Express Scripts CMO Steve Miller has a number for you: $4 billion. That's the amount U.S. payers will save on hepatitis C drugs this year, thanks to cost-cutting deals with Gilead Sciences and AbbVie. And Miller doesn't mind saying that Express Scripts started the trend.
Now that Express Scripts--and rival CVS Health--have cost-slashing exclusives with hep C drugmakers, the activist PBM says it's ready to take on the forthcoming class of cholesterol-fighters known as PCSK9 inhibitors, too.
Gilead is joining forces with Anthem, the biggest provider of health coverage to U.S. businesses, to make Harvoni the primary option for patients, setting the stage for a hep C showdown.
It's no secret that Express Scripts Chief Medical Officer Steve Miller is hankering for some changes in the pharma business. But what many may not know, he told PharmExec, is that he's got a four-point solution to fix what he sees as the industry's biggest problems.
If 2014 was the year of the emboldened U.S. payer, then 2015 promises to be the year of the pharma negotiator.
Express Scripts may have warned the world that it would use its gatekeeper status to force big hepatitis C discounts. But when word of its exclusive, discounted deal with AbbVie actually hit on Monday, analysts went a-Twitter, biotech shares slid, other payers pricked up their ears--and media outlets went berserk.
AbbVie has made Express Scripts' wish come true. Or perhaps it's the other way around. The proud new parent of Viekira, a highly anticipated hepatitis C cocktail, AbbVie now has exclusive access to millions of the pharmacy benefits manager's patients in return for a "significant discount" off its $85,000 list price.
A new study shows that patients who are prescribed opioids continue to use them over a long period of time, indicating potential abuse and adding fuel to the fire as lawmakers and industry groups continue to crack down on companies producing the drugs.
Express Scripts--which has made its feelings well known when it comes to the high cost of Gilead's next-gen hepatitis C drugs--says it may quickly change its preferred drug formulary to favor a anticipated challenger from the Illinois company, Reuters reports, provided it's clinically equivalent--and less expensive, of course.
Anyone following the hepatitis C drug market knows that Express Scripts CMO Steve Miller has a strong point of view.