Merck’s Winrevair Well Positioned To Benefit From Medicare Part D Redesign

Significant cost sharing reductions under the redesign will enhance uptake of the pulmonary arterial hypertension drug. The trade-off is a 20% mandatory price discount in the catastrophic phase.

Merck's PAH Drug Is Priced Well Above ICER-Recommended Range • Source: Shutterstock

Merck & Co., Inc.’s new treatment for pulmonary arterial disease, Winrevair, is launching at a time when the burden of patient cost sharing in Medicare Part D is easing considerably, removing a significant potential barrier to access.

Key Takeaways
  • Medicare Part D expected to be important market for Winrevair.

  • Beneficiary cost sharing benefits implemented this year and next in Part D under the redesign will greatly decrease the impact of a high list prices on patients. The drug is priced nearly seven times higher than ICER's top end of the cost-effectiveness threshold

Winrevair (sotatercept) is a first-in-class activin signaling inhibitor for PAH, a rare, progressive disease that affects approximately 40,000 people in the US. It was approved by the US Food and Drug Administration on 26 March and will launch at the end of April as the first drug approved to address the underlying cause of PAH

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