Treatment FAQ

what is wholesale acquisition cost of hepatitis c treatment drug

by Dr. Antonetta Feil Published 3 years ago Updated 2 years ago
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Analysis of prescription drugs for the treatment of hepatitis C in the United States. Sovaldi, a direct-acting antiviral (DAA) treatment for hepatitis C virus (HCV), had an average wholesale acquisition cost (WAC) of $1,000 per day in 2013, or $84,000 for a 12-week course of treatment.Jun 11, 2021

How do pharmaceutical companies price HCV drugs?

Dec 13, 2019 · Rates of hepatitis C virus (HCV) treatment in a commercially insured population doubled after availability of new direct-acting antivirals. ... 18,19 The published wholesale acquisition cost of ...

Who pays for HCV treatment?

Jun 01, 2018 · The table below highlights the average cost of treatment for the combination DAAs currently available. Most of these drugs take at least 12 weeks to cure HCV, while the most recently approved drug ...

How much do health plans spend on hepatitis C medications?

2012 wholesale acquisition costs: 97,196 2014 wholesale acquisition costs: 106,360 2016 wholesale acquisition costs: 68,753 2018 wholesale acquisition costs: 39,600: Transition probabilities Natural history HCV progression F0 to F1: 0.077: For comparison with previously published value assessment by ICER, all transition probabilities were derived from this model. 31

What are the new drugs available to treat hepatitis C?

Based on wholesale acquisition costs for sofosbuvir and simeprevir, overall costs for a treatment course has reached $100,000–$250,000 per person. This pricing has provoked outrage from hepatitis C advocates and the community in general.(4, 5) The controversy has given rise to larger questions; How much should hepatitis medications cost? What is a reasonable price to pay to …

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What is the cost of HCV treatment?

The cost of hep C treatment varies depending on the type of drug. However, an 8- to 12-week course can range from $54,000 to $95,000 (or higher). For example, the price of a 12-week course of Zepatier can be as much as $54,600, and a 12-week course of Harvoni can cost as much as $94,500.Sep 2, 2021

How much does Sovaldi cost in America?

Official Answer. The wholesale cost of Sovaldi is $1000 per 400mg tablet. A 12-week treatment course of Sovaldi costs around $84,000 and a 24-week course, $168,00.Apr 23, 2020

What is the cost of the drug Harvoni?

Ledipasvir-sofosbuvir (Harvoni): The average wholesale cost for Harvoni is $1,125 per pill. An 8-week treatment course is $63,000 while a 12-week treatment course is $94,500 and a 24-week one is $189,000.Nov 21, 2018

How much is Sovaldi in Canada?

Sovaldi sells for about $1,000 a pill in the U.S., while a generic version costs only $4 a pill in India. Canada pays $55,000 for a course of treatment.Jul 19, 2017

Why is Sovaldi so cheap in India?

The newspaper says that current treatments for the disease in India run about $6,000 and require a 24- to 48-week course of injectables that come with serious side effects. So Sovaldi will be cheaper and easier to administer, with fewer side effects and the ability to cure many of the cases.

Who makes Sovaldi?

Manufactured for and distributed by: Gilead Sciences, Inc., Foster City, CA 94404 SOVALDI is a trademark of Gilead Sciences, Inc., or its related companies.

How can I get hep C treatment for free?

Patient assistance programs (PAPs) offer free hepatitis C drugs to lower-income people who are uninsured or underinsured, and who do not qualify for insurance programs such as Medicaid or Medicare.

Is Harvoni generic?

Harvoni (ledipasvir / sofosbuvir) is available as a generic medication and may be significantly cheaper compared to the brand version.

What is the generic name for Harvoni?

Generic Name: ledipasvir-sofosbuvir This medication is a combination of ledipasvir and sofosbuvir and is used to treat chronic (long-lasting) hepatitis C, a viral infection of the liver.

How much does hep C treatment cost in Canada?

Up to 73,000 people are living with the hep C virus, the health ministry said. The cost to the health system to pay for treatment of the disease can range from $45,000 to more than $100,000 per patient depending on what drug they use and how their treatment progresses, the ministry added.Mar 13, 2018

Is Hep C treatment covered by OHIP?

The Ontario government says it will cover the cost of medication for all hepatitis C patients, regardless of the severity of the disease, a move that's being touted as a game-changing decision by health professionals in the field.Mar 5, 2018

Is Epclusa available in Canada?

Availability. Epclusa, manufactured by Gilead Sciences, has been approved by Health Canada and is available in Canada.

Does HCV double after availability?

Rates of hepatitis C virus (HCV) treatment in a commercially insured population doubled after availability of new direct-acting antivirals. Member out-of-pocket spending was kept low while the health plan bore 99% of spending on HCV medications.

Can OOP cure HCV?

These medications can cure a prevalent, potentially fatal, chronic infectious disease, but they have a high price. Based on the experience of a regional commercial health plan, on average, patient OOP spending was kept low while the health plan covered 99% of spending on new HCV medications.

Is HCV counseling required for 2020?

However, the study health plan still requires providers to attest that the patient is not participating in illicit substance abuse or alcohol abuse, or is receiving substance or alcohol abuse counseling services as an adjunct to HCV treatment (this requirement is to be lifted in 2020).

What is the new drug called for HCV?

Trusted Source. of people who take them, depending on the type of HCV infection and treatment exposure. These new drugs are called direct-acting antivirals (DAAs).

When was HCV approved?

The U.S. Food and Drug Administration (FDA) approved the first of these medications for HCV treatment in 2011. Several more medications have been approved since that time. Most of these individual drugs are effective for specific strains, or genotypes, of HCV.

What is the liver infection?

Hepatitis C is a viral infection that attacks the liver. Infection with hepatitis C can lead to serious liver disease, including cirrhosis and cancer. Hepatitis C virus (HCV) is transmitted by exposure to blood or other bodily fluids that contain HCV.

How many people die from hepatitis C each year?

Americans have chronic hepatitis C. About 19,000 of these people die each year from cirrhosis or liver cancer. Fortunately, recent advancements in the fight against this virus have changed the outlook for people with HCV. New drugs have transformed the disease from one that can, at best, be controlled to one that can be cured for most people who ...

What are the criteria for liver disease?

These criteria may be based on: the severity of liver disease. whether the person avoids alcohol and drug use. whether the drug’s prescribed by a doctor who specializes in liver diseases. the life expectancy of the person seeking treatment. whether less expensive treatments could be used first.

Is generic medicine cheaper than brand name?

It also means there are no generic versions of these drugs yet. Generics are typically much cheaper than brand- name versions. The FDA determines how long this period of exclusivity will last. During this time, the pharmaceutical companies have a lot of freedom in establishing prices.

Does insurance cover cirrhosis of the liver?

Payment restrictions. Based on your insurance provider, some companies will only pay for treatment if you have cirrhosis of the liver or bridging fibrosis , which is a thickening and scarring of the liver.

What is the primary analysis for this methodology study focused on?

The primary analysis for this methodology study focused on the changing costs and effectiveness estimates at each time point to estimate incremental cost-effectiveness ratios. A scenario analysis was conducted using only the WAC for each drug referenced in RED BOOK to describe the effect of using list versus net price in the CEA. 21

Is hepatitis C treatment pharmacoeconomic?

With lower drug prices and increased effectiveness, the pharmacoeconomics of hepatitis C virus (HCV) treatment have rapidly changed in a very short time span, with several new products and multiple products withdrawn. Cost-effectiveness analyses (CEAs) for any treatment, including HCV, are typically fixed to answer a single question ...

Is HCV treatment effective?

Treatment effectiveness for HCV has increased steadily, while treatment costs increased substantially from 2010-2014 before decreasing to its lowest point in 2018. The dynamic nature of CEAs in a disease state with rapid pharmaceutical innovation may cause some concern for decision makers who rely on a single analysis over time. Model transparency along with resources to update or revise model assumptions would enable organizations to provide more up-to-date results to inform formulary decisions.

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