Replies to post #166663 on Amarin Corp Plc (AMRN)

[PSea]

"some insurers/PBMs' formulary committees do have some interest in new scientific information relating to drugs they cover."

Well, I can tell you Catamaran, BCBS' PBM, doesn't give two shits. They told me today they don't allow appeals and completely shut down the conversation. Scumbags.

[sts66]

After relevant, scientific information has been supplied to the PBM/insurer and is in the complaint file, it could become hazardous for them to continue such misleading practices

Now we're talking about two distinct things - what you wrote infers complaints to insurers from patients who were told they had to take GL instead of V, whereas the original discussion was just about insurers covering V or not, and on what tier. You could make a good argument that V and GL aren't interchangeable, but who are you going to complain to, and what kind of authority do they have to force insurance behavior to change? Whether I like it or not, I still believe insurers, as commercial companies, have the right to cover or not cover whatever drug they please - customers will vote with their feet if they don't like those decisions - so legally, you can't force them to cover any specific drug.