ORLYNVAH Expands Payor Reimbursement with Major PBM Agreement Covering 24 Million Lives
The company said, "Payor Reimbursement and Contracting Expands with Major PBM Agreement: ORLYNVAH's market access continues to accelerate. We have finalized another commercial contract with a Group Purchasing Organization that collaborates with manufacturers on behalf of one of the largest Pharmacy Benefit Managers in the United States, adding coverage opportunities for more than 24 million lives starting in early 2026. This milestone underscores ORLYNVAH's growing acceptance across the payor landscape. The Company expects the final top three PBM in the United States to execute a contract for their commercial lives in the first quarter of 2026. Medicare Part D Milestone: We are pleased to announce another signed rebate agreement with one of the top three Medicare Part D Pharmacy Benefit Managers. This agreement positions ORLYNVAH for inclusion on their Medicare Advantage Prescription Drug and Medicare Prescription Drug formularies, with coverage of more than 10 million lives expected to begin as early as Q1 2026. FDA: The Company has requested a meeting from the U.S. Food & Drug Administration to discuss a claim for the use of ORLYNVAH as step-down therapy and the collection of real-world data to support the proposed claim. The FDA has determined that written responses to the Company's questions would be the most appropriate means for responding to this meeting request. A goal date of January 24, 2026 has been set for the FDA to provide their written responses."
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- Expanded Coverage: ORLYNVAH™ now reaches nearly 25% of insured lives in the U.S., with increasing integration into employer groups and payer formularies, which is expected to enhance market penetration significantly.
- Pharmacy Benefit Agreement: Iterum has signed a rebate agreement with a top Medicare Part D Pharmacy Benefit Manager, positioning ORLYNVAH™ for inclusion in their formularies starting Q1 2026, which will greatly improve product accessibility in the market.
- Increased Distribution Channels: ORLYNVAH™ is now stocked at additional distributors like Cencora, allowing physicians to procure the product through various channels, thereby enhancing market availability and procurement flexibility for doctors.
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