Tuesday, December 08, 2020 8:30:37 PM
1. What other risk factors (aside from diabetes / risk factors like trigs, markers etc) do you mean when you say BCBS doesn't cover Vascepa?
2. Surely if the patient is in a high risk (and high trigs IS high risk according to AHA) its FAR FAR cheaper to pay for Vascepa than the patient having emergency heart surgery, stroke / rehab, etc?
Assuming there are 10 patients in this category that don't get vascepa and get an 03 generic. Just 2 of these individuals (<25% from REDUCE-IT study) getting a heart attack / stroke would destroy any savings BCBS saw from switching them to a generic 03.
Vascepa is a cheap drug, its not PCSK-9 pricing...
2. Surely if the patient is in a high risk (and high trigs IS high risk according to AHA) its FAR FAR cheaper to pay for Vascepa than the patient having emergency heart surgery, stroke / rehab, etc?
Assuming there are 10 patients in this category that don't get vascepa and get an 03 generic. Just 2 of these individuals (<25% from REDUCE-IT study) getting a heart attack / stroke would destroy any savings BCBS saw from switching them to a generic 03.
Vascepa is a cheap drug, its not PCSK-9 pricing...
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