A CVS Health Corp health plan that uses an outside drug pricing group to help it...
) health plan that uses an outside drug pricing group to help it decide whether to cover certain new medicines has gained little traction with customers, according to its top medical executive, and has drawn fierce criticism from patient advocacy groups.
The plan, launched a year ago, is based on analyses by the Institute for Clinical and Economic Review , a Boston-based group that assesses effectiveness of drugs to determine appropriate prices. More than 50 groups, including drugmakers, PhRMA, the industry’s main lobby group, and other advocacy groups, have provided comment during a public input period included in a review by ICER of its assessment methods. Many asked ICER to eliminate price recommendations from its efficacy analyses.
Earlier this year, Novartis AG launched Zolgensma, a more than $2 million gene therapy for a rare but deadly disease called spinal muscular atrophy. “We are not widely promoting this program,” Brennan said, adding that CVS is working to address patient groups’ concerns.
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