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Last week I blogged about Harvoni, the new hepatitis C
wonder drug. Unfortunately, Harvoni’s price is creating
obstacles to hepatitis C treatment. Reacting to the cost of
Sovaldi and by extension, Harvoni, state Medicaid
programs and insurance companies are deny treatment to
most except those who have cirrhosis, or are nearly
cirrhotic with stage 3 fibrosis. Patients have been waiting
years, sometimes decades for hepatitis C drugs that will
cure them without practically killing them in the process.
Now they may have to wait even longer.
How do we justify this policy to Barb S who posted a
comment to my blog:
When on triple therapy, I was detectable at eight weeks
with a very low (300) viral count. Undetectable at 12
weeks, they decided to stop all drugs at 36 weeks instead
of 48. I questioned this deviation in protocol on several
occasions but was told the decision was based on the Dr.’s
experience with boceprevir. I’ve spent the last 2 years
wondering if the relapse was due to a lapse in protocol.  
Naturally anxious to start hepatitis C treatment with
Harvoni, Barb contacted her GI clinic and received the
following rely:
We are still working out the details on how to effectively
treat those needing treatment in the most efficient way. If
you don’t hear from us in the next few months, call.
This is wrong on so many levels. I’ll save my discussion for
why it is wrong for another time, and concentrate on what
you can do about this. 
source link:    http://sunnypharma.org
Harvoni: Tips for Navigating
Insurance Prior Authorizations for
Hepatitis C Treatment

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Tips for Navigating Insurance Prior Authorizations for Hep C Cure

  • 1. Last week I blogged about Harvoni, the new hepatitis C wonder drug. Unfortunately, Harvoni’s price is creating obstacles to hepatitis C treatment. Reacting to the cost of Sovaldi and by extension, Harvoni, state Medicaid programs and insurance companies are deny treatment to most except those who have cirrhosis, or are nearly cirrhotic with stage 3 fibrosis. Patients have been waiting years, sometimes decades for hepatitis C drugs that will cure them without practically killing them in the process. Now they may have to wait even longer. How do we justify this policy to Barb S who posted a comment to my blog: When on triple therapy, I was detectable at eight weeks with a very low (300) viral count. Undetectable at 12 weeks, they decided to stop all drugs at 36 weeks instead of 48. I questioned this deviation in protocol on several occasions but was told the decision was based on the Dr.’s experience with boceprevir. I’ve spent the last 2 years wondering if the relapse was due to a lapse in protocol.   Naturally anxious to start hepatitis C treatment with Harvoni, Barb contacted her GI clinic and received the following rely: We are still working out the details on how to effectively treat those needing treatment in the most efficient way. If you don’t hear from us in the next few months, call. This is wrong on so many levels. I’ll save my discussion for why it is wrong for another time, and concentrate on what you can do about this.  source link:    http://sunnypharma.org Harvoni: Tips for Navigating Insurance Prior Authorizations for Hepatitis C Treatment