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PBMs & Biosimilars

CVS to drop Johnson & Johnson’s Stelara from key drug lists

By Intent.Health Team • May 5, 2026
Intent Health AI Data Flow

What’s happening

CVS Health said it will remove Stelara (by Johnson & Johnson) from its main formularies starting July 1, favoring lower-cost biosimilars instead.

What’s changing / Business impact

  • Shift toward biosimilars over branded biologics.
  • Pressure on: blockbuster drug revenues and pharma pricing power.
  • Pharmacy benefit managers (PBMs) gaining stronger control over drug selection.

Why this matters

This is a direct pricing + access shift at the payer/pharmacy layer.

It shows:

  • Cost control is happening through formulary decisions, not just policy.
  • Biosimilars are finally becoming real competitive threats.
  • Access to drugs depends on payer decisions, not just approvals.
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