA) has approved an expanded indication for Imcivree® (setmelanotide) to include children as young as 2 years old. Imcivree® is indicated to reduce excess body weight and maintain weight reduction long-term in patients 2 years of age and older with syndromic or monogenic obesity due to Bardet-Biedl syndrome (BBS) or genetically confirmed pro-opiomelanocortin (POMC), including proprotein convertase subtilisin/kexin type 1 (PCSK1), deficiency or leptin receptor (LEPR) deficiency. <Read More>
Gemtesa® (vibegron) Tablets – New Label Expansion – December 18, 2024 – Sumitomo Pharma America, Inc. (SMPA) announced that the U.S. Food and Drug Administration (FDA) has approved Gemtesa® (vibegron), a beta-3 (β3) adrenergic receptor agonist, dosed once-daily (75 mg), for the treatment of men with overactive bladder (OAB) symptoms, such as urge urinary incontinence, urgency, and urinary frequency, who are receiving pharmacological therapy for benign prostatic hyperplasia (BPH). This approval marks Gemtesa® as the first and only β3 agonist approved to treat patients living with OAB and being treated for BPH. It is currently available for prescription in the U.S. <Read More>
Nemluvio® (nemolizumab) for Injection – New Label Expansion – December 13, 2024 – Galderma announced that the United States (U.S.) Food and Drug Administration (FDA) has approved Nemluvio® (nemolizumab) for the treatment of patients 12 years and older with moderate-to-severe atopic dermatitis, in combination with topical corticosteroids (TCS) and/or calcineurin inhibitors (TCI) when the disease is not adequately controlled with topical prescription therapies. This follows the recent U.S. FDA approval of Nemluvio® for subcutaneous injection for the treatment of adults with prurigo nodularis in August 2024. <Read More>
Vtama® (tapinarof) Cream – New Label Expansion – December 12, 2024 – Organon (NYSE: OGN), a global healthcare company with a mission to improve the health of women throughout their lives, announced that the U.S. Food and Drug Administration (FDA) has approved Vtama® (tapinarof) cream, 1%, an aryl hydrocarbon receptor agonist, for an additional indication of the topical treatment of atopic dermatitis (AD) in adults and pediatric patients 2 years of age and older. Organon received the FDA approval prior to its extended target action date (PDUFA) of March 12, 2025. <Read More>
Imfinzi® (durvalumab) Injection – New Label Expansion – December 4, 2024 – AstraZeneca’s Imfinzi® (durvalumab) has been approved in the US for the treatment of adult patients with limited-stage small cell lung cancer (LS-SCLC) whose disease has not progressed following concurrent platinum-based chemotherapy and radiation therapy. The approval was granted by the Food and Drug Administration (FDA) after securing Priority Review and Breakthrough Therapy Designation. It was based on results from the ADRIATIC Phase III trial which were presented during the Plenary Session of the 2024 American Society of Clinical Oncology (ASCO) Annual Meeting and subsequently published in the New England Journal of Medicine. <Read More>
Acetadote® (acetylcysteine) Injection – New Label Expansion – November 26, 2024 – Cumberland Pharmaceuticals Inc. (Nasdaq: CPIX), a specialty pharmaceutical company focused on delivering high-quality products to improve patient care, announced the FDA has approved a supplemental New Drug Application (sNDA) for its Acetadote® (N-acetylcysteine for injection) product. Acetadote® is an intravenous (IV) formulation of N-acetylcysteine (NAC) indicated to prevent or lessen liver injury after ingestion of potentially toxic quantities of acetaminophen. <Read More>
Bimzelx® (bimekizumab-bkzx) Injection – New Label Expansion – November 20, 2024 – UCB, a global biopharmaceutical company, announced that the U.S. Food and Drug Administration (FDA) has approved Bimzelx® (bimekizumab-bkzx) for the treatment of adults with moderate to severe hidradenitis suppurativa (HS). Bimekizumab-bkzx is the first and only approved medicine designed to selectively inhibit interleukin 17F (IL-17F) in addition to interleukin 17A (IL-17A). <Read More>
New Drug Shortage
January 31, 2025
Epoprostenol Sodium Injection (Discontinuation)
January 30, 2025
Ramipril Capsule (Discontinuation)
January 28, 2025
Donepezil Hydrochloride Tablet (Discontinuation)
Lidocaine Ointment (Discontinuation)
Lidocaine Ointment (Discontinuation)
Teriflunomide Tablet (Discontinuation)
January 27, 2025
Bendamustine Hydrochloride Injection (Discontinuation)
January 24, 2025
Peginterferon alfa-2a Injection (Currently In Shortage)
Updated Drug Shortage
January 28, 2025
Amoxapine Tablet (Resolved)
January 27, 2025
Atropine Sulfate Injection (Currently In Shortage)
Bupivacaine Hydrochloride Injection (Currently In Shortage)
Bupivacaine Hydrochloride, Epinephrine Bitartrate Injection (Currently In Shortage)
Clindamycin Phosphate Injection (Currently In Shortage)
Dexmedetomidine Hydrochloride Injection (Currently In Shortage)
Dextrose 50% Injection (Currently In Shortage)
Dextrose Monohydrate 5% Injection (Currently In Shortage)
Dobutamine Hydrochloride Injection (Currently In Shortage)
Dopamine Hydrochloride Injection (Currently In Shortage)
Epinephrine Bitartrate, Lidocaine Hydrochloride Injection (Currently In Shortage)
Etomidate Injection (Currently In Shortage)
Heparin Sodium Injection (Currently In Shortage)
Hydrocortisone Sodium Succinate Injection (Currently In Shortage)
Hydromorphone Hydrochloride Injection (Currently In Shortage)
Ketamine Hydrochloride Injection (Currently In Shortage)
Lidocaine Hydrochloride Injection (Currently In Shortage)
Lorazepam Injection (Currently In Shortage)
Methotrexate Sodium Injection (Currently In Shortage)
Methylprednisolone Acetate Injection (Currently In Shortage)
Midazolam Hydrochloride Injection (Currently In Shortage)
Morphine Sulfate Injection (Currently In Shortage)
Penicillin G Benzathine Injection (Currently In Shortage)
Sodium Acetate Injection (Currently In Shortage)
Sodium Bicarbonate Injection (Currently In Shortage)
Sodium Chloride 0.9% Injection (Currently In Shortage)
Sodium Chloride 23.4% Injection (Currently In Shortage)
Sterile Water Injection (Currently In Shortage)
January 24, 2025
Amphetamine Aspartate Monohydrate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate Tablet (Currently In Shortage)
Dopamine Hydrochloride Injection (Currently In Shortage)
Etomidate Injection (Currently In Shortage)
Fentanyl Citrate Injection (Currently In Shortage)
Hydromorphone Hydrochloride Injection (Currently In Shortage)
Ketamine Hydrochloride Injection (Currently In Shortage)
Leucovorin Calcium Injection (Currently In Shortage)
Lidocaine Hydrochloride Injection (Currently In Shortage)
Midazolam Hydrochloride Injection (Currently In Shortage)
Morphine Sulfate Injection (Currently In Shortage)
Promethazine Hydrochloride Injection (Currently In Shortage)
January 23, 2025
Amoxapine Tablet (Currently In Shortage)
Amoxicillin Powder, For Suspension (Currently In Shortage)
Amphetamine Aspartate Monohydrate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate Tablet (Currently In Shortage)
Azacitidine Injection (Currently In Shortage)
Carboplatin Injection (Currently In Shortage)
Clonazepam Tablet (Currently In Shortage)
Hydromorphone Hydrochloride Injection (Currently In Shortage)
Lisdexamfetamine Dimesylate Capsule (Currently In Shortage)
Mefloquine Hydrochloride Tablet (Currently In Shortage)
Methotrexate Sodium Injection (Currently In Shortage)
Methylphenidate Hydrochloride Tablet, Extended Release (Currently In Shortage)
Oxazepam Capsule (Currently In Shortage)
Streptozocin Powder, For Solution (Currently In Shortage)
January 22, 2025
Dexmedetomidine Hydrochloride Injection (Currently In Shortage)
Vecuronium Bromide Injection (Resolved)
New Drug Recall and Safety Alerts
Fentanyl Transdermal System 25 mcg/h by Alvogen – New Voluntary Recall – January 31, 2025 - Alvogen, Inc. is voluntarily recalling one lot of Fentanyl Transdermal System 25 mcg/h transdermal patches to the consumer level. The reason for the recall is that there is a potential that patches could be multi-stacked, adhered one on top of the other, in a single product pouch. This transdermal system is manufactured by Kindeva Drug Delivery L.P., Northridge, CA and is distributed by Alvogen, Inc. as a private label distributor. <Read More>
Phenylephrine Hydrochloride Injection, USP, 10 mg/ mL (Pharmacy Bulk Package) by Provepharm Inc. – New Voluntary Recall – January 24, 2025 - Provepharm Inc. is voluntarily recalling lot number 24020027; Expiry Date December 2025 of Phenylephrine hydrochloride Injection, USP, 10 mg/ mL (Pharmacy Bulk Package) at the hospital/institutional level. This recall was initiated based on a customer complaint from a pharmacy after observing a visible black particulate matter found in a single-sealed vial of the product. <Read More>
New Generic/Biosimilar Approval and Launch
Avtozma® (tocilizumab-anoh) Injection – New Actemra® Biosimilar Approval – January 30, 2025 - Celltrion announced that the U.S. Food and Drug Administration (FDA) has approved Avtozma® (CT-P47, tocilizumab-anoh) in both an intravenous (IV) and subcutaneous (SC) formulation as a biosimilar to Actemra®. Avtozma® is indicated for the treatment of multiple diseases including rheumatoid arthritis (RA), giant cell arteritis (GCA), polyarticular juvenile idiopathic arthritis (pJIA), systemic juvenile idiopathic arthritis (sJIA) and coronavirus disease (COVID-19). <Read More>
Steqeyma® (ustekinumab-stba) Injection – New Stelara® Biosimilar Approval – December 17, 2024 - Celltrion announced that the U.S. Food and Drug Administration (FDA) has approved Steqeyma® (ustekinumab-stba), a biosimilar to Stelara® (ustekinumab), for subcutaneous injection or intravenous infusion in adult and pediatric patients with plaque psoriasis and psoriatic arthritis, as well as adult patients with Crohn's disease and ulcerative colitis. <Read More>
Yesintek™ (ustekinumab-kfce) Injection – New Stelara® Biosimilar Approval – November 29, 2024 – Biocon Biologics Ltd (BBL), a fully integrated global biosimilars company and subsidiary of Biocon Ltd (BSE code: 532523, NSE: BIOCON), announced that the U.S. Food and Drug Administration (FDA) has approved Yesintek™ (ustekinumab-kfce), a biosimilar to the reference product, Stelara® (ustekinumab). <Read More>
Clinical and Pharmacy News
Guidelines Call for Widespread Type 1 Diabetes Screening in Children – February 4, 2025 – A University of Florida Health physician-scientist led an international team of Type 1 diabetes experts who recently developed new treatment guidelines emphasizing wider screening for the disease among children and adolescents in the general population before symptoms arise. That would include screening the young relatives of those with Type 1 diabetes, such as siblings, because they are at higher genetic risk of developing diabetes. The effort was led by Michael Haller, M.D., chief of pediatric endocrinology in the UF College of Medicine's Department of Pediatrics and a member of the UF Diabetes Institute. The guidelines cover screening, staging, and strategies to preserve beta cell function in children and adolescents with Type 1 diabetes. <Read More>
Trump Tariffs Will Escalate Costs and Disrupt the Medical Supply Chain, Industry Execs Warn – February 3, 2025 – Double-digit tariffs, if they take effect as proposed, threaten to escalate healthcare costs, disrupt supply chains and create affordability challenges for patients, healthcare executives say. President Donald Trump on Saturday signed executive orders intending to impose sweeping tariffs on the country’s three largest trading partners. The Trump administration imposed 25% tariffs on imports from Canada and Mexico plus a 10% tariff on Chinese imports. <Read More>
Automated Follow-up Alerts Pharmacists to Cancer Patients’ Needs – January 28, 2025 – Early automated follow-up of cancer patients can help pharmacists more efficiently manage side effects of oral oncolytic medications, according to data presented at the ASHP Midyear 2024 Clinical Meeting & Exhibition, in New Orleans (poster 4-058). To improve adverse event (AE) detection and prevention, a team from Vanderbilt University Medical Center’s Specialty Pharmacy, in Nashville Tenn., sent an electronic early monitoring questionnaire to patients who were starting oral anticancer treatment. The questionnaire, distributed via the patient portal inbox, “resulted in higher [rates of], and faster time to, pharmacists identifying and addressing AEs from newly initiated oral anticancer therapy in patients who responded compared to those who did not respond or were in the usual-care arm,” explained presenter Brooke Looney, PharmD, CSP, the oncology/hematology clinical lead at Vanderbilt. <Read More>
AI’s Potential in Women’s Health Exciting, Says Gates Foundation Leader – January 21, 2025 – The health disparity between women and men is a pressing global challenge, experts highlighted in a discussion at the World Economic Forum Annual Meeting 2025 in Switzerland. Despite comprising half the global population, women spend 25% more of their lives in poor health compared to men, according to a 2024 report by the World Economic Forum and McKinsey Health Institute. Addressing this gap could not only improve millions of lives, but also add at least $1trn to the global economy annually by 2040, said Anita Zaidi, president of gender equality at the Bill & Melinda Gates Foundation, quoting the report. Innovations in artificial intelligence (AI), digital health tools, and cross-sector collaboration are expected to help bridge this disparity. <Read More>
Will PBM Reform Save Pharmacies From Closing? – January 15, 2025 – In May 2024, nearly 90% of pharmacies were closed for a day as thousands of pharmacists protested over “over drug shortages, pharmacy closures and fears medications could be sold online, as well as higher pay.” More recently in November 2024, pharmacy owners voted in favor of cutting hours and stopping home deliveries in a protest over funding. Given multiple recent news articles saying that pharmacies are struggling amid problems caused by pharmacy benefit managers (PBMs) , you might not be surprised by these examples. However, these two news stores are not from the U.S. They are from France and the United Kingdom — two countries that do not have the large PBMs that are frequently criticized in America. <Read More>
Despite Risks and Scant Evidence, Muscle Relaxants Still Used to Treat Chronic Pain – January 14, 2025 – The CDC has guidelines recommending that clinicians avoid using opioids to manage chronic noncancer pain. Now data published in JAMA Network Open indicate that as physicians heed opioid guidelines, prescriptions for skeletal muscle relaxants (SMRs) for chronic pain have risen—despite risks posed by SMRs and a lack of evidence supporting their long-term use (JAMA Network Open 2024;7[9]:e2434835). “This means that, when thinking about using muscle relaxants for chronic pain conditions, we should be vigilant and cautious,” said study author Benjamin J. Oldfield, MD, an internal medicine/pediatric specialist at the Yale School of Medicine, in New Haven, Conn. “As physicians, it may not be the right option to prescribe, and to continue to refill, muscle relaxants for the majority of chronic pain conditions.” <Read More>
Drugmakers Hiked Prices for Hundreds of Drugs in Early January – January 14, 2025 – Drugmakers raised the list prices on 575 name-brand drugs in just the first two days of the new year, according to drug price research firm 46brooklyn. Drugs for diabetes, HIV, cancer saw price hikes, among others. For years a 10% annual price hike was fairly normal, but they've started coming down in recent years. This year's median price hike so far is only 4%, says Antonio Ciaccia, CEO of 46brooklyn. "While it's early, if that number held throughout the year, that would make it the lowest median price increase in over a decade," says Ciaccia. January is typically a popular time to raise prices on brand name drugs, but companies can raise them throughout the year. There could even be more later this month, he says. <Read More>
Clearing the Path for New Uses for Generic Drugs – January 9, 2025 – Repurposing generic drugs as new treatments for life-threatening diseases is an exciting yet largely overlooked opportunity due to a lack of market-driven incentives. The low profit margins for generic drugs mean that pharmaceutical companies rarely invest in research, regulatory efforts, and marketing for new uses. Nonprofit organizations and other non-commercial non-manufacturers are increasing efforts to repurpose widely available generic drugs and rapidly expand affordable treatment options for patients. <Read More>
Pharmacological Treatment in Autism: A Proposal for Guidelines on Common Co-Occurring Psychiatric Symptoms – January 7, 2025 – The prevalence of autism spectrum disorder (ASD) has surged, with an estimated 1 in 36 eight-year-olds in the United States meeting criteria for ASD in 2020. Autistic individuals face elevated rates of co-occurring medical, psychiatric, and behavioral conditions compared to non-autistic individuals. The rising ASD-patient demand is increasingly outpacing the capacity of ASD-specialty clinics, resulting in urgent need for autism-competent providers in general practice settings. This work aims to empower healthcare providers, especially primary care providers (PCPs), with guidelines for the recognition and safe pharmacologic management of common co-occurring psychiatric and behavioral conditions in ASD. <Read More>
Senate Introduces Bipartisan Bill to Ban Co‑ownership of Pharmacies and Pharmacy Benefits Managers – December 13, 2024 – Senators Elizabeth Warren, D-Mass., and Josh Hawley, R-Mo., introduced in the Senate the Patients Before Monopolies Act (PBM Act), a bill “[t]o prohibit pharmacy benefit managers and pharmacies from being under common ownership, and for other purposes.” The PBM Act would make it unlawful for any person to “own, operate, control, or direct the operation of” any type of pharmacy if that person also “own[s], operate[s], or control[s]” an insurance company or pharmacy benefits manager (PBM). This bill follows nearly a year of heightened government scrutiny of PBMs and allegations of harm resulting from vertical integration and price fixing. If passed, the PBM Act would prevent PBMs and payors from being in a position of control over pharmacies through which they can affect the competitive harms alleged. <Read More>
Drugmakers and Pharmacists Battle Over Who Gets to Make Obesity Drugs – December 12, 2024 – Ozempic® and similar drugs for Type 2 diabetes and weight loss are in such high demand that the drugmakers have had a hard time keeping up. So compounding pharmacies stepped in to fill the gap, making their own versions of the drugs for more than two years. The compounded versions are especially popular as cheaper alternatives for people whose insurance doesn't cover them. But now the brand name manufacturers are pushing the compounding pharmacies to stop. Novo Nordisk and Eli Lilly are moving to end compounding of their medicines for good. <Read More>
Pharmacists’ Key Role in the Management of Humira Biosimilars – November 27, 2024 – The introduction of adalimumab (Humira®, AbbVie) biosimilars to the US market in 2023 brought significant changes for providers, patients, and pharmacies. Since its introduction in 2002, Humira has been one of the world’s bestselling drugs for treating inflammatory conditions…Pharmacists have been challenged in managing the complexity of switching patients from the reference product to various biosimilars, including navigating clinical appropriateness, education, insurance, affordability, and several practical hurdles. We aim to provide an update on what is new, what we have learned over the past 12 months, and what we are anticipating in the Humira biosimilar market. <Read More>
ASTRO Releases Updated Guidelines for Treating Locally Advanced Rectal Cancer – November 25, 2024 – The American Society for Radiation Oncology (ASTRO) issued an updated clinical guideline for physicians who use radiation therapy to treat patients with locally advanced rectal cancer. This update incorporates new data on patient selection and best practices from several practice-changing clinical trials published since the prior guideline was issued in 2020. The updated ASTRO guideline is published in Practical Radiation Oncology. <Read More>
Top Three Pharmacy Benefit Managers Will Face FTC in Joint Trial for Insulin Rebate Cases – November 20, 2024 – Administrative Law Judge D. Michael Chappell ordered that the country’s largest pharmacy benefit managers (PBMs) have to face the FTC together in an administrative case. The case alleges that the three largest PBMs―Caremark, Express Scripts and OptumRX―used unfair rebate schemes to artificially inflate the price of insulin. In mid-October, the PBMs each moved for separate proceedings, arguing that a consolidated trial could create confusion. The judge held that the factual differences in each of the cases were “minimal and manageable.” Judge Chappell noted that many of the respondents’ arguments regarding confusion of the evidence cited to authority regarding jury trials, but the current case is a bench trial. <Read More>
Market Trends to Watch for Health Systems and Their Specialty Pharmacies – November 18, 2024 – The overall market for specialty medications has grown dramatically over the past decade, and that trend is expected to continue for at least the next five years. Health systems, patients and pharmacies will experience shifting market dynamics that add challenges to providing specialty care, including price increases, an aging population driving increased utilization and a growing wave of innovative therapies that add new patients to the specialty pool. In response, health systems have sharpened their focus on integrating specialty pharmacy care to now include pharmacy needs within their hospitals to help improve patient outcomes and experiences. <Read More>
Management of Stage III Non–Small Cell Lung Cancer: ASCO Guideline Rapid Recommendation Update Clinical Insights – November 18, 2024 – Stage III non–small cell lung cancer (NSCLC) is a highly heterogeneous disease with a range of treatment options that have been highlighted in the ASCO guidelines (Figs 1 and 2).1-3 Historically, treatment was largely determined by resectability and nodal extent, without personalization on the basis of molecular subtype. Several recent trials favor molecular profile–guided precision therapy of both resectable and unresectable stage III NSCLC: highlighting the need for guideline-concordant biomarker testing for all patients with stage III NSCLC. In addition, new data address incorporation of perioperative immunotherapy, expanding treatment options for patients with resectable disease. This article provides additional context and insight into common clinical situations encountered by oncologists with a review of recent trials that update the standard of care for both resectable and unresectable stage III NSCLC. <Read More>
340B in the News
New Administration’s Impact on 340B Program: TBD – January 16, 2025 – How could the second Trump administration affect the federal 340B Drug Pricing Program? It’s yet to be determined, according to policy experts. Predicting how the election could ultimately affect the program “is above my pay grade,” joked Maureen Testoni, JD, the president and CEO of 340B Health, a nonprofit organization representing more than 1,500 hospitals and health systems that participate in the 340B program. However, during President-elect Donald Trump’s prior term, “we didn’t see a lot of action on 340B,” she said in a Nov. 19 press briefing. Early on in that administration, Medicare cut its reimbursement for Part B 340B drugs by nearly 30% and redistributed the money through higher payments for nondrug services to all hospitals paid under the Medicare Outpatient Prospective Payment System, Ms. Testoni said. But hospital associations sued over the cuts, and the U.S. Supreme Court overturned them in 2022. <Read More>
Clinical Insights: February 6, 2025
New Drug/Vaccine Approval
Journavx™ (suzetrigine) Tablets - formerly VX-548 – New Drug Approval – January 30, 2025 - The U.S. Food and Drug Administration approved Journavx™ (suzetrigine) 50 milligram oral tablets, a first-in-class non-opioid analgesic, to treat moderate to severe acute pain in adults. Journavx™ reduces pain by targeting a pain-signaling pathway involving sodium channels in the peripheral nervous system, before pain signals reach the brain. Journavx™ is the first drug to be approved in this new class of pain management medicines. <Read More>
Symbravo™ (meloxicam and rizatriptan) Tablets - formerly AXS-07 – New Drug Approval – January 30, 2025 - Axsome Therapeutics, Inc. (NASDAQ: AXSM), a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) disorders, announced that the U.S. Food and Drug Administration (FDA) has approved Symbravo® (meloxicam and rizatriptan) for the acute treatment of migraine with or without aura in adults. Symbravo® represents a novel multi-mechanistic approach to treating migraine that targets multiple pathways underlying a migraine attack. <Read More>
Grafapex™ (treosulfan) Lyophilized Powder for Injection – New Drug Approval – January 22, 2025 - Medexus Pharmaceuticals (TSX: MDP) (OTCQX: MEDXF) is pleased to provide a business update regarding the successful completion of the regulatory review process for Grafapex™ (treosulfan) for injection with the US Food and Drug Administration and, in addition, to announce preliminary estimates of the company's operating and financial results for the company's third fiscal quarter ended December 31, 2024 (which remain subject to completion of Medexus's financial closing procedures). All dollar amounts in this news release are in US dollars unless specified otherwise. <Read More>
Datroway® (datopotamab deruxtecan-dlnk) Lyophilized Powder for Injection – New Drug Approval – January 17, 2025 - The Food and Drug Administration approved datopotamab deruxtecan-dlnk (Datroway®, Daiichi Sankyo, Inc.), a Trop-2-directed antibody and topoisomerase inhibitor conjugate, for adult patients with unresectable or metastatic, hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative (IHC 0, IHC1+ or IHC2+/ISH-) breast cancer who have received prior endocrine-based therapy and chemotherapy for unresectable or metastatic disease. <Read More>
Opdivo® Qvantig™ (nivolumab and hyaluronidase-nvhy) Subcutaneous Injection – New Drug Approval – December 27, 2024 - The Food and Drug Administration approved nivolumab and hyaluronidase-nvhy (Opdivo® Qvantig™, Bristol Myers Squibb Company) for subcutaneous injection across approved adult, solid tumor nivolumab (Opdivo®, Bristol Myers Squibb Company) indications as monotherapy, monotherapy maintenance following completion of Opdivo® plus Yervoy® (ipilimumab) combination therapy, or in combination with chemotherapy or cabozantinib. <Read More>
Alhemo® (concizumab-mtci) Injection – New Drug Approval – December 20, 2024 - The U.S. Food and Drug Administration has approved Alhemo® (concizumab-mtci) for routine prophylaxis to prevent or reduce the frequency of bleeding episodes in adult and pediatric patients 12 years of age and older with hemophilia A with factor VIII inhibitors or hemophilia B with factor IX inhibitors. Alhemo® is injected subcutaneously (under the skin) daily. <Read More>
Alyftrek™ (deutivacaftor, tezacaftor and vanzacaftor) – New Drug Approval – December 20, 2024 - Vertex Pharmaceuticals Incorporated (Nasdaq: VRTX) announced that the U.S. Food and Drug Administration (FDA) has approved Alyftrek™ (vanzacaftor/tezacaftor/deutivacaftor), a once-daily next-in-class triple combination cystic fibrosis transmembrane conductance regulator (CFTR) modulator for the treatment of cystic fibrosis (CF) in people 6 years and older who have at least one F508del mutation or another mutation in the CFTR gene that is responsive to Alyftrek™. <Read More>
Tryngolza™ (olezarsen) Injection – New Drug Approval – December 19, 2024 - The U.S. Food and Drug Administration has approved Tryngolza™ (olezarsen), used with diet, to reduce triglycerides (TG) in adults with familial chylomicronemia syndrome (FCS). This is a first-in-class approval, meaning Tryngolza™ uses a new mechanism of action, or works differently in the body, than other therapies currently used to treat FCS. Tryngolza™ is injected subcutaneously (under the skin) once per month. <Read More>
Symvess™ (acellular tissue engineered vessel-tyod) for Surgical Vascular Implantation – New Drug Approval – December 19, 2024 - The U.S. Food and Drug Administration approved Symvess™, the first acellular tissue engineered vessel indicated for use in adults as a vascular conduit for extremity arterial injury when urgent revascularization (restoration of blood flow) is needed to avoid imminent limb loss, and autologous vein graft is not feasible. Vascular trauma occurs when a blood vessel is injured such as a rupture of an artery in the extremities, which can lead to serious, life-threatening complications such as hemorrhage or blood clotting. <Read More>
Ryoncil® (remestemcel-L-rknd) Cell Suspension for Intravenous Infusion – New Drug Approval – December 18, 2024 - The FDA approved remestemcel-L-rknd (brand name Ryoncil®), an allogeneic bone marrow-derived mesenchymal stromal cell therapy, for steroid-refractory acute graft versus host disease in pediatric patients 2 months of age and older. Ryoncil® is the first FDA-approved mesenchymal stromal cell therapy. <Read More>
Ensacove™ (ensartinib) Capsules – New Drug Approval – December 18, 2024 - The Food and Drug Administration approved ensartinib (Ensacove™, Xcovery Holdings, Inc.) for adult patients with anaplastic lymphoma kinase (ALK)-positive locally advanced or metastatic non-small cell lung cancer (NSCLC) who have not previously received an ALK-inhibitor. <Read More>
Crenessity™ (crinecerfont) Capsules and Oral Solution – New Drug Approval – December 13, 2024 - The U.S. Food and Drug Administration approved Crenessity™ (crinecerfont) to be used together with glucocorticoids (steroids) to control androgen (a testosterone-like hormone) levels in adults and pediatric patients 4 years of age and older with classic congenital adrenal hyperplasia (CAH). <Read More>
Unloxcyt™ (cosibelimab-ipdl) Injection – New Drug Approval – December 13, 2024 - The Food and Drug Administration approved cosibelimab-ipdl (Unloxcyt™, Checkpoint Therapeutics, Inc.), a programmed death ligand-1 (PD-L1) blocking antibody, for adults with metastatic cutaneous squamous cell carcinoma (mCSCC) or locally advanced CSCC (laCSCC) who are not candidates for curative surgery or curative radiation. <Read More>
Bizengri® (zenocutuzumab-zbco) Injection – New Drug Approval – December 4, 2024 - The Food and Drug Administration granted accelerated approval to zenocutuzumab-zbco (Bizengri®, Merus N.V.) for adults with the following: 1) advanced, unresectable, or metastatic non-small cell lung cancer (NSCLC) harboring a neuregulin 1 (NRG1) gene fusion with disease progression on or after prior systemic therapy, or 2) advanced, unresectable, or metastatic pancreatic adenocarcinoma harboring a NRG1 gene fusion with disease progression on or after prior systemic therapy. This represents the first FDA approval of a systemic therapy for patients with NSCLC or pancreatic adenocarcinoma harboring an NRG1 gene fusion. <Read More>
Attruby™ (acoramidis) Tablets – New Drug Approval – November 25, 2024 - The U.S. Food and Drug Administration has approved Attruby™ (acoramidis) to treat adults with cardiomyopathy (disorder that affects heart muscle) of wild-type or variant (hereditary) transthyretin-mediated amyloidosis (ATTR-CM) to reduce death and hospitalization related to heart problems. ATTR-CM is a rare and serious disease that affects the heart muscle. In patients with ATTR-CM, there is a build-up of protein deposits in the heart, causing the walls of the heart to become stiff, and making the left ventricle unable to properly relax and fill with blood (called cardiomyopathy). As the condition progresses, the heart can become unable to pump blood out adequately, causing heart failure. <Read More>
Imkeldi™ (imatinib mesylate) Oral Solution – New Drug Approval – November 22, 2024 - Shorla Oncology (‘Shorla’), a U.S.-Ireland specialty pharmaceutical company, announced that the FDA has approved Imkeldi™ (imatinib) oral solution, the first oral liquid form of imatinib to treat certain forms of leukemia and other cancers. “We are thrilled to offer an oral solution option for patients with leukemia and other cancers, a meaningful advancement for thousands in need,” said Sharon Cunningham, chief executive officer of Shorla. “Oral solutions may ensure more precise and consistent dosing, offering a convenient alternative to compounding for patients who have difficulty swallowing or require dosing tailored to body surface area.” <Read More>
Rapiblyk™ (landiolol) Lyophilized Powder for Injection – New Drug Approval – November 22, 2024 - AOP Orphan Pharmaceuticals GmbH (AOP Health), based in Vienna, Austria, announced that the U.S. Food and Drug Administration (FDA) has granted regulatory approval for Rapiblyk™ (landiolol) in the hospital critical care setting for the treatment of the severe heart condition supraventricular tachycardia (atrial fibrillation and atrial flutter). The approval is based on clinical studies which demonstrated that Rapiblyk™ (landiolol) enables rapid management of the heart rate with minimal reduction of blood pressure. The approval will provide patients in the U.S. with a new treatment option and is an important step for AOP Health in bringing its mission to help patients and make an impact on rare diseases and critical care to the United States for the first time. <Read More>
New Indication/Dosage/Formulation Approval
Enhertu® (fam-trastuzumab deruxtecan-nxki) Injection – New Label Expansion – January 28, 2025 – AstraZeneca and Daiichi Sankyo’s Enhertu® (trastuzumab deruxtecan) has been approved in the US for the treatment of adult patients with unresectable or metastatic hormone receptor (HR)-positive, HER2-low (IHC 1+ or IHC 2+/ISH-) or HER2-ultralow (IHC 0 with membrane staining) breast cancer, as determined by a Food and Drug Administration (FDA)-approved test, that has progressed on one or more endocrine therapies in the metastatic setting. <Read More>
Ozempic® (semaglutide) Injection – New Label Expansion – January 28, 2025 – Novo Nordisk announced that the U.S. Food and Drug Administration (FDA) has approved Ozempic® to reduce the risk of kidney disease worsening, kidney failure (end-stage kidney disease), and death due to cardiovascular disease in adults with type 2 diabetes and chronic kidney disease (CKD). This approval, along with its existing indications for adults with type 2 diabetes to improve glycemic control and to reduce the risk of major cardiovascular events in adults also with known heart disease, establishes Ozempic® (semaglutide) injection 0.5 mg, 1 mg, or 2 mg as the most broadly indicated glucagon-like peptide-1 receptor agonist (GLP-1 RA) in its class. <Read More>
Leqembi® (lecanemab-irmb) Injection – New Label Expansion – January 27, 2025 – Eisai Co., Ltd. (Headquarters: Tokyo, CEO: Haruo Naito, “Eisai”) and Biogen Inc. (NASDAQ: BIIB, Corporate headquarters: Cambridge, Massachusetts, CEO: Christopher A. Viehbacher, “Biogen”) announced that the U.S. Food and Drug Administration (FDA) has approved the Supplemental Biologics License Application (sBLA) for once every four weeks lecanemab-irmb (U.S. brand name: Leqembi®) intravenous (IV) maintenance dosing. Leqembi® is indicated for the treatment of Alzheimer's disease (AD) in patients with mild cognitive impairment (MCI) or mild dementia stage of disease (collectively referred to as early AD) in the U.S. After 18 months of once every two weeks initiation phase, a transition to the maintenance dosing regimen of 10 mg/kg once every four weeks may be considered or the regimen of 10 mg/kg once every two weeks may be continued. <Read More>
Spravato® (esketamine) Nasal Spray – New Label Expansion – January 17, 2025 – Johnson & Johnson (NYSE: JNJ) announced the U.S. Food and Drug Administration (FDA) approval of a supplemental New Drug Application (sNDA) for Spravato® (esketamine) CIII nasal spray, making this innovative treatment the first and only monotherapy for adults living with major depressive disorder (MDD) who have had an inadequate response to at least two oral antidepressants. <Read More>
Lumakras® (sotorasib) Tablets – New Label Expansion – January 16, 2025 – The Food and Drug Administration approved sotorasib (Lumakras®, Amgen Inc.) with panitumumab (Vectibix®, Amgen Inc.) for adult patients with KRAS G12C-mutated metastatic colorectal cancer (mCRC), as determined by an FDA-approved test, who have received prior fluoropyrimidine-, oxaliplatin-, and irinotecan-based chemotherapy. <Read More>
Calquence® (acalabrutinib) Capsules and Tablets – New Label Expansion – January 16, 2025 – AstraZeneca’s Calquence® (acalabrutinib) in combination with bendamustine and rituximab has been approved in the US for the treatment of adult patients with previously untreated mantle cell lymphoma (MCL) who are ineligible for autologous hematopoietic stem cell transplantation. The approval was granted by the Food and Drug Administration (FDA) after securing Priority Review. It was based on results from the ECHO Phase III trial which were presented at the European Hematology Association 2024 Congress. <Read More>
Omvoh® (mirikizumab-mrkz) Injection – New Label Expansion – January 15, 2025 – Eli Lilly and Company (NYSE: LLY) announced that the U.S. Food and Drug Administration (FDA) has approved Omvoh® (mirikizumab-mrkz) for the treatment of moderately to severely active Crohn's disease in adults. Omvoh® is now approved in the U.S. for two types of inflammatory bowel disease (IBD), following its October 2023 approval as a first-in-class treatment for moderately to severely active ulcerative colitis (UC) in adults. <Read More>
Niktimvo™ (axatilimab-csfr) Injection – New Label Expansion – January 15, 2025 – Incyte (NASDAQ:INCY) and Syndax Pharmaceuticals (Nasdaq:SNDX) announced that the U.S. Food and Drug Administration (FDA) has approved Niktimvo™ (axatilimab-csfr) in 9 mg and 22 mg vial sizes. The Companies expect product to be available for order in the U.S. in early February. Niktimvo™ is approved for the treatment of chronic graft-versus-host disease (GVHD) after failure of at least two prior lines of systemic therapy in adult and pediatric patients weighing at least 40 kg (88.2 lbs). Niktimvo™ is the first and only FDA-approved prescription treatment for chronic GVHD that targets CSF-1R to reduce the drivers of inflammation and fibrosis. <Read More>
Tevimbra® (tislelizumab-jsgr) Injection – New Label Expansion – December 26, 2024 – BeiGene, Ltd. (NASDAQ: BGNE; HKEX: 06160; SSE: 688235), a global oncology company that intends to change its name to BeOne Medicines Ltd., announced the U.S. Food and Drug Administration (FDA) has approved Tevimbra® (tislelizumab-jsgr), in combination with platinum and fluoropyrimidine-based chemotherapy, for the first-line treatment of unresectable or metastatic HER2-negative gastric or gastroesophageal junction adenocarcinoma (G/GEJ) in adults whose tumors express PD-L1 (≥1). <Read More>
Zepbound® (tirzepatide) Injection – New Label Expansion – December 20, 2024 – Eli Lilly and Company (NYSE: LLY) announced the U.S. Food and Drug Administration (FDA) approved Zepbound® (tirzepatide) as the first and only prescription medicine for adults with moderate-to-severe obstructive sleep apnea (OSA) and obesity. Zepbound® may help adults with moderate-to-severe obstructive sleep apnea and obesity improve their sleep disorder. It should be used with a reduced-calorie diet and increased physical activity. <Read More>
Braftovi® (encorafenib) Capsules – New Label Expansion – December 20, 2024 – Pfizer Inc. (NYSE: PFE) announced that the U.S. Food and Drug Administration (FDA) has approved Braftovi® (encorafenib) in combination with cetuximab (marketed as Erbitux®) and mFOLFOX6 (fluorouracil, leucovorin, and oxaliplatin) for the treatment of patients with metastatic colorectal cancer (mCRC) with a BRAF V600E mutation, as detected by an FDA-approved test. <Read More>
Trikafta® (elexacaftor/tezacaftor/ivacaftor and ivacaftor) Tablets and Oral Granules – New Label Expansion – December 20, 2024 – Vertex Pharmaceuticals Incorporated (Nasdaq: VRTX) announced the U.S. Food and Drug Administration (FDA) has approved the expanded use of Trikafta® (elexacaftor/tezacaftor/ivacaftor and ivacaftor) for the treatment of people with cystic fibrosis (CF) ages 2 and older who have at least one F508del mutation in the cystic fibrosis transmembrane conductance regulator (CFTR) gene or a mutation that is responsive to Trikafta® based on clinical and/or in vitro data. In addition, safety information on liver injury and liver failure has been updated from warnings and precautions to a boxed warning. With this approval, 94 additional non-F508del CFTR mutations have been added to the Trikafta® label, and approximately 300 additional people with CF in the U.S. are now eligible for a medicine to treat the underlying cause of their disease for the first time. <Read More>
Imcivree® (setmelanotide) Injection – New Label Expansion – December 20, 2024 – Rhythm Pharmaceuticals, Inc. (Nasdaq: RYTM), a commercial-stage biopharmaceutical company focused on transforming the lives of patients living with rare neuroendocrine diseases, announced that the U.S. Food and Drug Administration (FDA) has approved an expanded indication for Imcivree® (setmelanotide) to include children as young as 2 years old. Imcivree® is indicated to reduce excess body weight and maintain weight reduction long-term in patients 2 years of age and older with syndromic or monogenic obesity due to Bardet-Biedl syndrome (BBS) or genetically confirmed pro-opiomelanocortin (POMC), including proprotein convertase subtilisin/kexin type 1 (PCSK1), deficiency or leptin receptor (LEPR) deficiency. <Read More>
Gemtesa® (vibegron) Tablets – New Label Expansion – December 18, 2024 – Sumitomo Pharma America, Inc. (SMPA) announced that the U.S. Food and Drug Administration (FDA) has approved Gemtesa® (vibegron), a beta-3 (β3) adrenergic receptor agonist, dosed once-daily (75 mg), for the treatment of men with overactive bladder (OAB) symptoms, such as urge urinary incontinence, urgency, and urinary frequency, who are receiving pharmacological therapy for benign prostatic hyperplasia (BPH). This approval marks Gemtesa® as the first and only β3 agonist approved to treat patients living with OAB and being treated for BPH. It is currently available for prescription in the U.S. <Read More>
Nemluvio® (nemolizumab) for Injection – New Label Expansion – December 13, 2024 – Galderma announced that the United States (U.S.) Food and Drug Administration (FDA) has approved Nemluvio® (nemolizumab) for the treatment of patients 12 years and older with moderate-to-severe atopic dermatitis, in combination with topical corticosteroids (TCS) and/or calcineurin inhibitors (TCI) when the disease is not adequately controlled with topical prescription therapies. This follows the recent U.S. FDA approval of Nemluvio® for subcutaneous injection for the treatment of adults with prurigo nodularis in August 2024. <Read More>
Vtama® (tapinarof) Cream – New Label Expansion – December 12, 2024 – Organon (NYSE: OGN), a global healthcare company with a mission to improve the health of women throughout their lives, announced that the U.S. Food and Drug Administration (FDA) has approved Vtama® (tapinarof) cream, 1%, an aryl hydrocarbon receptor agonist, for an additional indication of the topical treatment of atopic dermatitis (AD) in adults and pediatric patients 2 years of age and older. Organon received the FDA approval prior to its extended target action date (PDUFA) of March 12, 2025. <Read More>
Imfinzi® (durvalumab) Injection – New Label Expansion – December 4, 2024 – AstraZeneca’s Imfinzi® (durvalumab) has been approved in the US for the treatment of adult patients with limited-stage small cell lung cancer (LS-SCLC) whose disease has not progressed following concurrent platinum-based chemotherapy and radiation therapy. The approval was granted by the Food and Drug Administration (FDA) after securing Priority Review and Breakthrough Therapy Designation. It was based on results from the ADRIATIC Phase III trial which were presented during the Plenary Session of the 2024 American Society of Clinical Oncology (ASCO) Annual Meeting and subsequently published in the New England Journal of Medicine. <Read More>
Acetadote® (acetylcysteine) Injection – New Label Expansion – November 26, 2024 – Cumberland Pharmaceuticals Inc. (Nasdaq: CPIX), a specialty pharmaceutical company focused on delivering high-quality products to improve patient care, announced the FDA has approved a supplemental New Drug Application (sNDA) for its Acetadote® (N-acetylcysteine for injection) product. Acetadote® is an intravenous (IV) formulation of N-acetylcysteine (NAC) indicated to prevent or lessen liver injury after ingestion of potentially toxic quantities of acetaminophen. <Read More>
Bimzelx® (bimekizumab-bkzx) Injection – New Label Expansion – November 20, 2024 – UCB, a global biopharmaceutical company, announced that the U.S. Food and Drug Administration (FDA) has approved Bimzelx® (bimekizumab-bkzx) for the treatment of adults with moderate to severe hidradenitis suppurativa (HS). Bimekizumab-bkzx is the first and only approved medicine designed to selectively inhibit interleukin 17F (IL-17F) in addition to interleukin 17A (IL-17A). <Read More>
New Drug Shortage
January 31, 2025
Epoprostenol Sodium Injection (Discontinuation)
January 30, 2025
Ramipril Capsule (Discontinuation)
January 28, 2025
Donepezil Hydrochloride Tablet (Discontinuation)
Lidocaine Ointment (Discontinuation)
Lidocaine Ointment (Discontinuation)
Teriflunomide Tablet (Discontinuation)
January 27, 2025
Bendamustine Hydrochloride Injection (Discontinuation)
January 24, 2025
Peginterferon alfa-2a Injection (Currently In Shortage)
Updated Drug Shortage
January 28, 2025
Amoxapine Tablet (Resolved)
January 27, 2025
Atropine Sulfate Injection (Currently In Shortage)
Bupivacaine Hydrochloride Injection (Currently In Shortage)
Bupivacaine Hydrochloride, Epinephrine Bitartrate Injection (Currently In Shortage)
Clindamycin Phosphate Injection (Currently In Shortage)
Dexmedetomidine Hydrochloride Injection (Currently In Shortage)
Dextrose 50% Injection (Currently In Shortage)
Dextrose Monohydrate 5% Injection (Currently In Shortage)
Dobutamine Hydrochloride Injection (Currently In Shortage)
Dopamine Hydrochloride Injection (Currently In Shortage)
Epinephrine Bitartrate, Lidocaine Hydrochloride Injection (Currently In Shortage)
Etomidate Injection (Currently In Shortage)
Heparin Sodium Injection (Currently In Shortage)
Hydrocortisone Sodium Succinate Injection (Currently In Shortage)
Hydromorphone Hydrochloride Injection (Currently In Shortage)
Ketamine Hydrochloride Injection (Currently In Shortage)
Lidocaine Hydrochloride Injection (Currently In Shortage)
Lorazepam Injection (Currently In Shortage)
Methotrexate Sodium Injection (Currently In Shortage)
Methylprednisolone Acetate Injection (Currently In Shortage)
Midazolam Hydrochloride Injection (Currently In Shortage)
Morphine Sulfate Injection (Currently In Shortage)
Penicillin G Benzathine Injection (Currently In Shortage)
Sodium Acetate Injection (Currently In Shortage)
Sodium Bicarbonate Injection (Currently In Shortage)
Sodium Chloride 0.9% Injection (Currently In Shortage)
Sodium Chloride 23.4% Injection (Currently In Shortage)
Sterile Water Injection (Currently In Shortage)
January 24, 2025
Amphetamine Aspartate Monohydrate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate Tablet (Currently In Shortage)
Dopamine Hydrochloride Injection (Currently In Shortage)
Etomidate Injection (Currently In Shortage)
Fentanyl Citrate Injection (Currently In Shortage)
Hydromorphone Hydrochloride Injection (Currently In Shortage)
Ketamine Hydrochloride Injection (Currently In Shortage)
Leucovorin Calcium Injection (Currently In Shortage)
Lidocaine Hydrochloride Injection (Currently In Shortage)
Midazolam Hydrochloride Injection (Currently In Shortage)
Morphine Sulfate Injection (Currently In Shortage)
Promethazine Hydrochloride Injection (Currently In Shortage)
January 23, 2025
Amoxapine Tablet (Currently In Shortage)
Amoxicillin Powder, For Suspension (Currently In Shortage)
Amphetamine Aspartate Monohydrate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate Tablet (Currently In Shortage)
Azacitidine Injection (Currently In Shortage)
Carboplatin Injection (Currently In Shortage)
Clonazepam Tablet (Currently In Shortage)
Hydromorphone Hydrochloride Injection (Currently In Shortage)
Lisdexamfetamine Dimesylate Capsule (Currently In Shortage)
Mefloquine Hydrochloride Tablet (Currently In Shortage)
Methotrexate Sodium Injection (Currently In Shortage)
Methylphenidate Hydrochloride Tablet, Extended Release (Currently In Shortage)
Oxazepam Capsule (Currently In Shortage)
Streptozocin Powder, For Solution (Currently In Shortage)
January 22, 2025
Dexmedetomidine Hydrochloride Injection (Currently In Shortage)
Vecuronium Bromide Injection (Resolved)
New Drug Recall and Safety Alerts
Fentanyl Transdermal System 25 mcg/h by Alvogen – New Voluntary Recall – January 31, 2025 - Alvogen, Inc. is voluntarily recalling one lot of Fentanyl Transdermal System 25 mcg/h transdermal patches to the consumer level. The reason for the recall is that there is a potential that patches could be multi-stacked, adhered one on top of the other, in a single product pouch. This transdermal system is manufactured by Kindeva Drug Delivery L.P., Northridge, CA and is distributed by Alvogen, Inc. as a private label distributor. <Read More>
Phenylephrine Hydrochloride Injection, USP, 10 mg/ mL (Pharmacy Bulk Package) by Provepharm Inc. – New Voluntary Recall – January 24, 2025 - Provepharm Inc. is voluntarily recalling lot number 24020027; Expiry Date December 2025 of Phenylephrine hydrochloride Injection, USP, 10 mg/ mL (Pharmacy Bulk Package) at the hospital/institutional level. This recall was initiated based on a customer complaint from a pharmacy after observing a visible black particulate matter found in a single-sealed vial of the product. <Read More>
New Generic/Biosimilar Approval and Launch
Avtozma® (tocilizumab-anoh) Injection – New Actemra® Biosimilar Approval – January 30, 2025 - Celltrion announced that the U.S. Food and Drug Administration (FDA) has approved Avtozma® (CT-P47, tocilizumab-anoh) in both an intravenous (IV) and subcutaneous (SC) formulation as a biosimilar to Actemra®. Avtozma® is indicated for the treatment of multiple diseases including rheumatoid arthritis (RA), giant cell arteritis (GCA), polyarticular juvenile idiopathic arthritis (pJIA), systemic juvenile idiopathic arthritis (sJIA) and coronavirus disease (COVID-19). <Read More>
Steqeyma® (ustekinumab-stba) Injection – New Stelara® Biosimilar Approval – December 17, 2024 - Celltrion announced that the U.S. Food and Drug Administration (FDA) has approved Steqeyma® (ustekinumab-stba), a biosimilar to Stelara® (ustekinumab), for subcutaneous injection or intravenous infusion in adult and pediatric patients with plaque psoriasis and psoriatic arthritis, as well as adult patients with Crohn's disease and ulcerative colitis. <Read More>
Yesintek™ (ustekinumab-kfce) Injection – New Stelara® Biosimilar Approval – November 29, 2024 – Biocon Biologics Ltd (BBL), a fully integrated global biosimilars company and subsidiary of Biocon Ltd (BSE code: 532523, NSE: BIOCON), announced that the U.S. Food and Drug Administration (FDA) has approved Yesintek™ (ustekinumab-kfce), a biosimilar to the reference product, Stelara® (ustekinumab). <Read More>
Clinical and Pharmacy News
Guidelines Call for Widespread Type 1 Diabetes Screening in Children – February 4, 2025 – A University of Florida Health physician-scientist led an international team of Type 1 diabetes experts who recently developed new treatment guidelines emphasizing wider screening for the disease among children and adolescents in the general population before symptoms arise. That would include screening the young relatives of those with Type 1 diabetes, such as siblings, because they are at higher genetic risk of developing diabetes. The effort was led by Michael Haller, M.D., chief of pediatric endocrinology in the UF College of Medicine's Department of Pediatrics and a member of the UF Diabetes Institute. The guidelines cover screening, staging, and strategies to preserve beta cell function in children and adolescents with Type 1 diabetes. <Read More>
Trump Tariffs Will Escalate Costs and Disrupt the Medical Supply Chain, Industry Execs Warn – February 3, 2025 – Double-digit tariffs, if they take effect as proposed, threaten to escalate healthcare costs, disrupt supply chains and create affordability challenges for patients, healthcare executives say. President Donald Trump on Saturday signed executive orders intending to impose sweeping tariffs on the country’s three largest trading partners. The Trump administration imposed 25% tariffs on imports from Canada and Mexico plus a 10% tariff on Chinese imports. <Read More>
Automated Follow-up Alerts Pharmacists to Cancer Patients’ Needs – January 28, 2025 – Early automated follow-up of cancer patients can help pharmacists more efficiently manage side effects of oral oncolytic medications, according to data presented at the ASHP Midyear 2024 Clinical Meeting & Exhibition, in New Orleans (poster 4-058). To improve adverse event (AE) detection and prevention, a team from Vanderbilt University Medical Center’s Specialty Pharmacy, in Nashville Tenn., sent an electronic early monitoring questionnaire to patients who were starting oral anticancer treatment. The questionnaire, distributed via the patient portal inbox, “resulted in higher [rates of], and faster time to, pharmacists identifying and addressing AEs from newly initiated oral anticancer therapy in patients who responded compared to those who did not respond or were in the usual-care arm,” explained presenter Brooke Looney, PharmD, CSP, the oncology/hematology clinical lead at Vanderbilt. <Read More>
AI’s Potential in Women’s Health Exciting, Says Gates Foundation Leader – January 21, 2025 – The health disparity between women and men is a pressing global challenge, experts highlighted in a discussion at the World Economic Forum Annual Meeting 2025 in Switzerland. Despite comprising half the global population, women spend 25% more of their lives in poor health compared to men, according to a 2024 report by the World Economic Forum and McKinsey Health Institute. Addressing this gap could not only improve millions of lives, but also add at least $1trn to the global economy annually by 2040, said Anita Zaidi, president of gender equality at the Bill & Melinda Gates Foundation, quoting the report. Innovations in artificial intelligence (AI), digital health tools, and cross-sector collaboration are expected to help bridge this disparity. <Read More>
Will PBM Reform Save Pharmacies From Closing? – January 15, 2025 – In May 2024, nearly 90% of pharmacies were closed for a day as thousands of pharmacists protested over “over drug shortages, pharmacy closures and fears medications could be sold online, as well as higher pay.” More recently in November 2024, pharmacy owners voted in favor of cutting hours and stopping home deliveries in a protest over funding. Given multiple recent news articles saying that pharmacies are struggling amid problems caused by pharmacy benefit managers (PBMs) , you might not be surprised by these examples. However, these two news stores are not from the U.S. They are from France and the United Kingdom — two countries that do not have the large PBMs that are frequently criticized in America. <Read More>
Despite Risks and Scant Evidence, Muscle Relaxants Still Used to Treat Chronic Pain – January 14, 2025 – The CDC has guidelines recommending that clinicians avoid using opioids to manage chronic noncancer pain. Now data published in JAMA Network Open indicate that as physicians heed opioid guidelines, prescriptions for skeletal muscle relaxants (SMRs) for chronic pain have risen—despite risks posed by SMRs and a lack of evidence supporting their long-term use (JAMA Network Open 2024;7[9]:e2434835). “This means that, when thinking about using muscle relaxants for chronic pain conditions, we should be vigilant and cautious,” said study author Benjamin J. Oldfield, MD, an internal medicine/pediatric specialist at the Yale School of Medicine, in New Haven, Conn. “As physicians, it may not be the right option to prescribe, and to continue to refill, muscle relaxants for the majority of chronic pain conditions.” <Read More>
Drugmakers Hiked Prices for Hundreds of Drugs in Early January – January 14, 2025 – Drugmakers raised the list prices on 575 name-brand drugs in just the first two days of the new year, according to drug price research firm 46brooklyn. Drugs for diabetes, HIV, cancer saw price hikes, among others. For years a 10% annual price hike was fairly normal, but they've started coming down in recent years. This year's median price hike so far is only 4%, says Antonio Ciaccia, CEO of 46brooklyn. "While it's early, if that number held throughout the year, that would make it the lowest median price increase in over a decade," says Ciaccia. January is typically a popular time to raise prices on brand name drugs, but companies can raise them throughout the year. There could even be more later this month, he says. <Read More>
Clearing the Path for New Uses for Generic Drugs – January 9, 2025 – Repurposing generic drugs as new treatments for life-threatening diseases is an exciting yet largely overlooked opportunity due to a lack of market-driven incentives. The low profit margins for generic drugs mean that pharmaceutical companies rarely invest in research, regulatory efforts, and marketing for new uses. Nonprofit organizations and other non-commercial non-manufacturers are increasing efforts to repurpose widely available generic drugs and rapidly expand affordable treatment options for patients. <Read More>
Pharmacological Treatment in Autism: A Proposal for Guidelines on Common Co-Occurring Psychiatric Symptoms – January 7, 2025 – The prevalence of autism spectrum disorder (ASD) has surged, with an estimated 1 in 36 eight-year-olds in the United States meeting criteria for ASD in 2020. Autistic individuals face elevated rates of co-occurring medical, psychiatric, and behavioral conditions compared to non-autistic individuals. The rising ASD-patient demand is increasingly outpacing the capacity of ASD-specialty clinics, resulting in urgent need for autism-competent providers in general practice settings. This work aims to empower healthcare providers, especially primary care providers (PCPs), with guidelines for the recognition and safe pharmacologic management of common co-occurring psychiatric and behavioral conditions in ASD. <Read More>
Senate Introduces Bipartisan Bill to Ban Co‑ownership of Pharmacies and Pharmacy Benefits Managers – December 13, 2024 – Senators Elizabeth Warren, D-Mass., and Josh Hawley, R-Mo., introduced in the Senate the Patients Before Monopolies Act (PBM Act), a bill “[t]o prohibit pharmacy benefit managers and pharmacies from being under common ownership, and for other purposes.” The PBM Act would make it unlawful for any person to “own, operate, control, or direct the operation of” any type of pharmacy if that person also “own[s], operate[s], or control[s]” an insurance company or pharmacy benefits manager (PBM). This bill follows nearly a year of heightened government scrutiny of PBMs and allegations of harm resulting from vertical integration and price fixing. If passed, the PBM Act would prevent PBMs and payors from being in a position of control over pharmacies through which they can affect the competitive harms alleged. <Read More>
Drugmakers and Pharmacists Battle Over Who Gets to Make Obesity Drugs – December 12, 2024 – Ozempic® and similar drugs for Type 2 diabetes and weight loss are in such high demand that the drugmakers have had a hard time keeping up. So compounding pharmacies stepped in to fill the gap, making their own versions of the drugs for more than two years. The compounded versions are especially popular as cheaper alternatives for people whose insurance doesn't cover them. But now the brand name manufacturers are pushing the compounding pharmacies to stop. Novo Nordisk and Eli Lilly are moving to end compounding of their medicines for good. <Read More>
Pharmacists’ Key Role in the Management of Humira Biosimilars – November 27, 2024 – The introduction of adalimumab (Humira®, AbbVie) biosimilars to the US market in 2023 brought significant changes for providers, patients, and pharmacies. Since its introduction in 2002, Humira has been one of the world’s bestselling drugs for treating inflammatory conditions…Pharmacists have been challenged in managing the complexity of switching patients from the reference product to various biosimilars, including navigating clinical appropriateness, education, insurance, affordability, and several practical hurdles. We aim to provide an update on what is new, what we have learned over the past 12 months, and what we are anticipating in the Humira biosimilar market. <Read More>
ASTRO Releases Updated Guidelines for Treating Locally Advanced Rectal Cancer – November 25, 2024 – The American Society for Radiation Oncology (ASTRO) issued an updated clinical guideline for physicians who use radiation therapy to treat patients with locally advanced rectal cancer. This update incorporates new data on patient selection and best practices from several practice-changing clinical trials published since the prior guideline was issued in 2020. The updated ASTRO guideline is published in Practical Radiation Oncology. <Read More>
Top Three Pharmacy Benefit Managers Will Face FTC in Joint Trial for Insulin Rebate Cases – November 20, 2024 – Administrative Law Judge D. Michael Chappell ordered that the country’s largest pharmacy benefit managers (PBMs) have to face the FTC together in an administrative case. The case alleges that the three largest PBMs―Caremark, Express Scripts and OptumRX―used unfair rebate schemes to artificially inflate the price of insulin. In mid-October, the PBMs each moved for separate proceedings, arguing that a consolidated trial could create confusion. The judge held that the factual differences in each of the cases were “minimal and manageable.” Judge Chappell noted that many of the respondents’ arguments regarding confusion of the evidence cited to authority regarding jury trials, but the current case is a bench trial. <Read More>
Market Trends to Watch for Health Systems and Their Specialty Pharmacies – November 18, 2024 – The overall market for specialty medications has grown dramatically over the past decade, and that trend is expected to continue for at least the next five years. Health systems, patients and pharmacies will experience shifting market dynamics that add challenges to providing specialty care, including price increases, an aging population driving increased utilization and a growing wave of innovative therapies that add new patients to the specialty pool. In response, health systems have sharpened their focus on integrating specialty pharmacy care to now include pharmacy needs within their hospitals to help improve patient outcomes and experiences. <Read More>
Management of Stage III Non–Small Cell Lung Cancer: ASCO Guideline Rapid Recommendation Update Clinical Insights – November 18, 2024 – Stage III non–small cell lung cancer (NSCLC) is a highly heterogeneous disease with a range of treatment options that have been highlighted in the ASCO guidelines (Figs 1 and 2).1-3 Historically, treatment was largely determined by resectability and nodal extent, without personalization on the basis of molecular subtype. Several recent trials favor molecular profile–guided precision therapy of both resectable and unresectable stage III NSCLC: highlighting the need for guideline-concordant biomarker testing for all patients with stage III NSCLC. In addition, new data address incorporation of perioperative immunotherapy, expanding treatment options for patients with resectable disease. This article provides additional context and insight into common clinical situations encountered by oncologists with a review of recent trials that update the standard of care for both resectable and unresectable stage III NSCLC. <Read More>
340B in the News
New Administration’s Impact on 340B Program: TBD – January 16, 2025 – How could the second Trump administration affect the federal 340B Drug Pricing Program? It’s yet to be determined, according to policy experts. Predicting how the election could ultimately affect the program “is above my pay grade,” joked Maureen Testoni, JD, the president and CEO of 340B Health, a nonprofit organization representing more than 1,500 hospitals and health systems that participate in the 340B program. However, during President-elect Donald Trump’s prior term, “we didn’t see a lot of action on 340B,” she said in a Nov. 19 press briefing. Early on in that administration, Medicare cut its reimbursement for Part B 340B drugs by nearly 30% and redistributed the money through higher payments for nondrug services to all hospitals paid under the Medicare Outpatient Prospective Payment System, Ms. Testoni said. But hospital associations sued over the cuts, and the U.S. Supreme Court overturned them in 2022. <Read More>
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