All PlansCoverageMedium impact
Biosimilars: Interchangeable Products May Increase Patient Access
EmblemHealth·Rheumatology, Gastroenterology, Dermatology +2 more·Provider News
We identified it
Jun 20, 2026
Summary
EmblemHealth now allows pharmacists to substitute interchangeable biosimilar products for brand-name biologics, similar to generic drug substitutions. This change aims to increase patient access to biologic medications and reduce costs.
Action Required
Billing team should educate providers about interchangeable biosimilars and monitor for potential changes in drug codes when patients receive substituted biosimilar products at the pharmacy. Review FDA resources on biosimilars to understand which products may be interchangeable.