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Harvoni Rebates In Massachusetts Aim For Access, Not Savings

Deeper discount gets Gilead exclusive formulary position with no restrictions on 'medical necessity' while MassHealth gets to treat more patients for the same cost.

A higher supplemental rebate from Gilead Sciences Inc. for its hepatitis C drugs Harvoni (sofosbuvir/ledipasvir) has led Massachusetts to loosen access restrictions for patients enrolled in the state’s Medicaid program.

Most state Medicaid agencies have restrictions in place limiting treatment with the newer hepatitis C drugs to the sickest patients because of the high cost of the drugs. But that...

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