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Hep C Discussion Forum -> General Discussion -> Access to New DAAs Looks Promising
Post Info TOPIC: Access to New DAAs Looks Promising
Josh Haynie


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Access to New DAAs Looks Promising
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challenged indeed they will be....

i take turmeric too

 

 

good article



-- Edited by Josh Haynie on Wednesday 24th of September 2014 07:09:07 AM

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genotype 1  HCV 4,958,318 iu/ml    HCV Log updated soon  iu/ml------5'10 135lbs 9-15-83  genotype 1 since 2002----Pendleton,Oregon
Isiscat2011


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Here is an informative article about access to Sovaldi tx since it hit the market.  It is good to keep in mind that the AASLD guidelines on who to treat are just guidelines, and I'm guessing many docs will prescribe the new DAAs to all their HCV patients, regardless of liver fibrosis stage.  Insurers will be hard pressed to deny coverage if docs take a hard stance on this.  

So far, 70% of "targeted" docs  wrote scripts for Sovaldi, and of those scripts 60% were for patients who had little or no fibrosis.  Also, 70% of the scripts were for Interferon free regimens.  Given this apparent willingness to prescribe tx for low fibrosis patients, and even to prescribe off-label, it seems likely that docs will be prescribing the new FDA approved DAAs liberally.  

The article also reports that 47 of 50 states have been paying for Sovaldi tx (via Medicaid) and of those only half have a requirement for high fibrosis scores. We can definitely expect to see some legal challenges to public sector denials of HCV tx.   

http://insurancenewsnet.com/oarticle/2014/09/22/sovaldi-sales-suggest-payer-tolerance-for-drug-a-558390.html#.VCG8DfBX-uY



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Diagnosed in 2011, Incivek triple in 2011, tx discontinued, Genotype 1a, CT, VL 7mill, cirrhosis dx in 2012, age 67, waiting for new DAAs.
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