Biotech Values

[Regulardoc]

An unknown in the outpatient arena remains drug formulary coverage for Pradaxa, and now Xarelto. Although formularies vary, even within a single insurer, many still do not have Pradaxa on formulary. On 7/1/2011 I received a fax from United Healthcare, stating that Pradaxa was non-formulary for a patient with atrial fibrillation.

PBMs will have a tough time listing/approving/covering Xarelto (or perhaps Pradaxa in the future) for post-ortho DVT prevention and turning around and not covering it for chronic Afib.