Posted by Michael Wonder on 05 Oct 2019
CVS drug coverage plan based on outside pricing review is off to a slow start
4 October 2019 - A CVS Health 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 company has held back on marketing the pharmacy benefit plan while it talks to these groups, CVS said.
The plan, launched a year ago, is based on analyses by the Institute for Clinical and Economic Review (ICER), a Boston-based group that assesses effectiveness of drugs to determine appropriate prices.
