United Health Coverage Of Pcsk9 Inhibitors

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Praluent® (alirocumab) - Prior Authorization/Medical …

(5 days ago) WebPraluent® (alirocumab) is a PCSK9 (Proprotein Convertase Subtilisin Kexin Type 9) inhibitor indicated: To reduce the risk of myocardial infarction, stroke, and unstable angina requiring hospitalization in adults with established cardiovascular disease. 2.

https://www.uhcprovider.com/content/dam/provider/docs/public/prior-auth/drugs-pharmacy/commercial/h-p/PA-Med-Nec-Praluent.pdf

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Repatha® (evolocumab) - Prior Authorization/Medical …

(4 days ago) Webdays or 120 days prior to starting PCSK9 inhibitor therapy: 1. LDL-C between 55 mg/dL and 99 mg/dL with ASCVD . 2. LDL-C between 100 mg/dL and 129 mg/dL without …

https://www.uhcprovider.com/content/dam/provider/docs/public/prior-auth/drugs-pharmacy/commercial/r-z/PA-Med-Nec-Repatha.pdf

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Insurance plans still denying more claims for PCSK9 inhibitors than

(Just Now) WebMany U.S. patients prescribed PCSK9 inhibitors to lower their low-density lipoprotein cholesterol (LDL-C) levels are being denied coverage by their insurance …

https://cardiovascularbusiness.com/topics/healthcare-management/healthcare-economics/insurance-plans-still-denying-more-claims-pcsk9-inhibitors-other-cardiovascular-drugs

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Repatha® (evolocumab) - Prior Authorization/Notification

(9 days ago) WebRepatha® (evolocumab) is a PCSK9 (Proprotein Convertase Subtilisin Kexin Type 9) inhibitor antibody indicated: To reduce the risk of myocardial infarction, stroke, and …

https://www.uhcprovider.com/content/dam/provider/docs/public/prior-auth/drugs-pharmacy/commercial/r-z/PA-Notification-Repatha.pdf

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Nationwide Coverage and Cost-Sharing for PCSK9 …

(7 days ago) WebWe sequentially included (1) an initial $360 deductible; (2) a coverage phase in which out-of-pocket costs were estimated from mean cost-sharing requirements nationwide for PCSK9is and atorvastatin; (3) a coverage …

https://jamanetwork.com/journals/jamacardiology/fullarticle/2653354

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Trends in Patient Access to and Utilization of Prescribed PCSK9

(3 days ago) WebAtherosclerotic cardiovascular disease (ASCVD) remains the leading cause of death in the United States. LDL-C (low-density lipoprotein cholesterol) is a key driver …

https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.123.009988

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PCSK9 Inhibitor Use in the Real World: Data From the …

(5 days ago) WebThe data described in this article, obtained from electronic health record data marts across the United States, are consistent with previously published studies regarding low PCSK9 inhibitor use. 23, 24 …

https://www.ahajournals.org/doi/10.1161/JAHA.118.011246

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Safety and Tolerability of PCSK9 Inhibitors: Current Insights

(3 days ago) WebThe cost of PCSK9 inhibitors was $14,100 per annum in the US until October 2018, far exceeding the costs of other lipid-lowering interventions.62 At that …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7737942/

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PCSK9 Inhibitor Therapy: Payer Approvals and Rejections, and …

(3 days ago) WebPCSK9 inhibitors (PCSK9i) are a novel class of medications for patients with familial hypercholesterolemia or clinical atherosclerotic cardiovascular disease …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5716860/

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Hyperlipidemia: Effective Disease Management With a …

(2 days ago) WebA significantly increased risk for composite CVE outcome was correlated with never-received and rejected claims versus paid PCSK9 inhibitor claims (paid claim defined as 338 or more days of PCSK9

https://www.ajmc.com/view/hyperlipidemia-effective-disease-management-with-a-focus-on-pcsk9-inhibitors

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Eligibility, Clinical Outcomes, and Budget Impact of …

(5 days ago) WebOur findings are in contrast to those of Kazi and colleagues, who used the National Health and Nutrition Examination Survey to estimate the eligibility of PCSK9i in the United States. 8 They found that ≈6.4% of …

https://www.ahajournals.org/doi/10.1161/JAHA.118.010007

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PCSK9 Inhibitors: A Brief Primer - Medscape

(3 days ago) WebWhich PCSK9 Inhibitors Are Approved for Use in the United States? Alirocumab (Praluent®) was approved by the FDA on July 24, 2015, and evolocumab …

https://www.medscape.com/viewarticle/861024

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A Comprehensive Review of PCSK9 Inhibitors - Caroline Coppinger

(3 days ago) WebThe study also concluded that the addition of PCSK9 inhibitors to statin therapy reduces LDL-C by 54%-74% compared to placebos and by 26%-46% compared …

https://journals.sagepub.com/doi/full/10.1177/10742484221100107

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What to Do If You’re Denied Coverage for a New - US News …

(4 days ago) WebAnd if you’ve been denied a PCSK9 – or any medicine for that matter – don’t be afraid to call your insurance company to request an appeal. If your insurance …

https://health.usnews.com/health-news/patient-advice/articles/2016-09-09/what-to-do-if-youre-denied-coverage-for-a-new-cholesterol-drug-you-need

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Nationwide Coverage and Cost-Sharing for PCSK9 Inhibitors …

(1 days ago) WebNationwide Coverage and Cost-Sharing for PCSK9 Inhibitors Among Medicare Part D Plans. JAMA Cardiol. 2017 Oct 1;2 (10):1164-1166. doi: …

https://pubmed.ncbi.nlm.nih.gov/28903137/

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PCSK9 Inhibitors: How They Manage Cholesterol and Side Effects

(6 days ago) WebPCSK9 breaks down a kind of protein called LDL receptors. LDL receptors are on the outside of cells in your body, especially in your liver. These receptors attach to LDL cholesterol to carry it into your liver. The liver breaks down LDL cholesterol and gets rid of it. PCSK9 inhibitors block PCSK9 proteins from breaking down your LDL receptors.

https://my.clevelandclinic.org/health/drugs/22550-pcsk9-inhibitors

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PCSK9 inhibitor access remains a significant barrier, leaving …

(6 days ago) WebPCSK9 inhibitor access remains a significant barrier, leaving patients at risk for heart attacks and strokes paid prescription rate for PCSK9i coverage was …

https://medicalxpress.com/news/2024-02-pcsk9-inhibitor-access-significant-barrier.html

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P SK9 Inhibitors for Treatment of High holesterol: …

(3 days ago) Webmaking decisions about PCSK9 inhibitor therapy and to support the dialogue needed for successful action to improve the quality and value of health care for all patients. The …

https://icer.org/wp-content/uploads/2020/10/PCSK9_REVISED_Draft_Report_100815-1.pdf

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PCSK9 Inhibitor Use in the Real World: Data From the National …

(3 days ago) WebThe data described in this article, obtained from electronic health record data marts across the United States, are consistent with previously published studies …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6512121/

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Pfizer Launches First Annual PCSK9 Competitive Grants Program to

(3 days ago) WebPfizer currently is studying bococizumab, an investigational PCSK9 inhibitor, in a Phase 3 clinical trial program, known as SPIRE (Studies of PCSK9 Inhibition and …

https://www.pfizer.com/en-ir/news/press-release/press-release-detail/pfizer_launches_first_annual_pcsk9_competitive_grants_program_to_advance_cardiovascular_disease_research

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PCSK9 Inhibitors in the Management of Cardiovascular Risk: A …

(3 days ago) WebEffect PCSK9 Inhibition on Lipid Parameters and Biomarkers. PCSK9 inhibitors are potent agents for the lowering of LDL-C. In phase 3 trials, evolocumab …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9309324/

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How Caregivers Can Create a Kidney Disease Care Plan - AARP

(8 days ago) WebPeople sometimes learn they have kidney disease only when another health problem leads to testing. That’s what happened with Abe Rosenstein, 74, of …

https://www.aarp.org/caregiving/health/info-2024/kidney-disease-care-plan.html

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