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MMIT Reality Check on Hepatitis C (Apr 2017)

Posted by Matt Breese on Apr 17, 2017

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According to our recent payer coverage analysis for Hepatitis C treatments, combined with news from key healthcare influencers, market access is shifting in this drug landscape.

To help make sense of this new research, MMIT's team of experts analyzes the data and summarizes the key findings for you. The following are brief highlights. To read the full piece, including payer coverage, drug competition and prescriber trends, click here.

Payer Coverage: A market access snapshot over the past quarter for Hep C treatment shows that the amount of non-covered lives attributed to medicare and health exchange formularies increased, replicating the shift we saw in late 2016 for commercial lives.


Source: MMIT data as of Q2 2017

Trends:  A recent study that highlighted the physician perspective on Hepatitis C prescribing reveals that some HCPs question the level of restriction on current payer and PBM reimbursement. The concept of only paying for the sickest patients means that many of those suffering from Hep C never obtain access to the cures. Due to the high cost of treatment, coverage is essentially required.

To read the full Reality Check on Hepatitis C treatments with key findings on clinical characteristics, Hep C drug market access and payer coverage, please click on the button below: 


View Reality Check


Topics: Specialty, Market Access, Branding & Marketing