Amarin Corp Plc (AMRN)

[sharinky]

I worked in Healthcare Finance and am well versed in how the insurance industry operates. I am not saying that the label could not limit access as it could.

Vascepa is Tier 4 currently for CVS Silver scripts whether you are on label or not. The Tier for a Medicare Part D plan will not change until CMS changes how it treats this drug. It is a separate government agency from the FDA. Coverage for it and it will move to a different Tier at some time in the future. It will not be in two different tiers as you suggest. We are going to need lobbyist to get the changes made for the Part D plans, that is why the AHA is working on it. Just the change in indication from the FDA is not going to help with the Medicare plans.

I personally have gone through 3 insurance changes while taking Vascepa so I understand personally and professionally.