8 September 2016 - New value-based model aligns drug payments to specific medical conditions and refunds payers for early discontinuation of expensive medications.

Express Scripts Inflammatory Conditions Care Value Program is a comprehensive approach to control costs and improve care for people with inflammatory conditions like rheumatoid arthritis, psoriasis and Crohn’s Disease.

Through the combination of indication-specific formulary management and refunds for early discontinuation of therapy, this new program is the nation’s most comprehensive approach to better align a drug’s price with the value that drug provides a patient.

Painful inflammatory conditions like rheumatoid arthritis can cripple patients and obliterate payer budgets. By finding creative ways to take better care of patients and protect our clients’ budgets, Express Scripts is uniquely tackling one of the biggest health challenges facing our country today.

Approximately ten million Americans live with an inflammatory condition. The biologic medications used to treat these conditions became the country’s costliest therapy class in 2015, representing 9.8% of all U.S. pharmacy spending. We forecasts that, left unchecked, total U.S. spending on these medications will nearly double from 2015 to 2018.

Read Express Scripts press release