Clinical Insights: July 10, 2026
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
Tregzi™ (allogeneic regulatory T cell immunotherapy with HSPC and T cells-vldq) - formerly Orca-T – New Drug Approval – June 30, 2026 – Orca Bio, a commercial-stage biotechnology company committed to transforming the lives of patients through high-precision cell therapy, announced the U.S. Food and Drug Administration (FDA) has approved Tregzi™ (allogeneic regulatory T cell immunotherapy with HSPC and T cells-vldq), clinically known as Orca-T®, a precision-engineered cell therapy for use in matched-donor hematopoietic stem cell transplantation with myeloablative preparative regimen, for hematopoietic and immunologic reconstitution and to improve chronic graft-versus-host disease (GVHD)-free survival (cGFS), in the treatment of adults with hematological malignancies. <Read More>
Lumvoa™ (veligrotug-vvze) Injection – New Drug Approval – June 26, 2026 - Viridian Therapeutics, Inc. (Nasdaq: VRDN), a biotechnology company focused on discovering, developing, and commercializing potentially best-in-class medicines for autoimmune and rare diseases, announced that the U.S. Food and Drug Administration (FDA) has approved Lumvoa™ (veligrotug-vvze) for the treatment of thyroid eye disease (TED). TED is a rare, debilitating autoimmune disease characterized by inflammation and tissue remodeling around and behind the eyes that can lead to proptosis, diplopia, pain, and vision impairment. <Read More>
Utebzi™ (tebipenem pivoxil) Tablets – New Drug Approval – June 17, 2026 - The U.S. Food and Drug Administration (FDA) has approved Utebzi™ (tebipenem pivoxil) tablets for the treatment of complicated urinary tract infections (cUTI), including pyelonephritis, caused by several susceptible microorganisms in adults who have limited or no alternative oral treatment options. <Read More>
Ambelvist® (gadoquatrane) Injection – New Drug Approval – June 12, 2026 – Bayer announced that the U.S. Food and Drug Administration (FDA) approved Ambelvist® (gadoquatrane), a new, intravenous macrocyclic gadolinium (Gd)-based contrast agent (mGBCA) indicated for contrast-enhanced magnetic resonance imaging (MRI) to detect and visualize lesions with abnormal vascularity in the central nervous system (CNS) and non-CNS body regions in adult and pediatric patients, including term neonates. <Read More>
New Label Expansions
Zoryve® (roflumilast) Cream and Foam – New Label Expansion – Patient Population Altered: June 29, 2026 - Arcutis Biotherapeutics, Inc. (Nasdaq: ARQT), a commercial-stage biopharmaceutical company focused on developing meaningful innovations in immuno-dermatology, announced that the U.S. Food and Drug Administration (FDA) has approved the supplemental New Drug Application (sNDA) to expand the indication for Zoryve® (roflumilast) cream 0.3% for the topical treatment of plaque psoriasis, including intertriginous areas, to children down to age 2. <Read More>
Skyrizi® (risankizumab-rzaa) Injection – New Label Expansion – Patient Population Altered: June 26, 2026 - AbbVie (NYSE: ABBV) announced the U.S. Food and Drug Administration (FDA) has approved Skyrizi® (risankizumab-rzaa) for the treatment of children six years of age and older with moderate-to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy, or active psoriatic arthritis. A new 55 mg pre-filled syringe (PFS) has also been approved to support weight-based dosing for patients weighing less than 40 kg, while the currently available 150 mg PFS and Pen are approved for patients weighing 40 kg or greater. <Read More>
Keytruda® (pembrolizumab) for Injection – New Label Expansion – New Indication Approved: June 25, 2026 - Merck (NYSE: MRK), known as MSD outside of the United States and Canada, announced the U.S. Food and Drug Administration (FDA) approved Keytruda® (pembrolizumab) and Keytruda Qlex™ (pembrolizumab and berahyaluronidase alfa-pmph), each in combination with Trodelvy® (sacituzumab govitecan-hziy), Gilead’s Trop-2-directed antibody-drug conjugate (ADC), for the first-line treatment of adult patients with unresectable locally advanced or metastatic triple-negative breast cancer (TNBC) whose tumors express PD-L1 (Combined Positive Score [CPS] ≥10) as determined by an FDA-authorized test. <Read More>
Ibrance® (palbociclib) Capsules and Tablets – New Label Expansion – New Indication Approved: June 24, 2026 - Pfizer Inc. (NYSE: PFE) announced the U.S. Food and Drug Administration (FDA) approved Ibrance® (palbociclib) in combination with trastuzumab, with or without pertuzumab, and endocrine therapy for the maintenance treatment of adult patients with hormone receptor-positive (HR+), human epidermal growth factor receptor 2-positive (HER2+) locally advanced or metastatic breast cancer (MBC) following induction treatment. <Read More>
Trodelvy® (sacituzumab govitecan-hziy) Injection – New Label Expansion – New Indication Approved: June 24, 2026 - Gilead Sciences, Inc. (Nasdaq: GILD) announced that the U.S. Food and Drug Administration (FDA) has approved Trodelvy® (sacituzumab govitecan-hziy), a first-in-class Trop-2-directed antibody-drug conjugate (ADC), for the first-line treatment of adult patients with unresectable locally advanced or metastatic triple-negative breast cancer (mTNBC). <Read More>
Tryngolza® (olezarsen) Injection – New Label Expansion – New Indication Approved: June 24, 2026 - Ionis Pharmaceuticals, Inc. (Nasdaq: IONS) announced that the U.S. Food and Drug Administration (FDA) has approved Tryngolza® (olezarsen) as an adjunct to diet to reduce triglycerides (TG) and the risk of acute pancreatitis in adults with severe hypertriglyceridemia (sHTG: TG greater than or equal to 500 mg/dL). <Read More>
Capvaxive (pneumococcal 21-valent conjugate vaccine) Injection – New Label Expansion – Patient Population Altered: June 18, 2026 - Merck (NYSE: MRK), known as MSD outside of the United States and Canada, announced that the U.S. Food and Drug Administration (FDA) has approved an expanded indication for Capvaxive® (Pneumococcal 21-valent Conjugate Vaccine) to include children and adolescents aged 2 through 17 years who have completed a primary pediatric pneumococcal vaccination series and have one or more chronic medical conditions that put them at an increased risk for pneumococcal disease. <Read More>
Rextovy™ (naloxone hydrochloride) Nasal Spray – New Label Expansion – Labeling Revision Approved: June 16, 2026 - The U.S. Food and Drug Administration (FDA) approved another over-the-counter (OTC) intranasal naloxone product, Rextovy™, a 4 milligram (mg) naloxone hydrochloride nasal spray for the emergency treatment of opioid overdose. Consumers may directly purchase this product without a prescription in places such as pharmacies, convenience stores, and online. <Read More>
Keytruda® (pembrolizumab) for Injection – New Label Expansion – New Indication Approved: June 12, 2026 - Merck (NYSE: MRK), known as MSD outside of the United States and Canada, announced the U.S. Food and Drug Administration (FDA) approved Keytruda® (pembrolizumab) and Keytruda Qlex™ (pembrolizumab and berahyaluronidase alfa-pmph), Merck’s anti-PD-1 therapies, each in combination with Welireg® (belzutifan), Merck’s first-in-class, oral hypoxia-inducible factor-2 alpha (HIF-2α) inhibitor, for the adjuvant treatment of adult patients with renal cell carcinoma with a clear cell component (ccRCC) at intermediate-high or high risk of recurrence following nephrectomy, or following nephrectomy and resection of metastatic lesions. <Read More>
Tzield® (teplizumab-mzwv) Injection – New Label Expansion – New Indication Approved: June 12, 2026 - The US Food and Drug Administration (FDA) has granted accelerated approval to Tzield® (teplizumab-mzwv) to delay the decline in endogenous (own) insulin production in children aged eight to 17 years recently diagnosed with stage 3 T1D. Tzield is not effective as a disease-modifying therapy in non-autoimmune dysglycemic conditions. <Read More>
Truqap™ (capivasertib) Tablets – New Label Expansion – New Indication Approved: June 12, 2026 - AstraZeneca’s Truqap™ (capivasertib) in combination with abiraterone and prednisone has been approved in the US as the first and only targeted treatment for adult patients with PTEN-deficient metastatic androgen pathway modulation-naïve or sensitive (mAPMN/S) prostate cancer, previously referred to as metastatic hormone-sensitive prostate cancer (mHSPC), as detected by a US Food and Drug Administration (FDA)-authorised test. <Read More>
Ebglyss® (lebrikizumab-lbkz) injection – New Label Expansion – New Dosage Regimen: June 9, 2026 - Eli Lilly and Company (NYSE: LLY) announced that the U.S. Food and Drug Administration (FDA) approved a regimen of one maintenance dose every eight weeks of a single injection (250 mg/2 mL) of Ebglyss® (lebrikizumab-lbkz) for subcutaneous use in adults and children 12 years of age and older who weigh at least 88 pounds (40 kg) with moderate-to-severe atopic dermatitis. <Read More>
New Drug Shortage
July 02, 2026
Desflurane Liquid for Inhalation (Discontinuation)
June 30, 2026
Caspofungin Acetate Injection (Discontinuation)
Daptomycin Injection (Discontinuation)
Gadobutrol Injection (Discontinuation)
Gadoterate Meglumine Injection (Discontinuation)
June 29, 2026
Oxaliplatin Injection (Discontinuation)
June 17, 2026
Emtricitabine Capsule (Discontinuation)
Emtricitabine Oral Solution (Discontinuation)
June 15, 2026
Donepezil Hydrochloride; Memantine Hydrochloride Capsule, Extended Release (Discontinuation)
Lorlatinib Tablet (Discontinuation)
Updated Drug Shortage
July 04, 2026
Amphetamine Aspartate Monohydrate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate Tablet (Currently in Shortage)
July 02, 2026
Dexamethasone Sodium Phosphate Injection (Currently in Shortage)
Heparin Sodium Injection (Currently in Shortage)
Ifosfamide Injection (Currently in Shortage)
Ketorolac Tromethamine Injection (Currently in Shortage)
Methylprednisolone Acetate Injection (Currently in Shortage)
Rocuronium Bromide Injection (Currently in Shortage)
July 01, 2026
Amphetamine Aspartate Monohydrate, Amphetamine Sulfate, Dextroamphetamine Saccharate, Dextroamphetamine Sulfate Tablet (Currently in Shortage)
Dextrose Monohydrate 50% Injection (Currently in Shortage)
Methylphenidate Hydrochloride Tablet, Extended Release (Currently in Shortage)
June 26, 2026
Lisdexamfetamine Dimesylate Capsule (Currently in Shortage)
Lisdexamfetamine Dimesylate Tablet, Chewable (Currently in Shortage)
Methylphenidate Hydrochloride Tablet, Extended Release (Currently in Shortage)
Technetium TC-99M Pyrophosphate Kit Injection (Currently in Shortage)
June 25, 2026
Azacitidine Injection (Currently in Shortage)
Bumetanide Injection (Currently in Shortage)
Bupivacaine Hydrochloride Injection (Currently in Shortage)
Bupivacaine Hydrochloride, Epinephrine Bitartrate Injection (Currently in Shortage)
Carboplatin Injection (Currently in Shortage)
Cefotaxime Sodium Powder, for Solution (Currently in Shortage)
Dexamethasone Sodium Phosphate Injection (Currently in Shortage)
Dexmedetomidine Hydrochloride 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)
Fentanyl Citrate Injection (Currently in Shortage)
Furosemide Injection (Currently in Shortage)
Furosemide Oral Solution (Currently in Shortage)
Hydromorphone Hydrochloride Injection (Currently in Shortage)
Ifosfamide Injection (Currently in Shortage)
Ketorolac Tromethamine Injection (Currently in Shortage)
Lidocaine Hydrochloride Injection (Currently in Shortage)
Liraglutide Injection (Currently in Shortage)
Lorazepam Injection (Currently in Shortage)
Meperidine Hydrochloride 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)
Promethazine Hydrochloride Injection (Currently in Shortage)
Propranolol Hydrochloride Injection (Currently in Shortage)
Remifentanil Hydrochloride Injection (Currently in Shortage)
Rocuronium Bromide Injection (Currently in Shortage)
Sodium Acetate Injection (Currently in Shortage)
Sodium Bicarbonate Injection (Currently in Shortage)
Sterile Water Injection (Currently in Shortage)
Sufentanil Citrate Injection (Currently in Shortage)
Valproate Sodium Injection (Currently in Shortage)
New Drug Recall and Safety Alerts
No new update.
New Generic/Biosimilar Approval and Launch
Ranluspec™ (ranibizumab-hkdz) Intravitreal Injection – New Lucentis® Biosimilar Approval – June 2, 2026 - Global pharma major Lupin Limited (Lupin) announced that the United States Food and Drug Administration (U.S. FDA) has approved its ranibizumab, Ranluspec™ (ranibizumab-hkdz), as an interchangeable biosimilar referencing Lucentis® (Genentech). Ranluspec™ is the only interchangeable biosimilar ranibizumab approved in the United States in both vials and pre-filled syringes (PFS). <Read More>
Clinical and Pharmacy News
A New Era of Precision Depression Treatment – July 6, 2026 - For millions of people living with depression, finding an effective treatment can feel like a long and uncertain journey. Patients often spend months trying different medications, enduring side effects and persistent symptoms while waiting to discover whether a prescription will help. A new study led by researchers at the University of California, Irvine and Mass General Brigham-affiliated McLean Hospital suggests there may be a better way. <Read More>
Patient Enrollment Begins in a Scientific Trial to Identify the First Effective Treatments for Bundibugyo Virus Disease – July 2, 2026 - In a major international effort to evaluate potential treatments for Ebola disease due to Bundibugyo virus (BVD), the PARTNERS clinical trial has opened enrollment for patients in the Democratic Republic of the Congo. The PARTNERS (Platform Adaptive Randomised Trial for New and Repurposed Filovirus TreatmentS) trial will assess whether two antiviral therapies – a monoclonal antibody (MBP134) and remdesivir – can improve survival among people diagnosed with BVD. It will also evaluate whether combining the two antivirals provides additional benefits. <Read More>
ChatGPT Misses the Mark in Complex Cases – July 1, 2026 - The artificial intelligence tool ChatGPT often misses medication-related problems (MRPs) or flags nonexistent issues, suggesting that AI cannot replace professional judgment or structured training in pharmacy education, according to research presented at the ASHP Midyear 2025 Clinical Meeting & Exhibition, in Las Vegas (poster 4-045). <Read More>
PBM–Pharmacy Collaboration Improves Medicaid Outcomes – July 1, 2026 - A pharmacy benefit manager (PBM)–community pharmacy collaboration focused on expanding access to care for Medicaid members with chronic conditions significantly improved patient outcomes, increasing medication adherence by 6 to 11 percentage points across almost all drug categories after program participation, according to a new report from the Elevance Health Public Policy Institute. Patients engaged in the Community Pharmacy Total Care (CPTC) program, created by PBM CarelonRx (a subsidiary of Elevance Health), also improved their treatment compliance rates across multiple Healthcare Effectiveness Data and Information Set (HEDIS) measures. <Read More>
New in Clinical Guidance | Postpartum CV Care – July 1, 2026 - A new ACC Expert Consensus Decision Pathway (ECDP) addressing "Optimization of Postpartum Care for Patients With and at Risk for Premature and Long-Term Cardiovascular (CV) Disease" provides recommended strategies for successful postpartum cardiovascular care, which should begin before birth and continue through the first year after delivery. Published in JACC, the ECDP acknowledges the many barriers to care during the postpartum period and emphasizes the importance of following a structured approach for optimized maternal cardiovascular health care that begins immediately after delivery and extends through the first year. <Read More>
ACC Guidance Explores Antiplatelet Therapies for the Management of ASCVD – June 30, 2026 - Major changes have occurred in recent years when it comes to cutting down on the widespread use of aspirin. In fact, numerous clinical trials looking at potentially shortening the duration of dual antiplatelet therapy (DAPT) following revascularization have prompted the American College of Cardiology (ACC) to develop a new scientific statement on that very topic. The document, "Antiplatelet Therapy in the Management of Atherosclerotic Cardiovascular Disease: 2026 ACC Scientific Statement," provides a detailed overview of current clinical evidence for the use of antiplatelet medications in the primary and secondary prevention and management of atherosclerotic cardiovascular disease (ASCVD). <Read More>
Naloxone Access Continuously Improves as Gaps Persist in Pharmacy – June 30, 2026 - Following the official approval of OTC naloxone products, availability and out-of-pocket (OOP) patient costs have improved significantly between March 2023 and January 2025, according to a JAPhA study. However, when compared with their retail industry counterparts, independent pharmacies demonstrate a significant need to boost naloxone access and decrease OOP costs for their patient populations. <Read More>
Grocery Pharmacy Conglomerate to Pay $40 Million for Violating False Claims Act – June 26, 2026 - Federal prosecutors alleged promotional discount programs at Giant, Hannaford, Food Lion, and Stop & Shop were not reflected in “usual and customary” submissions, inflating reimbursement ceilings. Qui tam enforcement remained central, with the relator pharmacist credited for exposing pricing-reporting discrepancies and receiving >$6 million from the federal recovery. Parallel litigation against CVS and Walgreens highlights sector-wide vulnerability around U&C definitions, PBM-driven reimbursement pressure, and compliance risk in high-volume retail dispensing. Strategic responses include transitioning grocery pharmacies into integrated care-and-food “health hubs,” leveraging GLP-1 demand, AI-enabled workflow, and fintech platforms (e.g., RxSense) to improve pricing transparency. <Read More>
As Manufacturers Catch On to Alternative Funding Programs, More Specialty Patients Routed to Overseas Pharmacies – June 18, 2026 - More drug manufacturers are identifying and rejecting alternative funding program (AFP) applications, pushing commercially insured AFP-enrolled patients toward international pharmacies to obtain their specialty medications, according to new data presented at the ASHP Pharmacy Futures 2026 meeting, in St. Louis. The multisite cohort study, conducted by Vanderbilt Specialty Pharmacy, in Nashville, Tennessee, and previously covered in Specialty Pharmacy Continuum, has been conducted across 12 integrated health-system specialty pharmacies and now spans January 2024 through December 2025 and a larger population of 846 patients, 299 of them enrolled in an AFP and 547 not. <Read More>
340B in the News
CMS Proposes Increases to Medicare Hospital Outpatient Department Payment Rates, Site-Neutral and 340B Changes – July 2, 2026 - The Centers for Medicare & Medicaid Services July 2 issued a proposed rule that would increase Medicare hospital outpatient prospective payment system rates by a net 2.4% in calendar year 2027 compared to 2026. This includes a proposed 3.2% market basket update, offset by a 0.8 percentage point cut for productivity… CMS also proposes to accelerate 340B recoupment by reducing the outpatient PPS conversion factor further from 0.5% annually to 3% annually, allowing the agency to complete recoupment by CY 2029 instead of CY 2041. AHA said that by proposing to speed up its clawback, the agency “will punish 340B hospitals for CMS’ own error in implementing a policy that a unanimous Supreme Court held to be unlawful. <Read More>
Lilly Slams Door on 340B Drug Deals as Hospitals Cry Foul – June 25, 2026 - Eli Lilly has cut off access to 340B discount pricing for some hospital pharmacies that did not hand over de-identified in-house claims data by the company’s June 8 deadline, escalating a long-simmering fight over who polices the federal discount program and how. Lilly says it is trying to stop duplicate discounts. Hospital trade groups say the move is unlawful and will squeeze already thin safety-net care. <Read More>
Cassidy's New Plan to Overhaul 340B: Rebates, Contract Pharmacy Limits and More Changes – June 25, 2026 - After years of investigation, the outgoing chairman of the Senate Health, Education, Labor and Pensions Committee has released his take on new legislation to reform the controversial 340B Drug Pricing Program. Sen. Bill Cassidy, R-Louisiana, unveiled a legislative discussion draft that would stand as the first statutory update to the subsidy program in 15 years if introduced and signed into law. Broadly, it contains a slew of measures that have been vehemently opposed by the hospital industry, such as allowances for drug manufacturers to offer upfront discounts or rebates following the submission of claims data “in order to reduce diversion or duplication of discounts,” as well as regular reporting from participating nonprofits on their 340B revenues, costs and eligibility. <Read More>
