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While pediatric and adolescent vaccination programs continue to be central to improving US childhood health, vaccination programs have in recent years also expanded across the life course as new adult and maternal products entered the market. In response, policy makers and public health stakeholders have increased efforts to promote adult vaccination. However, current adult and maternal immunization rates lag behind national targets.
Summary A new analysis from Avalere finds that in 2021, Medicare Part D plans place generic prescription drugs on generic tiers 45% of the time, a decrease from 64% in 2016. Medicare Part D plans have the flexibility to design drug formularies and structure tiers as long as they meet the formulary design requirements of the Centers for Medicare & Medicaid Services (CMS).
The US healthcare system relies on the domestic production of active pharmaceutical ingredients (API) supplemented by imports. Avalere’s analysis finds that in 2019, the dollar value of API made in the US accounted for a majority (54%) of the $86.5 billion of API used in medicines consumed in the US. Total dollar value of API made in European Union member states accounted for 26%.
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