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Cost Pushback Limiting Hepatitis C Drug Utilization

Study finds 22% of patients prescribed drug therapy for HCV were not started on care or delayed 150-plus days beyond the writing of the prescription. Coverage decisions don't seem to be linked clearly to disease severity, but denials were higher among Medicaid patients and among certain private-sector plans.

With the pushback against pricing of the hepatitis C drugs that have entered the US market in the past few years, disease severity often has been cited as a reason why some HCV patients are denied coverage, but data analysis by Trio Health indicates that controlling costs remains a primary factor in determining which patients are treated.

Hepatitis C: Access To Care Methodology

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