Replies to post #412058 on Amarin Corp Plc (AMRN)

[Meowza]

Reduce-It
Duumsday
Teva GSK jury decision
Teva GSK trial judge overrules jury
Teva GSK appeal reversal of judge, restoring jury decision
R-It patent defense
Rat of Nihm
"Journalists" vocally reject baby oil for CVR trials, tacitly accept baby oil for babies
Formularies remove R-It coverage from formularies

[antibluechip]

Dukes,
A few questions about the case of FHEP not covering Vascepa. Is FHEP liable if one of their patients on gV has a cardiac event? Could FHEP avoid liability by saying that gV was equivalent to V? Wouldn't the FDA CVD Indication for V supercede any "equivalence" argument by FHEP? Wouldn't the "liability issue" be a better point of attack than the "infringement issue?" Dave

[rosemountbomber]

Duke, I am not 100% sure what you are saying. But if you are saying that it is the Federal Employee Plan Administrators, I would beg to differ. As you probably know, BCBS is not the only insurer in the FEHB program. I just checked GEHA and Aetna, and both of those have Vascepa on their formularies.

So it can't be that the Administrators for the Federal Government have forced these insurers to drop V, because the two that I have checked both carry V. I will gladly check a number of others.

Now, if you mean those that administrate the BCBS Federal plan, then you would be correct. But I don't see evidence that there are some Federal Administrators dictating to these companies not to cover V because BCBS is the only one I see that dropped V from their formulary for 2023.

[dukesking]

RMB. After further research, I’m starting to believe this is primarily a BCBS issue. BCBS FEP does not cover Vascepa nor do several other BCBS plans like BCBS California. Both cover GV exclusively. However, what I don’t understand is that other BCBS plans like BCBS Illinois and others cover Vascepa exclusively. Health insurance plans use drug formulary committees made up of doctors, nurses and pharmacists to chose which drugs get put on formulary and which to exclude. I don’t know if the health insurance company does this completely on their own or if they work together with the employer group that offers the plans to their employees. Either way, I believe BCBS is the responsible party and is knowingly or unknowingly inducing infringement through plans like BCBS FEP.