The PBM issue also significantly reduces the price savings that were contemplated due to biosimilar competition. Sandoz was able to capture 37% of the biosimilar humira market when they negotiated with CVS to have the Sandoz product named to the CVS formulary list. Sandoz now jointly markets their product "Humiroz" with Cordavis (the CVS in store brand) but I haven't heard them discuss the royalty or payment % given back to CVS. Sandoz has said this system is the reason that the US will never realize the EU level of savings from biosimilars.
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