Entresto Risk Sharing Could Equate To 8.6% Discount, ICER Says; Is Express Scripts Interested?

Cost effectiveness report on Novartis’ new heart failure drug includes a hypothetical risk-sharing payment model using hospitalization or death as patient endpoints; Express Scripts exec notes outcomes-based contracts have been problematic but hints at potential for Entresto.

A hypothetical risk-sharing payment arrangement for Novartis AG’s new heart failure drug Entresto (valsartan/sacubitril) could effectively reduce the drug’s list price by 8.6%, according to a draft cost effectiveness report released by the Institute for Clinical and Economic Review Sept. 11.

The report considers the risk-sharing payment model along with an analysis of the long-term cost effectiveness of Entresto and its potential impact on US health care spending. It also addresses St. Jude Medical Inc

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