Competitive intelligence
CI feed
Conference abstracts + payer decisions interleaved chronologically — the CI team aims to publish a structured briefing within 48 hours of any high-relevance event landing here.
230 items in window · 103 high-relevance
- Payerhigh (91%)cms lcdcoverage decision2025-06-01CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:JFlives: 4,361,966effective: 2025-06-01Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (88%)icervalue assessment draft2025-06-02ICER released draft evidence report on ZENVARA for NSCLC.ICERUS-nationallives: 50,803,475effective: 2025-06-02Decision targets ZENVARA's direct competitor in NSCLC.rating: C+value_for_money: high
- Payermedium (61%)health plan commercialtier changed2025-06-02UnitedHealthcare moved ZENVARA from preferred to non-preferred tier.UnitedHealthcareUS-nationallives: 11,785,892effective: 2025-08-01Decision targets ZENVARA's direct competitor in NSCLC.tier_before: 2tier_after: 4
- Payerhigh (73%)cms lcdcoverage decision2025-06-03CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:J8lives: 8,889,156effective: 2025-06-03Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (77%)pbm commercialtier changed2025-06-03Express Scripts moved ZENVARA from preferred to non-preferred tier.Express ScriptsUS-nationallives: 98,664,512effective: 2025-06-03Decision targets ZENVARA's direct competitor in NSCLC.tier_before: 3tier_after: 5
- Payermedium (66%)pbm commercialadded2025-06-03Express Scripts added ZENVARA to NSCLC formulary tier 3 with PA.Express ScriptsUS-nationallives: 82,839,689effective: 2025-06-10Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (50%)va national formularyadded2025-06-03VA Pharmacy Benefits Management added ZENVARA to NSCLC formulary tier 3 with PA.VA Pharmacy Benefits ManagementUS-nationallives: 8,888,996effective: 2025-06-03Decision affects adjacent indication; potential read-through to ZENVARA.
- Payermedium (46%)hta intlvalue assessment final2025-06-04HAS (France) published final value assessment for ZENVARA in NSCLC.HAS (France)UKlives: 17,329,018effective: 2025-06-04Class-wide implications relevant to all assets with this mechanism.
- Payerhigh (89%)health plan commercialrestriction added2025-06-04Kaiser Permanente added prior-authorization requirement to ZENVARA.Kaiser PermanenteUS-nationallives: 12,182,866effective: 2025-07-20Decision targets ZENVARA's direct competitor in NSCLC.restrictions: LA
- Payerhigh (70%)state medicaid pdlremoved2025-06-04Florida AHCA removed ZENVARA from formulary effective 2025-07-28.Florida AHCAUS-state:MIlives: 7,061,543effective: 2025-07-28Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (92%)health plan commercialrestriction added2025-06-05UnitedHealthcare added prior-authorization requirement to ZENVARA.UnitedHealthcareUS-nationallives: 8,642,708effective: 2025-06-05Decision targets ZENVARA's direct competitor in NSCLC.restrictions: PA,ST
- Payerhigh (72%)state medicaid pdladded2025-06-05Florida AHCA added ZENVARA to NSCLC formulary tier 3 with PA.Florida AHCAUS-state:OHlives: 11,627,914effective: 2025-07-01Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (91%)health plan commercialrestriction added2025-06-05UnitedHealthcare added prior-authorization requirement to ZENVARA.UnitedHealthcareUS-nationallives: 11,134,149effective: 2025-07-11Decision targets ZENVARA's direct competitor in NSCLC.restrictions: ST,QL
- Payerhigh (87%)pbm commercialstep therapy imposed2025-06-06Express Scripts now requires step therapy through alternative before ZENVARA.Express ScriptsUS-nationallives: 82,929,630effective: 2025-06-11Decision targets ZENVARA's direct competitor in NSCLC.restrictions: LA
- Payerlow (36%)state medicaid pdladded2025-06-06Texas HHSC added ZENVARA to NSCLC formulary tier 3 with PA.Texas HHSCUS-state:PAlives: 14,726,433effective: 2025-07-22Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerhigh (71%)pbm medicare pdpremoved2025-06-09CVS Caremark SilverScript removed ZENVARA from formulary effective 2025-06-20.CVS Caremark SilverScriptUS-nationallives: 10,197,183effective: 2025-06-20Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (23%)state medicaid pdlremoved2025-06-09California DHCS removed ZENVARA from formulary effective 2025-06-10.California DHCSUS-state:GAlives: 14,597,840effective: 2025-06-10Decision concerns ZENVARA's reference product.
- Payerhigh (81%)state medicaid pdladded2025-06-10Ohio DODD added ZENVARA to NSCLC formulary tier 3 with PA.Ohio DODDUS-state:MIlives: 13,722,489effective: 2025-07-15Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (79%)pbm commercialstep therapy imposed2025-06-10CVS Caremark now requires step therapy through alternative before ZENVARA.CVS CaremarkUS-nationallives: 70,948,713effective: 2025-06-29Decision targets ZENVARA's direct competitor in NSCLC.restrictions: QL
- Payerhigh (87%)hta intlvalue assessment final2025-06-11CADTH (Canada) published final value assessment for ZENVARA in NSCLC.CADTH (Canada)UKlives: 47,166,600effective: 2025-06-11Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (73%)pbm commercialrestriction added2025-06-12CVS Caremark added prior-authorization requirement to ZENVARA.CVS CaremarkUS-nationallives: 73,132,320effective: 2025-07-10Decision targets ZENVARA's direct competitor in NSCLC.restrictions: QL,LA
- Payerhigh (72%)state medicaid pdladded2025-06-12California DHCS added ZENVARA to NSCLC formulary tier 3 with PA.California DHCSUS-state:FLlives: 5,773,802effective: 2025-07-20Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (88%)hta intlcoverage decision2025-06-13CADTH (Canada) issued coverage decision for ZENVARA in NSCLC.CADTH (Canada)UKlives: 41,898,018effective: 2025-06-13Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (66%)pbm commercialadded2025-06-13OptumRx added ZENVARA to NSCLC formulary tier 3 with PA.OptumRxUS-nationallives: 75,035,003effective: 2025-07-10Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (38%)pbm medicare pdpadded2025-06-13Express Scripts Medicare added ZENVARA to NSCLC formulary tier 3 with PA.Express Scripts MedicareUS-nationallives: 8,272,569effective: 2025-06-30Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerhigh (95%)cms lcdcoverage decision2025-06-14CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:JJlives: 3,580,272effective: 2025-06-14Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (61%)va national formularyadded2025-06-15VA Pharmacy Benefits Management added ZENVARA to NSCLC formulary tier 3 with PA.VA Pharmacy Benefits ManagementUS-nationallives: 9,301,763effective: 2025-08-14Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (64%)health plan commercialrestriction removed2025-06-15Kaiser Permanente removed step-therapy requirement on ZENVARA.Kaiser PermanenteUS-nationallives: 20,415,265effective: 2025-06-15Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (39%)pbm medicare pdprestriction added2025-06-15OptumRx Medicare added prior-authorization requirement to ZENVARA.OptumRx MedicareUS-nationallives: 5,391,705effective: 2025-07-28Decision affects adjacent indication; potential read-through to ZENVARA.restrictions: QL
- Payerhigh (89%)icervalue assessment draft2025-06-16ICER released draft evidence report on ZENVARA for NSCLC.ICERUS-nationallives: 55,776,217effective: 2025-06-16Decision targets ZENVARA's direct competitor in NSCLC.rating: Avalue_for_money: intermediateprice_benchmark_usd: 98748
- Payerhigh (74%)state medicaid pdladded2025-06-16Pennsylvania DHS added ZENVARA to NSCLC formulary tier 3 with PA.Pennsylvania DHSUS-state:MIlives: 10,609,773effective: 2025-06-18Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (79%)hta intlvalue assessment final2025-06-16HAS (France) published final value assessment for ZENVARA in NSCLC.HAS (France)EU-DElives: 6,716,500effective: 2025-06-16Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (63%)state medicaid pdladded2025-06-17Texas HHSC added ZENVARA to NSCLC formulary tier 3 with PA.Texas HHSCUS-state:MIlives: 10,468,409effective: 2025-07-01Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (68%)state medicaid pdlpdl preferred status changed2025-06-17New York DOH updated PDL preferred status for ZENVARA.New York DOHUS-state:CAlives: 11,869,624effective: 2025-06-17Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (77%)state medicaid pdladded2025-06-17Pennsylvania DHS added ZENVARA to NSCLC formulary tier 3 with PA.Pennsylvania DHSUS-state:MIlives: 7,897,252effective: 2025-08-09Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (20%)dod tricareremoved2025-06-17DoD TRICARE removed ZENVARA from formulary effective 2025-07-25.DoD TRICAREUS-nationallives: 9,075,802effective: 2025-07-25Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerlow (29%)hta intlvalue assessment final2025-06-19NICE (UK) published final value assessment for ZENVARA in NSCLC.NICE (UK)EU-DElives: 39,012,354effective: 2025-06-19Class-wide implications relevant to all assets with this mechanism.
- Payerlow (20%)hospital pt committeeadded2025-06-20HCA Healthcare added ZENVARA to NSCLC formulary tier 3 with PA.HCA HealthcareUS-nationallives: 457,769effective: 2025-08-12Class-wide implications relevant to all assets with this mechanism.
- Payermedium (54%)hospital pt committeeadded2025-06-21Ascension added ZENVARA to NSCLC formulary tier 3 with PA.AscensionUS-nationallives: 357,466effective: 2025-07-23Decision concerns ZENVARA's reference product.
- Payerlow (21%)pbm medicare pdptier changed2025-06-21Humana Pharmacy Solutions moved ZENVARA from preferred to non-preferred tier.Humana Pharmacy SolutionsUS-nationallives: 7,345,172effective: 2025-07-16Decision affects adjacent indication; potential read-through to ZENVARA.tier_before: 2tier_after: 4
- Payermedium (45%)state medicaid pdlremoved2025-06-22Texas HHSC removed ZENVARA from formulary effective 2025-07-30.Texas HHSCUS-state:MIlives: 2,389,692effective: 2025-07-30Decision concerns ZENVARA's reference product.
- Payerhigh (78%)pbm medicare pdptier changed2025-06-23Humana Pharmacy Solutions moved ZENVARA from preferred to non-preferred tier.Humana Pharmacy SolutionsUS-nationallives: 5,763,465effective: 2025-06-28Decision targets ZENVARA's direct competitor in NSCLC.tier_before: 2tier_after: 4
- Payermedium (50%)health plan commercialrestriction added2025-06-23Kaiser Permanente added prior-authorization requirement to ZENVARA.Kaiser PermanenteUS-nationallives: 19,401,818effective: 2025-06-29Decision affects adjacent indication; potential read-through to ZENVARA.restrictions: LA
- Payerhigh (94%)cms ncdcoverage decision2025-06-23CMS issued coverage decision for ZENVARA in NSCLC.CMSUS-nationallives: 66,588,984effective: 2025-06-23Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (93%)cms ncdcoverage decision2025-06-24CMS issued coverage decision for ZENVARA in NSCLC.CMSUS-nationallives: 66,220,974effective: 2025-06-24Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (62%)pbm commercialrestriction added2025-06-25OptumRx added prior-authorization requirement to ZENVARA.OptumRxUS-nationallives: 63,888,214effective: 2025-06-25Decision targets ZENVARA's direct competitor in NSCLC.restrictions: QL
- Payerhigh (92%)pbm commercialrestriction added2025-06-27CVS Caremark added prior-authorization requirement to ZENVARA.CVS CaremarkUS-nationallives: 85,978,174effective: 2025-06-30Decision targets ZENVARA's direct competitor in NSCLC.restrictions: QL
- Payerhigh (76%)state medicaid pdladded2025-06-27Florida AHCA added ZENVARA to NSCLC formulary tier 3 with PA.Florida AHCAUS-state:FLlives: 12,685,899effective: 2025-07-01Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (49%)va national formularyrestriction added2025-06-28VA Pharmacy Benefits Management added prior-authorization requirement to ZENVARA.VA Pharmacy Benefits ManagementUS-nationallives: 8,621,008effective: 2025-08-23Decision affects adjacent indication; potential read-through to ZENVARA.restrictions: LA
- Payermedium (66%)pbm medicare pdpadded2025-06-28Humana Pharmacy Solutions added ZENVARA to NSCLC formulary tier 3 with PA.Humana Pharmacy SolutionsUS-nationallives: 11,381,927effective: 2025-08-10Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (50%)cms ncdcoverage decision2025-06-29CMS issued coverage decision for ZENVARA in NSCLC.CMSUS-nationallives: 66,239,095effective: 2025-06-29Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerlow (20%)pbm commercialadded2025-06-30Express Scripts added ZENVARA to NSCLC formulary tier 3 with PA.Express ScriptsUS-nationallives: 85,843,785effective: 2025-08-29Class-wide implications relevant to all assets with this mechanism.
- Payerhigh (75%)pbm commercialtier changed2025-06-30CVS Caremark moved ZENVARA from preferred to non-preferred tier.CVS CaremarkUS-nationallives: 85,127,933effective: 2025-07-07Decision targets ZENVARA's direct competitor in NSCLC.tier_before: 3tier_after: 4
- Payerlow (21%)cms lcdcoverage decision2025-07-01CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:J15lives: 8,924,098effective: 2025-07-01Decision concerns ZENVARA's reference product.
- Payerhigh (94%)health plan commercialrestriction removed2025-07-01UnitedHealthcare removed step-therapy requirement on ZENVARA.UnitedHealthcareUS-nationallives: 11,057,130effective: 2025-07-01Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (60%)pbm medicare pdprestriction added2025-07-01OptumRx Medicare added prior-authorization requirement to ZENVARA.OptumRx MedicareUS-nationallives: 4,960,790effective: 2025-08-16Decision targets ZENVARA's direct competitor in NSCLC.restrictions: QL
- Payermedium (52%)state medicaid pdlremoved2025-07-01Florida AHCA removed ZENVARA from formulary effective 2025-08-26.Florida AHCAUS-state:GAlives: 2,782,010effective: 2025-08-26Class-wide implications relevant to all assets with this mechanism.
- Payerlow (20%)pbm commercialstep therapy imposed2025-07-02CVS Caremark now requires step therapy through alternative before ZENVARA.CVS CaremarkUS-nationallives: 86,120,052effective: 2025-08-18Decision concerns ZENVARA's reference product.restrictions: QL,PA
- Payerlow (29%)state medicaid pdlremoved2025-07-02Texas HHSC removed ZENVARA from formulary effective 2025-08-24.Texas HHSCUS-state:MIlives: 6,741,526effective: 2025-08-24Class-wide implications relevant to all assets with this mechanism.
- Payermedium (55%)state medicaid pdladded2025-07-02Pennsylvania DHS added ZENVARA to NSCLC formulary tier 3 with PA.Pennsylvania DHSUS-state:TXlives: 2,308,782effective: 2025-07-03Decision concerns ZENVARA's reference product.
- Payerhigh (73%)hta intlvalue assessment final2025-07-02NICE (UK) published final value assessment for ZENVARA in NSCLC.NICE (UK)EU-FRlives: 51,472,238effective: 2025-07-02Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (73%)health plan commercialrestriction added2025-07-03BCBS Federal Employee Program added prior-authorization requirement to ZENVARA.BCBS Federal Employee ProgramUS-nationallives: 6,850,548effective: 2025-07-07Decision targets ZENVARA's direct competitor in NSCLC.restrictions: LA
- Payermedium (53%)cms ncdcoverage decision2025-07-03CMS issued coverage decision for ZENVARA in NSCLC.CMSUS-nationallives: 61,878,624effective: 2025-07-03Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerhigh (83%)icervalue assessment final2025-07-04ICER published final value assessment for ZENVARA in NSCLC.ICERUS-nationallives: 65,882,802effective: 2025-07-04Decision targets ZENVARA's direct competitor in NSCLC.rating: C+value_for_money: highprice_benchmark_usd: 155336
- Payermedium (66%)cms lcdcoverage decision2025-07-04CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:J15lives: 10,103,223effective: 2025-07-04Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (34%)cms lcdcoverage decision2025-07-06CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:JJlives: 3,910,041effective: 2025-07-06Class-wide implications relevant to all assets with this mechanism.
- Payerhigh (70%)hospital pt committeerestriction added2025-07-06Ascension added prior-authorization requirement to ZENVARA.AscensionUS-nationallives: 636,467effective: 2025-07-21Decision targets ZENVARA's direct competitor in NSCLC.restrictions: LA,PA
- Payerhigh (72%)pbm medicare pdpadded2025-07-07Humana Pharmacy Solutions added ZENVARA to NSCLC formulary tier 3 with PA.Humana Pharmacy SolutionsUS-nationallives: 8,421,949effective: 2025-08-17Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (51%)pbm medicare pdpadded2025-07-07Humana Pharmacy Solutions added ZENVARA to NSCLC formulary tier 3 with PA.Humana Pharmacy SolutionsUS-nationallives: 11,904,986effective: 2025-07-29Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerhigh (70%)health plan commercialtier changed2025-07-07BCBS Federal Employee Program moved ZENVARA from preferred to non-preferred tier.BCBS Federal Employee ProgramUS-nationallives: 21,664,802effective: 2025-08-13Decision targets ZENVARA's direct competitor in NSCLC.tier_before: 2tier_after: 4
- Payerhigh (86%)pbm medicare pdpadded2025-07-07CVS Caremark SilverScript added ZENVARA to NSCLC formulary tier 3 with PA.CVS Caremark SilverScriptUS-nationallives: 7,969,893effective: 2025-07-19Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (53%)state medicaid pdlpdl preferred status changed2025-07-08California DHCS updated PDL preferred status for ZENVARA.California DHCSUS-state:FLlives: 4,286,117effective: 2025-07-08Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerhigh (91%)health plan commercialtier changed2025-07-08Aetna moved ZENVARA from preferred to non-preferred tier.AetnaUS-nationallives: 24,735,149effective: 2025-09-04Decision targets ZENVARA's direct competitor in NSCLC.tier_before: 3tier_after: 3
- Payerhigh (70%)hta intlcoverage decision2025-07-08NICE (UK) issued coverage decision for ZENVARA in NSCLC.NICE (UK)EU-FRlives: 44,125,340effective: 2025-07-08Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (34%)state medicaid pdlpdl preferred status changed2025-07-11Florida AHCA updated PDL preferred status for ZENVARA.Florida AHCAUS-state:NYlives: 11,504,070effective: 2025-07-11Class-wide implications relevant to all assets with this mechanism.
- Payermedium (47%)va national formularyadded2025-07-13VA Pharmacy Benefits Management added ZENVARA to NSCLC formulary tier 3 with PA.VA Pharmacy Benefits ManagementUS-nationallives: 9,479,567effective: 2025-09-08Decision affects adjacent indication; potential read-through to ZENVARA.
- Payermedium (51%)pbm commercialadded2025-07-13OptumRx added ZENVARA to NSCLC formulary tier 3 with PA.OptumRxUS-nationallives: 75,891,098effective: 2025-07-28Class-wide implications relevant to all assets with this mechanism.
- Payerlow (29%)pbm medicare pdpremoved2025-07-15CVS Caremark SilverScript removed ZENVARA from formulary effective 2025-07-15.CVS Caremark SilverScriptUS-nationallives: 8,152,209effective: 2025-07-15Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerhigh (82%)pbm commercialrestriction added2025-07-16Express Scripts added prior-authorization requirement to ZENVARA.Express ScriptsUS-nationallives: 97,353,887effective: 2025-09-01Decision targets ZENVARA's direct competitor in NSCLC.restrictions: ST,LA
- Payermedium (43%)hospital pt committeerestriction added2025-07-17Ascension added prior-authorization requirement to ZENVARA.AscensionUS-nationallives: 928,899effective: 2025-08-20Class-wide implications relevant to all assets with this mechanism.restrictions: ST
- Payerlow (32%)state medicaid pdlpdl preferred status changed2025-07-17California DHCS updated PDL preferred status for ZENVARA.California DHCSUS-state:CAlives: 12,118,580effective: 2025-07-17Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerlow (35%)health plan commercialtier changed2025-07-17Aetna moved ZENVARA from preferred to non-preferred tier.AetnaUS-nationallives: 14,166,090effective: 2025-09-12Decision affects adjacent indication; potential read-through to ZENVARA.tier_before: 3tier_after: 3
- Payerhigh (89%)pbm medicare pdprestriction added2025-07-17Express Scripts Medicare added prior-authorization requirement to ZENVARA.Express Scripts MedicareUS-nationallives: 10,469,373effective: 2025-08-27Decision targets ZENVARA's direct competitor in NSCLC.restrictions: ST,PA
- Payerlow (32%)pbm commercialexcluded2025-07-18Express Scripts excluded ZENVARA from 2026 formulary effective 2025-08-02.Express ScriptsUS-nationallives: 78,161,365effective: 2025-08-02Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerlow (26%)pbm commercialrestriction added2025-07-18CVS Caremark added prior-authorization requirement to ZENVARA.CVS CaremarkUS-nationallives: 88,088,431effective: 2025-08-22Class-wide implications relevant to all assets with this mechanism.restrictions: ST
- Payermedium (40%)state medicaid pdladded2025-07-19Florida AHCA added ZENVARA to NSCLC formulary tier 3 with PA.Florida AHCAUS-state:OHlives: 5,290,386effective: 2025-08-04Decision concerns ZENVARA's reference product.
- Payerhigh (75%)health plan commercialrestriction added2025-07-20Kaiser Permanente added prior-authorization requirement to ZENVARA.Kaiser PermanenteUS-nationallives: 9,210,226effective: 2025-09-13Decision targets ZENVARA's direct competitor in NSCLC.restrictions: QL,ST
- Payerhigh (90%)hospital pt committeeadded2025-07-20Kaiser Hospitals added ZENVARA to NSCLC formulary tier 3 with PA.Kaiser HospitalsUS-nationallives: 1,371,864effective: 2025-09-12Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (29%)cms lcdcoverage decision2025-07-21CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:JJlives: 11,993,039effective: 2025-07-21Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerlow (26%)cms lcdcoverage decision2025-07-21CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:JNlives: 8,175,588effective: 2025-07-21Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerhigh (75%)state medicaid pdladded2025-07-21Ohio DODD added ZENVARA to NSCLC formulary tier 3 with PA.Ohio DODDUS-state:ILlives: 12,779,672effective: 2025-09-03Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (95%)pbm medicare pdpremoved2025-07-22Humana Pharmacy Solutions removed ZENVARA from formulary effective 2025-09-16.Humana Pharmacy SolutionsUS-nationallives: 5,600,467effective: 2025-09-16Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (93%)cms lcdcoverage decision2025-07-23CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:JFlives: 11,182,172effective: 2025-07-23Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (63%)pbm commercialstep therapy imposed2025-07-23CVS Caremark now requires step therapy through alternative before ZENVARA.CVS CaremarkUS-nationallives: 84,078,547effective: 2025-08-21Decision targets ZENVARA's direct competitor in NSCLC.restrictions: LA,PA
- Payermedium (52%)state medicaid pdlpdl preferred status changed2025-07-25Texas HHSC updated PDL preferred status for ZENVARA.Texas HHSCUS-state:ILlives: 7,751,414effective: 2025-07-25Class-wide implications relevant to all assets with this mechanism.
- Payerhigh (79%)cms lcdcoverage decision2025-07-25CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:J5lives: 5,566,890effective: 2025-07-25Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (42%)cms lcdcoverage decision2025-07-26CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:JNlives: 5,601,401effective: 2025-07-26Class-wide implications relevant to all assets with this mechanism.
- Payermedium (67%)cms lcdcoverage decision2025-07-26CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:JLlives: 7,606,429effective: 2025-07-26Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (66%)hospital pt committeerestriction added2025-07-26CommonSpirit Health added prior-authorization requirement to ZENVARA.CommonSpirit HealthUS-nationallives: 1,601,801effective: 2025-09-03Decision targets ZENVARA's direct competitor in NSCLC.restrictions: PA,LA
- Payerhigh (93%)cms lcdcoverage decision2025-07-27CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:J6lives: 5,979,461effective: 2025-07-27Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (69%)hospital pt committeeremoved2025-07-29Ascension removed ZENVARA from formulary effective 2025-09-16.AscensionUS-nationallives: 859,723effective: 2025-09-16Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (23%)health plan commercialtier changed2025-07-29Cigna moved ZENVARA from preferred to non-preferred tier.CignaUS-nationallives: 25,295,976effective: 2025-09-21Decision concerns ZENVARA's reference product.tier_before: 3tier_after: 4
- Payerlow (33%)pbm commercialadded2025-07-31Express Scripts added ZENVARA to NSCLC formulary tier 3 with PA.Express ScriptsUS-nationallives: 65,082,531effective: 2025-08-24Class-wide implications relevant to all assets with this mechanism.
- Payermedium (64%)pbm commercialexcluded2025-07-31OptumRx excluded ZENVARA from 2026 formulary effective 2025-09-04.OptumRxUS-nationallives: 103,851,148effective: 2025-09-04Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (78%)pbm commercialtier changed2025-08-03CVS Caremark moved ZENVARA from preferred to non-preferred tier.CVS CaremarkUS-nationallives: 90,521,897effective: 2025-09-12Decision targets ZENVARA's direct competitor in NSCLC.tier_before: 2tier_after: 5
- Payerhigh (79%)cms lcdcoverage decision2025-08-03CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:JFlives: 5,230,248effective: 2025-08-03Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (61%)cms ncdcoverage decision2025-08-03CMS issued coverage decision for ZENVARA in NSCLC.CMSUS-nationallives: 62,634,101effective: 2025-08-03Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (62%)state medicaid pdlremoved2025-08-03Pennsylvania DHS removed ZENVARA from formulary effective 2025-08-27.Pennsylvania DHSUS-state:NYlives: 6,077,599effective: 2025-08-27Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (29%)icervalue assessment draft2025-08-04ICER released draft evidence report on ZENVARA for NSCLC.ICERUS-nationallives: 56,921,292effective: 2025-08-04Decision affects adjacent indication; potential read-through to ZENVARA.rating: C-value_for_money: intermediateprice_benchmark_usd: 28106
- Payermedium (55%)health plan commercialrestriction added2025-08-05BCBS Federal Employee Program added prior-authorization requirement to ZENVARA.BCBS Federal Employee ProgramUS-nationallives: 11,062,358effective: 2025-09-16Decision affects adjacent indication; potential read-through to ZENVARA.restrictions: PA
- Payermedium (69%)hta intlvalue assessment final2025-08-05G-BA (Germany) published final value assessment for ZENVARA in NSCLC.G-BA (Germany)EU-DElives: 12,945,419effective: 2025-08-05Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (60%)pbm commercialtier changed2025-08-06CVS Caremark moved ZENVARA from preferred to non-preferred tier.CVS CaremarkUS-nationallives: 61,556,077effective: 2025-09-22Decision targets ZENVARA's direct competitor in NSCLC.tier_before: 2tier_after: 3
- Payermedium (69%)pbm medicare pdpadded2025-08-06Express Scripts Medicare added ZENVARA to NSCLC formulary tier 3 with PA.Express Scripts MedicareUS-nationallives: 7,948,955effective: 2025-09-04Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (65%)dod tricareremoved2025-08-07DoD TRICARE removed ZENVARA from formulary effective 2025-09-28.DoD TRICAREUS-nationallives: 9,874,504effective: 2025-09-28Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (31%)cms lcdcoverage decision2025-08-08CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:J5lives: 3,931,525effective: 2025-08-08Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerhigh (74%)health plan commercialrestriction removed2025-08-08UnitedHealthcare removed step-therapy requirement on ZENVARA.UnitedHealthcareUS-nationallives: 6,988,605effective: 2025-08-08Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (95%)pbm commercialrestriction added2025-08-08Express Scripts added prior-authorization requirement to ZENVARA.Express ScriptsUS-nationallives: 85,126,875effective: 2025-09-27Decision targets ZENVARA's direct competitor in NSCLC.restrictions: LA
- Payerlow (28%)pbm commercialadded2025-08-09CVS Caremark added ZENVARA to NSCLC formulary tier 3 with PA.CVS CaremarkUS-nationallives: 80,513,617effective: 2025-09-02Decision concerns ZENVARA's reference product.
- Payerhigh (74%)pbm medicare pdptier changed2025-08-10OptumRx Medicare moved ZENVARA from preferred to non-preferred tier.OptumRx MedicareUS-nationallives: 3,635,948effective: 2025-09-10Decision targets ZENVARA's direct competitor in NSCLC.tier_before: 3tier_after: 3
- Payerhigh (81%)pbm commercialrestriction added2025-08-10Express Scripts added prior-authorization requirement to ZENVARA.Express ScriptsUS-nationallives: 99,063,045effective: 2025-08-29Decision targets ZENVARA's direct competitor in NSCLC.restrictions: PA
- Payerhigh (85%)health plan commercialrestriction added2025-08-10Kaiser Permanente added prior-authorization requirement to ZENVARA.Kaiser PermanenteUS-nationallives: 18,594,702effective: 2025-09-06Decision targets ZENVARA's direct competitor in NSCLC.restrictions: LA,PA
- Payerlow (30%)pbm medicare pdpremoved2025-08-11Humana Pharmacy Solutions removed ZENVARA from formulary effective 2025-09-27.Humana Pharmacy SolutionsUS-nationallives: 11,910,809effective: 2025-09-27Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerhigh (82%)state medicaid pdlpdl preferred status changed2025-08-11Florida AHCA updated PDL preferred status for ZENVARA.Florida AHCAUS-state:ILlives: 5,134,104effective: 2025-08-11Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (28%)health plan commercialrestriction added2025-08-11Kaiser Permanente added prior-authorization requirement to ZENVARA.Kaiser PermanenteUS-nationallives: 20,452,530effective: 2025-09-30Class-wide implications relevant to all assets with this mechanism.restrictions: PA
- Payermedium (45%)health plan commercialrestriction removed2025-08-12Cigna removed step-therapy requirement on ZENVARA.CignaUS-nationallives: 22,614,523effective: 2025-08-12Decision affects adjacent indication; potential read-through to ZENVARA.
- Payermedium (47%)pbm commercialstep therapy imposed2025-08-13CVS Caremark now requires step therapy through alternative before ZENVARA.CVS CaremarkUS-nationallives: 96,094,770effective: 2025-09-13Decision affects adjacent indication; potential read-through to ZENVARA.restrictions: LA,ST
- Payermedium (51%)pbm commercialtier changed2025-08-13CVS Caremark moved ZENVARA from preferred to non-preferred tier.CVS CaremarkUS-nationallives: 70,846,268effective: 2025-08-13Decision affects adjacent indication; potential read-through to ZENVARA.tier_before: 2tier_after: 5
- Payerhigh (89%)cms lcdcoverage decision2025-08-14CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:JJlives: 9,797,625effective: 2025-08-14Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (48%)state medicaid pdlremoved2025-08-14Texas HHSC removed ZENVARA from formulary effective 2025-09-15.Texas HHSCUS-state:TXlives: 12,088,622effective: 2025-09-15Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerhigh (78%)pbm medicare pdpremoved2025-08-15OptumRx Medicare removed ZENVARA from formulary effective 2025-10-06.OptumRx MedicareUS-nationallives: 3,364,598effective: 2025-10-06Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (42%)hospital pt committeeremoved2025-08-15CommonSpirit Health removed ZENVARA from formulary effective 2025-08-23.CommonSpirit HealthUS-nationallives: 256,998effective: 2025-08-23Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerhigh (73%)pbm medicare pdptier changed2025-08-15Humana Pharmacy Solutions moved ZENVARA from preferred to non-preferred tier.Humana Pharmacy SolutionsUS-nationallives: 10,563,302effective: 2025-09-11Decision targets ZENVARA's direct competitor in NSCLC.tier_before: 2tier_after: 4
- Payerlow (25%)pbm commercialstep therapy imposed2025-08-15Express Scripts now requires step therapy through alternative before ZENVARA.Express ScriptsUS-nationallives: 78,388,248effective: 2025-08-31Decision affects adjacent indication; potential read-through to ZENVARA.restrictions: PA
- Payermedium (46%)health plan commercialrestriction removed2025-08-15UnitedHealthcare removed step-therapy requirement on ZENVARA.UnitedHealthcareUS-nationallives: 14,431,683effective: 2025-08-15Class-wide implications relevant to all assets with this mechanism.
- Payerhigh (72%)dod tricareremoved2025-08-16DoD TRICARE removed ZENVARA from formulary effective 2025-09-02.DoD TRICAREUS-nationallives: 9,785,143effective: 2025-09-02Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (71%)hta intlvalue assessment final2025-08-16CADTH (Canada) published final value assessment for ZENVARA in NSCLC.CADTH (Canada)UKlives: 39,347,094effective: 2025-08-16Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (86%)icerprice benchmark2025-08-16ICER updated value-based price benchmark for ZENVARA.ICERUS-nationallives: 75,918,902effective: 2025-08-16Decision targets ZENVARA's direct competitor in NSCLC.price_benchmark_usd: 66661value_for_money: low
- Payerhigh (72%)cms lcdcoverage decision2025-08-18CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:JLlives: 8,163,922effective: 2025-08-18Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (72%)pbm commercialadded2025-08-18CVS Caremark added ZENVARA to NSCLC formulary tier 3 with PA.CVS CaremarkUS-nationallives: 77,995,825effective: 2025-10-06Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (23%)cms lcdcoverage decision2025-08-18CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:J8lives: 3,450,700effective: 2025-08-18Decision affects adjacent indication; potential read-through to ZENVARA.
- Payermedium (61%)icervalue assessment draft2025-08-19ICER released draft evidence report on ZENVARA for NSCLC.ICERUS-nationallives: 53,976,744effective: 2025-08-19Decision targets ZENVARA's direct competitor in NSCLC.rating: C-value_for_money: lowprice_benchmark_usd: 146627
- Payerhigh (80%)pbm commercialtier changed2025-08-21OptumRx moved ZENVARA from preferred to non-preferred tier.OptumRxUS-nationallives: 89,496,886effective: 2025-09-13Decision targets ZENVARA's direct competitor in NSCLC.tier_before: 2tier_after: 4
- Payermedium (44%)icerprice benchmark2025-08-22ICER updated value-based price benchmark for ZENVARA.ICERUS-nationallives: 54,075,372effective: 2025-08-22Decision affects adjacent indication; potential read-through to ZENVARA.price_benchmark_usd: 135092value_for_money: intermediate
- Payerhigh (91%)state medicaid pdladded2025-08-25Texas HHSC added ZENVARA to NSCLC formulary tier 3 with PA.Texas HHSCUS-state:MIlives: 8,291,671effective: 2025-08-30Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (87%)pbm commercialstep therapy imposed2025-08-27Express Scripts now requires step therapy through alternative before ZENVARA.Express ScriptsUS-nationallives: 78,263,110effective: 2025-09-23Decision targets ZENVARA's direct competitor in NSCLC.restrictions: LA,QL
- Payermedium (67%)hta intlvalue assessment final2025-08-27NICE (UK) published final value assessment for ZENVARA in NSCLC.NICE (UK)CAlives: 38,000,992effective: 2025-08-27Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (71%)hospital pt committeeadded2025-08-28HCA Healthcare added ZENVARA to NSCLC formulary tier 3 with PA.HCA HealthcareUS-nationallives: 671,490effective: 2025-10-09Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (33%)cms lcdcoverage decision2025-08-29CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:JNlives: 11,579,134effective: 2025-08-29Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerhigh (72%)state medicaid pdladded2025-08-30Texas HHSC added ZENVARA to NSCLC formulary tier 3 with PA.Texas HHSCUS-state:FLlives: 8,125,512effective: 2025-09-12Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (36%)hospital pt committeeadded2025-08-31Ascension added ZENVARA to NSCLC formulary tier 3 with PA.AscensionUS-nationallives: 923,211effective: 2025-10-08Class-wide implications relevant to all assets with this mechanism.
- Payerlow (29%)health plan commercialrestriction removed2025-08-31BCBS Federal Employee Program removed step-therapy requirement on ZENVARA.BCBS Federal Employee ProgramUS-nationallives: 7,374,306effective: 2025-08-31Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerlow (21%)hta intlcoverage decision2025-09-02G-BA (Germany) issued coverage decision for ZENVARA in NSCLC.G-BA (Germany)EU-DElives: 36,279,145effective: 2025-09-02Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerhigh (92%)icervalue assessment final2025-09-02ICER published final value assessment for ZENVARA in NSCLC.ICERUS-nationallives: 52,097,687effective: 2025-09-02Decision targets ZENVARA's direct competitor in NSCLC.rating: Avalue_for_money: intermediate
- Payerhigh (73%)hta intlcoverage decision2025-09-04HAS (France) issued coverage decision for ZENVARA in NSCLC.HAS (France)EU-DElives: 53,487,154effective: 2025-09-04Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (46%)health plan commercialtier changed2025-09-04BCBS Federal Employee Program moved ZENVARA from preferred to non-preferred tier.BCBS Federal Employee ProgramUS-nationallives: 19,419,551effective: 2025-09-12Decision affects adjacent indication; potential read-through to ZENVARA.tier_before: 2tier_after: 4
- Payerhigh (75%)cms ncdcoverage decision2025-09-05CMS issued coverage decision for ZENVARA in NSCLC.CMSUS-nationallives: 63,826,503effective: 2025-09-05Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (71%)va national formularyremoved2025-09-06VA Pharmacy Benefits Management removed ZENVARA from formulary effective 2025-10-11.VA Pharmacy Benefits ManagementUS-nationallives: 8,895,017effective: 2025-10-11Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (31%)pbm medicare pdpremoved2025-09-06Express Scripts Medicare removed ZENVARA from formulary effective 2025-09-26.Express Scripts MedicareUS-nationallives: 5,985,157effective: 2025-09-26Class-wide implications relevant to all assets with this mechanism.
- Payermedium (52%)cms lcdcoverage decision2025-09-08CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:J5lives: 7,979,811effective: 2025-09-08Class-wide implications relevant to all assets with this mechanism.
- Payermedium (67%)cms lcdcoverage decision2025-09-09CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:J8lives: 6,613,739effective: 2025-09-09Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (74%)hospital pt committeeremoved2025-09-11HCA Healthcare removed ZENVARA from formulary effective 2025-09-27.HCA HealthcareUS-nationallives: 813,935effective: 2025-09-27Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (22%)health plan commercialrestriction removed2025-09-12Cigna removed step-therapy requirement on ZENVARA.CignaUS-nationallives: 15,286,678effective: 2025-09-12Class-wide implications relevant to all assets with this mechanism.
- Payerhigh (75%)hospital pt committeeadded2025-09-12HCA Healthcare added ZENVARA to NSCLC formulary tier 3 with PA.HCA HealthcareUS-nationallives: 346,505effective: 2025-09-16Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (64%)health plan commercialrestriction removed2025-09-13Cigna removed step-therapy requirement on ZENVARA.CignaUS-nationallives: 20,297,150effective: 2025-09-13Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (52%)cms ncdcoverage decision2025-09-14CMS issued coverage decision for ZENVARA in NSCLC.CMSUS-nationallives: 63,864,823effective: 2025-09-14Decision concerns ZENVARA's reference product.
- Payermedium (67%)cms lcdcoverage decision2025-09-14CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:JMlives: 8,155,597effective: 2025-09-14Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (37%)pbm medicare pdpremoved2025-09-14Humana Pharmacy Solutions removed ZENVARA from formulary effective 2025-10-09.Humana Pharmacy SolutionsUS-nationallives: 10,370,520effective: 2025-10-09Decision concerns ZENVARA's reference product.
- Payerhigh (93%)health plan commercialrestriction removed2025-09-14Cigna removed step-therapy requirement on ZENVARA.CignaUS-nationallives: 9,077,183effective: 2025-09-14Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (69%)state medicaid pdlremoved2025-09-17New York DOH removed ZENVARA from formulary effective 2025-10-27.New York DOHUS-state:PAlives: 9,199,503effective: 2025-10-27Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (65%)va national formularyrestriction added2025-09-17VA Pharmacy Benefits Management added prior-authorization requirement to ZENVARA.VA Pharmacy Benefits ManagementUS-nationallives: 9,246,996effective: 2025-09-28Decision targets ZENVARA's direct competitor in NSCLC.restrictions: LA
- Payerhigh (84%)hospital pt committeerestriction added2025-09-18CommonSpirit Health added prior-authorization requirement to ZENVARA.CommonSpirit HealthUS-nationallives: 726,705effective: 2025-11-11Decision targets ZENVARA's direct competitor in NSCLC.restrictions: QL
- Payerhigh (93%)state medicaid pdladded2025-09-18New York DOH added ZENVARA to NSCLC formulary tier 3 with PA.New York DOHUS-state:FLlives: 14,073,489effective: 2025-10-30Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (60%)health plan commercialrestriction removed2025-09-19UnitedHealthcare removed step-therapy requirement on ZENVARA.UnitedHealthcareUS-nationallives: 14,342,981effective: 2025-09-19Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (82%)cms lcdcoverage decision2025-09-21CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:J15lives: 7,273,679effective: 2025-09-21Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (81%)cms ncdcoverage decision2025-09-22CMS issued coverage decision for ZENVARA in NSCLC.CMSUS-nationallives: 66,899,922effective: 2025-09-22Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (80%)pbm medicare pdprestriction added2025-09-22Humana Pharmacy Solutions added prior-authorization requirement to ZENVARA.Humana Pharmacy SolutionsUS-nationallives: 8,430,961effective: 2025-10-31Decision targets ZENVARA's direct competitor in NSCLC.restrictions: PA,LA
- Payermedium (52%)icervalue assessment final2025-09-23ICER published final value assessment for ZENVARA in NSCLC.ICERUS-nationallives: 79,890,217effective: 2025-09-23Decision affects adjacent indication; potential read-through to ZENVARA.rating: Dvalue_for_money: intermediateprice_benchmark_usd: 152130
- Payerlow (27%)pbm commercialrestriction added2025-09-24OptumRx added prior-authorization requirement to ZENVARA.OptumRxUS-nationallives: 83,989,935effective: 2025-10-29Decision affects adjacent indication; potential read-through to ZENVARA.restrictions: LA,PA
- Payerlow (30%)pbm commercialtier changed2025-09-24CVS Caremark moved ZENVARA from preferred to non-preferred tier.CVS CaremarkUS-nationallives: 99,528,452effective: 2025-10-09Decision affects adjacent indication; potential read-through to ZENVARA.tier_before: 2tier_after: 5
- Payerhigh (86%)pbm medicare pdpadded2025-09-24CVS Caremark SilverScript added ZENVARA to NSCLC formulary tier 3 with PA.CVS Caremark SilverScriptUS-nationallives: 3,284,583effective: 2025-10-18Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (72%)hospital pt committeeremoved2025-09-25HCA Healthcare removed ZENVARA from formulary effective 2025-11-22.HCA HealthcareUS-nationallives: 1,850,028effective: 2025-11-22Decision targets ZENVARA's direct competitor in NSCLC.
- Payerhigh (70%)pbm medicare pdpadded2025-09-25Humana Pharmacy Solutions added ZENVARA to NSCLC formulary tier 3 with PA.Humana Pharmacy SolutionsUS-nationallives: 6,984,777effective: 2025-10-04Decision targets ZENVARA's direct competitor in NSCLC.
- Payermedium (63%)pbm medicare pdptier changed2025-09-26OptumRx Medicare moved ZENVARA from preferred to non-preferred tier.OptumRx MedicareUS-nationallives: 9,419,390effective: 2025-10-23Decision targets ZENVARA's direct competitor in NSCLC.tier_before: 2tier_after: 5
- Payermedium (46%)health plan commercialrestriction added2025-09-26BCBS Federal Employee Program added prior-authorization requirement to ZENVARA.BCBS Federal Employee ProgramUS-nationallives: 15,413,374effective: 2025-11-10Class-wide implications relevant to all assets with this mechanism.restrictions: LA
- Payerlow (31%)pbm medicare pdprestriction added2025-09-26OptumRx Medicare added prior-authorization requirement to ZENVARA.OptumRx MedicareUS-nationallives: 11,077,382effective: 2025-10-19Decision concerns ZENVARA's reference product.restrictions: QL,PA
- Payermedium (67%)pbm medicare pdpadded2025-10-01CVS Caremark SilverScript added ZENVARA to NSCLC formulary tier 3 with PA.CVS Caremark SilverScriptUS-nationallives: 7,614,520effective: 2025-10-15Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (21%)pbm commercialexcluded2025-10-02OptumRx excluded ZENVARA from 2026 formulary effective 2025-10-25.OptumRxUS-nationallives: 73,367,527effective: 2025-10-25Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerhigh (89%)pbm medicare pdprestriction added2025-10-02OptumRx Medicare added prior-authorization requirement to ZENVARA.OptumRx MedicareUS-nationallives: 3,879,342effective: 2025-11-18Decision targets ZENVARA's direct competitor in NSCLC.restrictions: ST,LA
- Payermedium (61%)pbm commercialexcluded2025-10-02OptumRx excluded ZENVARA from 2026 formulary effective 2025-11-23.OptumRxUS-nationallives: 91,369,413effective: 2025-11-23Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (29%)state medicaid pdlremoved2025-10-03Texas HHSC removed ZENVARA from formulary effective 2025-10-22.Texas HHSCUS-state:ILlives: 4,558,258effective: 2025-10-22Decision concerns ZENVARA's reference product.
- Payermedium (50%)health plan commercialrestriction removed2025-10-03UnitedHealthcare removed step-therapy requirement on ZENVARA.UnitedHealthcareUS-nationallives: 20,204,776effective: 2025-10-03Decision affects adjacent indication; potential read-through to ZENVARA.
- Payermedium (49%)state medicaid pdlremoved2025-10-03Florida AHCA removed ZENVARA from formulary effective 2025-10-20.Florida AHCAUS-state:GAlives: 2,789,638effective: 2025-10-20Decision concerns ZENVARA's reference product.
- Payermedium (66%)pbm commercialexcluded2025-10-04OptumRx excluded ZENVARA from 2026 formulary effective 2025-11-19.OptumRxUS-nationallives: 62,405,297effective: 2025-11-19Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (26%)hta intlvalue assessment final2025-10-04NICE (UK) published final value assessment for ZENVARA in NSCLC.NICE (UK)EU-FRlives: 22,829,771effective: 2025-10-04Decision affects adjacent indication; potential read-through to ZENVARA.
- Payerhigh (70%)pbm commercialrestriction added2025-10-05CVS Caremark added prior-authorization requirement to ZENVARA.CVS CaremarkUS-nationallives: 69,477,806effective: 2025-11-27Decision targets ZENVARA's direct competitor in NSCLC.restrictions: PA
- Payerhigh (86%)cms lcdcoverage decision2025-10-06CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:JJlives: 5,335,531effective: 2025-10-06Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (25%)pbm commercialstep therapy imposed2025-10-06OptumRx now requires step therapy through alternative before ZENVARA.OptumRxUS-nationallives: 78,695,958effective: 2025-11-26Class-wide implications relevant to all assets with this mechanism.restrictions: QL
- Payermedium (64%)pbm medicare pdptier changed2025-10-08OptumRx Medicare moved ZENVARA from preferred to non-preferred tier.OptumRx MedicareUS-nationallives: 3,568,654effective: 2025-11-29Decision targets ZENVARA's direct competitor in NSCLC.tier_before: 3tier_after: 4
- Payerhigh (92%)cms lcdcoverage decision2025-10-09CMS issued coverage decision for ZENVARA in NSCLC.CMSMAC:JLlives: 11,298,477effective: 2025-10-09Decision targets ZENVARA's direct competitor in NSCLC.
- Payerlow (23%)pbm commercialadded2025-10-09CVS Caremark added ZENVARA to NSCLC formulary tier 3 with PA.CVS CaremarkUS-nationallives: 80,386,033effective: 2025-10-23Class-wide implications relevant to all assets with this mechanism.
- Congresshighembargo lifts in 1dJun 1, 2026, 4:00 PMReal-world effectiveness of Kisqali vs standard of care in HR+ breast cancerMedian OS 33.8 months. HR 0.8 (95% CI 0.71–0.89). No new safety signals identified.Kisqali () · NovartisHR+ breast cancerMONALEESA-38 · NCT60056504Poster Discussion SessionOS33.8 monthsHR 0.8 (0.71-0.89)PFS22.8 monthsHR 0.77 (0.69-0.86)ORR77.9 percent
- Congresshighembargo lifts in 1dJun 1, 2026, 4:15 PMReal-world effectiveness of Enhertu vs standard of care in NSCLCMedian OS 29.4 months. HR 0.85 (95% CI 0.76–0.94). Grade ≥3 AEs consistent with prior reports.Enhertu () · Daiichi SankyoNSCLCDESTINY-Breast-376 · NCT30918589Poster SessionOS29.4 monthsHR 0.85 (0.76-0.94)PFS7.2 monthsHR 0.89 (0.8-0.91)ORR50.6 percent
- Congressmediumembargo lifts in 1dJun 1, 2026, 9:15 PMTecentriq plus chemotherapy in previously untreated NSCLC: updated analysis from IMpower-16Median OS 19.6 months. HR 0.75 (95% CI 0.64–0.86). Grade ≥3 AEs consistent with prior reports.Tecentriq () · RocheNSCLCIMpower-16 · NCT45181053Trials in Progress Poster SessionOS19.6 monthsHR 0.75 (0.64-0.86)PFS10.1 monthsHR 0.74 (0.64-0.88)ORR51.2 percent
- Congresslowembargo lifts in 1dJun 1, 2026, 9:45 PMKEYNOTE-849: Keytruda (pembrolizumab) 2L in SCLCMedian OS 10.6 months. HR 0.89 (95% CI 0.77–0.99). No new safety signals identified.Keytruda () · MerckSCLCKEYNOTE-849 · NCT63930156Oral Abstract SessionOS10.6 monthsHR 0.89 (0.77-0.99)PFS4.3 monthsHR 0.87 (0.74-0.99)ORR61.3 percent
- Congressmediumembargo lifts in 1dJun 1, 2026, 10:00 PMKeytruda plus chemotherapy in previously untreated TNBC: updated analysis from KEYNOTE-560Median OS 18 months. HR 0.83 (95% CI 0.71–0.95). No new safety signals identified.Keytruda () · MerckTNBCKEYNOTE-560 · NCT60389648Poster Discussion SessionOS18 monthsHR 0.83 (0.71-0.95)PFS11 monthsHR 0.81 (0.74-0.94)ORR41.2 percent
- Congressmediumembargo lifts in 2dJun 2, 2026, 3:30 PMCheckMate-957: Opdivo (nivolumab) neoadjuvant in HCCMedian OS 19.2 months. HR 0.62 (95% CI 0.51–0.73). No new safety signals identified.Opdivo () · Bristol-Myers SquibbHCCCheckMate-957 · NCT64844073Education SessionOS19.2 monthsHR 0.62 (0.51-0.73)PFS8.6 monthsHR 0.64 (0.54-0.74)ORR32.5 percent
- Congresshighembargo lifts in 2dJun 2, 2026, 3:45 PMLong-term follow-up of Ibrance 1L for HR+ breast cancer: PALOMA-349Median OS 37.6 months. HR 0.68 (95% CI 0.56–0.8). No new safety signals identified.Ibrance () · PfizerHR+ breast cancerPALOMA-349 · NCT90598054Oral Abstract SessionOS37.6 monthsHR 0.68 (0.56-0.8)PFS23.6 monthsHR 0.67 (0.53-0.78)ORR78 percent
- Congresshighembargo lifts in 2dJun 2, 2026, 4:00 PMBiomarker subgroup analysis of Tagrisso in NSCLC (the FLAURA-312 study)Median OS 28.5 months. HR 0.68 (95% CI 0.55–0.81). Grade ≥3 AEs consistent with prior reports.Tagrisso () · AstraZenecaNSCLCFLAURA-312 · NCT74476517Rapid Oral Abstract SessionOS28.5 monthsHR 0.68 (0.55-0.81)PFS8.8 monthsHR 0.69 (0.54-0.82)ORR44.2 percent
- Congressmediumembargo lifts in 2dJun 2, 2026, 4:45 PMReal-world effectiveness of Opdivo vs standard of care in RCCMedian OS 51.4 months. HR 0.83 (95% CI 0.74–0.92). No new safety signals identified.Opdivo () · Bristol-Myers SquibbRCCCheckMate-903 · NCT76925924Oral Abstract SessionOS51.4 monthsHR 0.83 (0.74-0.92)PFS23.3 monthsHR 0.83 (0.75-0.92)ORR55.7 percent
- Congresshighembargo lifts in 2dJun 2, 2026, 8:30 PMQuality of life outcomes with Kisqali in patients with HR+ breast cancerMedian OS 35.6 months. HR 0.7 (95% CI 0.62–0.78). Grade ≥3 AEs consistent with prior reports.Kisqali () · NovartisHR+ breast cancerMONALEESA-190 · NCT77693036Poster SessionOS35.6 monthsHR 0.7 (0.62-0.78)PFS20.5 monthsHR 0.74 (0.66-0.81)ORR55.5 percent
- Congressmediumembargo lifts in 2dJun 2, 2026, 9:30 PMReal-world effectiveness of Keytruda vs standard of care in TNBCMedian OS 24 months. HR 0.81 (95% CI 0.69–0.93). No new safety signals identified.Keytruda () · MerckTNBCKEYNOTE-968 · NCT24586311Poster SessionOS24 monthsHR 0.81 (0.69-0.93)PFS7.2 monthsHR 0.79 (0.7-0.97)ORR40.4 percent
- Congressmediumembargo lifts in 3dJun 3, 2026, 3:00 PMDESTINY-Breast-179: Enhertu (trastuzumab deruxtecan) adjuvant in gastricMedian OS 18.8 months. HR 0.88 (95% CI 0.74–0.99). No new safety signals identified.Enhertu () · Daiichi SankyogastricDESTINY-Breast-179 · NCT43607208Publication OnlyOS18.8 monthsHR 0.88 (0.74-0.99)PFS7.9 monthsHR 0.89 (0.72-0.97)ORR49.7 percent
- Congresshighembargo lifts in 3dJun 3, 2026, 3:30 PMFLAURA-898: Tagrisso (osimertinib) 2L in NSCLCMedian OS 22.5 months. HR 0.76 (95% CI 0.66–0.86). Grade ≥3 AEs consistent with prior reports.Tagrisso () · AstraZenecaNSCLCFLAURA-898 · NCT65454622Poster SessionOS22.5 monthsHR 0.76 (0.66-0.86)PFS10.5 monthsHR 0.76 (0.68-0.84)ORR59.6 percent
- Congresshighembargo lifts in 3dJun 3, 2026, 3:45 PMBiomarker subgroup analysis of Verzenio in HR+ breast cancer (the MONARCH-410 study)Median OS 36.7 months. HR 0.9 (95% CI 0.77–0.99). No new safety signals identified.Verzenio () · Eli LillyHR+ breast cancerMONARCH-410 · NCT12503018Oral Abstract SessionOS36.7 monthsHR 0.9 (0.77-0.99)PFS22.3 monthsHR 0.93 (0.8-0.99)ORR58.8 percent
- Congressmediumembargo lifts in 3dJun 3, 2026, 4:45 PMLong-term follow-up of Opdivo neoadjuvant for NSCLC: CheckMate-845Median OS 29.2 months. HR 0.58 (95% CI 0.48–0.68). Grade ≥3 AEs consistent with prior reports.Opdivo () · Bristol-Myers SquibbNSCLCCheckMate-845 · NCT53991773Late-Breaking Oral Abstract SessionOS29.2 monthsHR 0.58 (0.48-0.68)PFS10.6 monthsHR 0.55 (0.44-0.65)ORR47.7 percent
- Congresshighembargo lifts in 4dJun 4, 2026, 2:00 PMLong-term follow-up of Opdivo 3L+ for NSCLC: CheckMate-881Median OS 29.3 months. HR 0.6 (95% CI 0.51–0.69). No new safety signals identified.Opdivo () · Bristol-Myers SquibbNSCLCCheckMate-881 · NCT08001951Poster SessionOS29.3 monthsHR 0.6 (0.51-0.69)PFS7.4 monthsHR 0.61 (0.51-0.72)ORR60 percent
- Congresshighembargo lifts in 4dJun 4, 2026, 4:30 PMImfinzi plus chemotherapy in previously untreated biliary tract: updated analysis from PACIFIC-190Median OS 12.7 months. HR 0.83 (95% CI 0.72–0.94). Grade ≥3 AEs consistent with prior reports.Imfinzi () · AstraZenecabiliary tractPACIFIC-190 · NCT97449766Poster SessionOS12.7 monthsHR 0.83 (0.72-0.94)PFS7.5 monthsHR 0.83 (0.69-0.97)ORR34.7 percent
- Congresshighembargo lifts in 4dJun 4, 2026, 5:00 PMKeytruda plus chemotherapy in previously untreated NSCLC: updated analysis from KEYNOTE-645Median OS 22.4 months. HR 0.6 (95% CI 0.5–0.7). Grade ≥3 AEs consistent with prior reports.Keytruda () · MerckNSCLCKEYNOTE-645 · NCT22264892Poster Discussion SessionOS22.4 monthsHR 0.6 (0.5-0.7)PFS7.7 monthsHR 0.64 (0.49-0.67)ORR45.7 percent
- Congresslowembargo lifts in 4dJun 4, 2026, 5:45 PMLynparza plus chemotherapy in previously untreated prostate: updated analysis from OlympiA-650Median OS 37.5 months. HR 0.87 (95% CI 0.76–0.98). Grade ≥3 AEs consistent with prior reports.Lynparza () · AstraZenecaprostateOlympiA-650 · NCT23801137Poster Discussion SessionOS37.5 monthsHR 0.87 (0.76-0.98)PFS20.3 monthsHR 0.89 (0.75-0.99)ORR46.8 percent
- Congresshighembargo lifts in 4dJun 4, 2026, 7:45 PMQuality of life outcomes with Keytruda in patients with NSCLCMedian OS 25.6 months. HR 0.79 (95% CI 0.7–0.88). Grade ≥3 AEs consistent with prior reports.Keytruda () · MerckNSCLCKEYNOTE-433 · NCT65945184Poster SessionOS25.6 monthsHR 0.79 (0.7-0.88)PFS11.7 monthsHR 0.77 (0.66-0.89)ORR61.9 percent
- Congressmediumembargo lifts in 4dJun 4, 2026, 8:15 PMReal-world effectiveness of Lynparza vs standard of care in HR+ breast cancerMedian OS 38 months. HR 0.62 (95% CI 0.48–0.76). No new safety signals identified.Lynparza () · AstraZenecaHR+ breast cancerOlympiA-594 · NCT43314812Poster Discussion SessionOS38 monthsHR 0.62 (0.48-0.76)PFS23.1 monthsHR 0.61 (0.47-0.76)ORR63.1 percent
- Congressmediumembargo lifts in 4dJun 4, 2026, 9:00 PMLong-term follow-up of Tecentriq 3L+ for NSCLC: IMpower-860Median OS 20.7 months. HR 0.88 (95% CI 0.76–0.99). No new safety signals identified.Tecentriq () · RocheNSCLCIMpower-860 · NCT14419528Education SessionOS20.7 monthsHR 0.88 (0.76-0.99)PFS11.4 monthsHR 0.85 (0.76-0.96)ORR40.1 percent
- Congressmediumembargo lifts in 4dJun 4, 2026, 9:30 PMLong-term follow-up of Verzenio 1L for HR+ breast cancer: MONARCH-252Median OS 33.1 months. HR 0.68 (95% CI 0.6–0.76). No new safety signals identified.Verzenio () · Eli LillyHR+ breast cancerMONARCH-252 · NCT49268597Poster SessionOS33.1 monthsHR 0.68 (0.6-0.76)PFS21.5 monthsHR 0.65 (0.6-0.78)ORR74.8 percent
- Congresshighembargo lifts in 5dJun 5, 2026, 2:15 PMQuality of life outcomes with Ibrance in patients with HR+ breast cancerMedian OS 38.2 months. HR 0.9 (95% CI 0.8–0.99). No new safety signals identified.Ibrance () · PfizerHR+ breast cancerPALOMA-223 · NCT98838794Oral Abstract SessionOS38.2 monthsHR 0.9 (0.8-0.99)PFS27.1 monthsHR 0.86 (0.8-0.95)ORR57.2 percent
- Congressmediumembargo lifts in 5dJun 5, 2026, 3:15 PMBiomarker subgroup analysis of Imfinzi in NSCLC (the PACIFIC-569 study)Median OS 16.4 months. HR 0.85 (95% CI 0.75–0.95). No new safety signals identified.Imfinzi () · AstraZenecaNSCLCPACIFIC-569 · NCT82451698Education SessionOS16.4 monthsHR 0.85 (0.75-0.95)PFS9.1 monthsHR 0.87 (0.78-0.99)ORR50.7 percent
- Congresshighembargo lifts in 5dJun 5, 2026, 5:00 PMReal-world effectiveness of Verzenio vs standard of care in HR+ breast cancerMedian OS 38.9 months. HR 0.58 (95% CI 0.47–0.69). No new safety signals identified.Verzenio () · Eli LillyHR+ breast cancerMONARCH-149 · NCT32526973Oral Abstract SessionOS38.9 monthsHR 0.58 (0.47-0.69)PFS19.4 monthsHR 0.6 (0.48-0.7)ORR74.7 percent
- Congresshighembargo lifts in 5dJun 5, 2026, 5:30 PMBiomarker subgroup analysis of Imfinzi in SCLC (the PACIFIC-419 study)Median OS 14.9 months. HR 0.83 (95% CI 0.74–0.92). No new safety signals identified.Imfinzi () · AstraZenecaSCLCPACIFIC-419 · NCT88358487Oral Abstract SessionOS14.9 monthsHR 0.83 (0.74-0.92)PFS6.1 monthsHR 0.81 (0.76-0.89)ORR63 percent
- Congressmediumembargo lifts in 5dJun 5, 2026, 7:15 PMLong-term follow-up of Trodelvy 3L+ for urothelial carcinoma: ASCENT-421Median OS 12.5 months. HR 0.8 (95% CI 0.72–0.88). Grade ≥3 AEs consistent with prior reports.Trodelvy () · Gileadurothelial carcinomaASCENT-421 · NCT53826507Poster SessionOS12.5 monthsHR 0.8 (0.72-0.88)PFS8.7 monthsHR 0.8 (0.69-0.84)ORR31.6 percent
- Congresshighembargo lifts in 5dJun 5, 2026, 9:30 PMMONARCH-789: Verzenio (abemaciclib) neoadjuvant in HR+ breast cancerMedian OS 37.2 months. HR 0.87 (95% CI 0.75–0.99). No new safety signals identified.Verzenio () · Eli LillyHR+ breast cancerMONARCH-789 · NCT81284428Rapid Oral Abstract SessionOS37.2 monthsHR 0.87 (0.75-0.99)PFS24.7 monthsHR 0.85 (0.74-0.99)ORR58.8 percent
- Congresshighembargo lifts in 5dJun 5, 2026, 10:00 PMLong-term follow-up of Tecentriq maintenance for TNBC: IMpower-449Median OS 23.5 months. HR 0.86 (95% CI 0.75–0.97). No new safety signals identified.Tecentriq () · RocheTNBCIMpower-449 · NCT18767167Poster SessionOS23.5 monthsHR 0.86 (0.75-0.97)PFS9.9 monthsHR 0.87 (0.73-0.98)ORR50.8 percent