New FDA Guidance on Approvals of Biosimilars

November 13, 2025

EGWP marketplace medicaid Medicare

On Oct. 29, the Food and Drug Administration (FDA) issued new draft guidance aimed at streamlining how biosimilar and interchangeable biologics are approved. Instead of requiring extensive clinical trials, the agency is recommending a risk-based approach using advanced analytical testing and pharmacokinetic studies to support market entry of lower-cost alternatives.

With biologic drugs accounting for over half of overall U.S. drug spending, this guidance reflects a continued push to shorten drug development timelines, lower costs, enable increased competition, and expand patient access to affordable treatments.

Comments on the draft guidance are due within 60 days to the Federal Register.

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Virginia and Hawaii Introduce PDAB Legislation

The Virginia Senate introduced a bill to establish a Prescription Drug Affordability Board (PDAB) to review drugs with a wholesale acquisition cost (WAC) of $60,000 or more per year or a WAC increase of $3,000 or more in any 12-month period. For drugs deemed to cause an affordability challenge, the legislation authorizes the PDAB to […]
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AHIP Shares Update on Plan Progress to Simplify Prior Authorization

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February 12, 2026

EGWP marketplace medicaid Medicare

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