Cost-effectiveness difficult to assess: What information are payers missing in order to measure cost-effectiveness? How will it influence PR and MA decisions?
Route of administration: The way drugs are administered has important consequences that affect cost and adherence, and shape payers' decisions.
What about biosimilars and generics? Will they displace branded MS treatments, or are payers simply using them as a negotiating tool? Learn what will determine their near-term prospects.
Needs remain unmet: Current disease modifying agents only do so much. Payers point to four main areas of unmet clinical need that affect the MS pricing landscape in different ways.
A payers' eye view
Cost containment: Payers are experimenting with a number of discounting, contracting, and payment schemes to contain drug costs. Which ones are showing the most promise?
Complex PR and MA decisions: Payers predict several factors will affect pricing, reimbursement, and market access decisions in the near term. Which ones will have the greatest impact?
Poor adherence: Patient adherence is key to assessing efficacy, but difficult to achieve. How does adherence affect drug choice, and what are payers doing to understand and improve it?
Lack of data: With little efficacy data to support MS drugs' high prices, payers are pushing back. What data are they demanding? How will it affect future drug launches and access decisions?
Drugs Summary: Get a breakdown of approved and pipeline drugs, as well as payers' thoughts about several oral, subcutaneous, and infusion therapies.
Coverage and access recap: Learn how coverage and access decisions are made in the US and several EU countries, and what payers are doing to improve transparency. Includes an update on Obamacare for US readers.
Clinical trials to watch: A comprehensive list of important upcoming trials for approved and pipeline products gives you a window into how the treatment landscape may evolve.
Warnings for pharma: Payers identify the two key things providers have to do if they want to avoid past mistakes.
Payers interviewed We interviewed 6 US payers and 6 from the EU. All interviewees have expertise in formulary development and drug reimbursement. All respondents requested that their details remain confidential.
Pharmacy Director, Pharmacy Benefit Manager
Chief Medical Officer, Managed Care Organisation
Chief Medical Officer, PMT Chair, Managed Care Organisation
Pharmacy Director, Community Health Plan
Medical Director, Managed Care Organisation
Pharmacy Director, Health Maintenance Organisation
EU PayersRegional Pharmaceutical and Formulary Advisor, UKChief Hospital Pharmacist, Vice President Formulary Drug Committee, FrancePharmacist Director, FranceHead of Drug Reimbursement, GermanyMember of the Drug Commission, Germany Medical Association, GermanyChief Pharmacist, UK
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To view the original version on PR Newswire, visit:http://www.prnewswire.com/news-releases/multiple-sclerosis-payer-insight-300380591.html