From biosimilars to drug shortages, policies governing ophthalmic medications affect patient access to sight-saving treatments and the financial health of your practice.
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The medications ophthalmologists rely on — anti-VEGF injections, eyedrops, compounded drugs, and emerging biologics — sit at the intersection of science, regulation, and policy. Decisions made by the FDA, CMS, Congress, and state legislatures directly determine which treatments are available to patients, how much they cost, and whether they can be reliably obtained.
The Academy advocates across the full range of drug-related policy issues: expanding access to lower-cost biosimilars and compounded medicines, reducing unnecessary drug waste, protecting patients' ability to refill prescriptions before they run out, and addressing the drug shortages that threaten continuity of care. When policies are working against patients and physicians, the Academy acts — through rulemaking comments, coalition advocacy, American Medical Association (AMA) policy, and direct congressional engagement.
Components
Biosimilars in Ophthalmologic Practice
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The Academy supports FDA-approved biosimilars for ophthalmic use, while opposing insurer mandates for biosimilar therapies without an approved ophthalmic indication.
Compounded Medicines
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Ophthalmologists depend on access to compounded and repackaged medications to deliver timely, affordable, sight-saving care to their patients. But evolving federal regulations threaten to limit that access.
Topical Drug Waste
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Wasteful use of ophthalmic surgical medications drives up costs for patients and practices and contributes to drug shortages and pollution.
Drug Shortages
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Ophthalmology's reliance on generic drugs and single-source suppliers leaves the specialty uniquely vulnerable to supply disruptions that can delay care and harm patients.
Early Eyedrop Refills
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Prescription eyedrop laws often prevent patients from refilling their medications when needed, threatening treatment adherence and vision outcomes.
FDA & Tech Innovation
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The Academy supports policies that promote the timely, safe development and FDA approval of innovative drugs, devices, and technologies that preserve and restore vision.
Protect Drug Access for Your Patients
Drug shortages, pricing barriers, and restrictive policies threaten access to care. Stay informed, report shortages, and engage lawmakers to help protect patient access.
Milestone Moment: Seniors' Act Advances Unanimously Through Ways & Means Committee
Thanks to Academy advocacy and leadership, and the voices of members like you, the Seniors’ Act cleared a major hurdle in reforming prior authorization in Medicare Advantage. Let’s keep pushing until it becomes law.
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2027 Fee Schedule Proposes Cutting Pay to Physicians by 1.68%
The Centers for Medicare & Medicaid Services (CMS) has released its proposed Medicare Physician Fee Schedule for 2027. Here are the highlights based on the Academy’s analysis. The Academy will work with our advocacy partners to ensure finalized policies support our members and their patients.
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Academy Rallies Ophthalmology to Fight Proposed Drug-delivery Coverage Cuts
Leading the profession's response, the Academy united ophthalmic societies to formally oppose Medicare's proposed restrictions on intraocular drug-delivery implant coverage.
Our Advocacy in Action
The Academy advocates across the full spectrum of drug policy — from reducing operating room waste to securing biosimilar access — to protect patients and practices from the consequences of poor federal and state drug policy.
Insurance requirements like prior authorization and step therapy force patients to delay or abandon necessary eye care. The Academy is fighting against these harmful policies.
Medicare
Medicare is the largest payer for ophthalmology in America. The Academy fights every year to ensure payment policies are fair, accurate, and sustainable.
FDA & Tech Innovation
Intro Text / Subtitle
The Academy supports policies that promote the timely, safe development and FDA approval of innovative drugs, devices, and technologies that preserve and restore vision.