Replies to post #313974 on Amarin Corp Plc (AMRN)

[hamkypamky]

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...

[sts66]

Problem is they're not liable if they don't cover V - there's plenty of Medicare Part D plans that still don't cover V at any tier - there are no laws governing what drugs have to be on a given formulary, with a couple rare exceptions like ones for insulin.