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Praluent Coverage: Being First May Not Matter As Payers Await Repatha

 
• By Cathy Kelly

The pricing advantage that might have been available to Praluent as first-in-class is undercut by the fact that it only has about a month’s lead time over the competition.

Some payers, like pharmacy benefit manager CVS Health Corp., are withholding coverage for Sanofi and Regeneron Pharmaceuticals Inc.’s new PCSK9 inhibitor drug Praluent (alirocumab) at least until FDA’s anticipated approval of a competitor in the coming weeks.

Other payers, like PBM Express Scripts Holding Co., are covering Praluent right away but then will revisit their reimbursement policies after Amgen Inc.’s. rival PCSK9 inhibitor, Repatha (evolocumab),...

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