PhRMA points to stark Medicare Part D findings

17 June 2025

US trade association PhRMA (Pharmaceutical Research and Manufacturers of America) has cited a new IQVIA study that found that Medicare Part D plans routinely deny access to prescribed medicines for patients with newly-diagnosed chronic conditions.

More than 70% of patients faced an initial immediate denial for their medicines in four of the five chronic therapeutic areas studied, which were osteoporosis, immunology, multiple sclerosis, migraine and pulmonary arterial hypertension.

On average, patients faced two to three rejections before gaining approval for their medicine. However, some had to overcome a galling 11 or more rejections.

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