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ICER Will Explore Link Between Reasonable Drug Pricing And ‘Fair’ US Formulary Policies

 
• By Cathy Kelly

Study will examine prior authorization and other access restrictions at 15 of the largest US commercial payers for a group of 27 drugs.

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ICER Will Assess Cost Sharing, Clinical ELigibility Criteria And Step Therapy

The Institute for Clinical and Economic Review is planning to evaluate US commercial insurance policies for drugs that it considers to be reasonably priced to see how consistently fair prices are rewarded with favorable formulary coverage.

The study, which will focus on prior authorizations, marks an expansion of ICER’s traditional focus on drug value and prices to explore whether lower prices equal better insurance access. A...

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