Express Scripts Wants Early Discussions to Help Lower Treatment Costs
After their decision to include Abbvie's triple combination for hepatitis C on their formulary, over Gilead's more expensive regimens, Express Scripts indicated at the J. P. Morgan Healthcare Conference that they'll continue the stance of choosing treatments that are equally effective but save costs, especially in cancer.
Express Scripts, the largest U.S. pharmacy benefit manager, on Tuesday said cost savings on expensive cancer treatments could be achieved if the company were involved earlier in the decision-making process.
Express Scripts, which has become more aggressive in negotiating discounts on drugs for insurance plans and employers, in December stopped covering
Gilead's Sovaldi and follow-up combination pill Harvoni have been shown to cure hepatitis C in more than 90 percent of patients. But Express deemed the more than $90,000 price for 12 weeks of Harvoni treatment unaffordable.
The move reignited investor concerns that drugmakers will have to bow to pricing pressure from U.S. insurers and lawmakers over novel medications whose cost can reach hundreds of thousands of dollars for some diseases.
Read the complete report on Reuters:
Newsletter
Stay ahead of policy, cost, and value—subscribe to AJMC for expert insights at the intersection of clinical care and health economics.
Related Articles
- Metabolic Issues More Common in Patients With HIV
September 18th 2025
- Barriers to Gender-Affirming Surgery Persist Despite High Satisfaction Rate
September 18th 2025
- Eating Behaviors May Predict GLP-1 Therapy Success in Type 2 Diabetes
September 18th 2025