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MMIT Reality Check on Hepatitis C (Sep 2017)

Posted by Matt Breese on Sep 21, 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 percentage of lives restricted by a PA or step edit increased for medicare and health exchange lives. Additionally, the percentage of covered lives restricted specifically by a step edit policy increased significantly. 


Source: MMIT data as of Q3 2017

Trends:  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. A 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. 

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