CVS Launching Program To Exclude New Drugs Deemed Not Cost Effective

Program would use cost per QALY determinations by the Institute for Clinical and Economic Review.

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Pharmacy benefit manager CVS Health Corp. is introducing a new prescription drug cost management program to payers that would exclude from coverage certain new treatments that do not meet cost effectiveness benchmarks used by the Institute for Clinical and Economic Review.

The program is aimed at moderating list prices at launch, which is an area that has not been addressed in a broad way by US policies, according to the PBM....

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