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Post by peppy on Oct 9, 2019 8:06:22 GMT -5
Mike C said in the last call:
The third topic here I want address is payers/patient access. We are continuing to see positive payer coverage as we start out 2019 as evidenced by our recent signing of the contract with Kaiser [ph] and ongoing discussions with other key payers.What does the contract with Kaiser cover? Anybody know? No clue, however, healthy.kaiserpermanente.org/doctors-locationsCalifornia - Northern California - Southern Colorado - Denver / Boulder / Mountain Colorado - Northern Colorado Colorado - Southern Colorado Georgia Hawaii Maryland / Virginia / Washington D.C. Oregon / SW Washington Washington |
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Post by ltta on Oct 9, 2019 9:06:17 GMT -5
Mike C said in the last call:
The third topic here I want address is payers/patient access. We are continuing to see positive payer coverage as we start out 2019 as evidenced by our recent signing of the contract with Kaiser [ph] and ongoing discussions with other key payers.What does the contract with Kaiser cover? Anybody know? No clue, however, healthy.kaiserpermanente.org/doctors-locationsCalifornia - Northern California - Southern Colorado - Denver / Boulder / Mountain Colorado - Northern Colorado Colorado - Southern Colorado Georgia Hawaii Maryland / Virginia / Washington D.C. Oregon / SW Washington Washington I am a member of Kaiser Northern California and just did a search at their online formulary. This is what was returned for Afrezza:
Insulin (Oral Inhalation)
[Commercial and CA Marketplace: Non-Formulary-R] [Med Part D: Tiered] (Kaiser Permanente Northern California Consumer Commercial Formulary)
U.S. Brand Names: Afrezza
Generic Available: No
Pharmacologic: CategoryInsulin, Rapid-Acting
Commercial Formulary, Dosage Forms
None. This drug is not on the Formulary.
This drug is subject to Specialty Tier cost sharing for applicable plans
Index TermsInhaled Insulin; Technosphere Insulin (TI)
Last Updated 7/20/19
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Post by mytakeonit on Oct 9, 2019 13:19:51 GMT -5
Hmmm ... (a favor or advantage granted or expected in return for something.)
That sounds like it is worth $20 ...
But, that's mytakeonit
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Post by ktim on Oct 9, 2019 14:39:47 GMT -5
Mike C said in the last call:
The third topic here I want address is payers/patient access. We are continuing to see positive payer coverage as we start out 2019 as evidenced by our recent signing of the contract with Kaiser [ph] and ongoing discussions with other key payers.What does the contract with Kaiser cover? Anybody know? No clue, however, healthy.kaiserpermanente.org/doctors-locationsCalifornia - Northern California - Southern Colorado - Denver / Boulder / Mountain Colorado - Northern Colorado Colorado - Southern Colorado Georgia Hawaii Maryland / Virginia / Washington D.C. Oregon / SW Washington Washington For CA, as of 9/3/19 Afrezza appears on KP Medicare part D formularies, but not on Covered CA plans. Other regions make their own formulary decisions. Kaiser is very top down when it comes to their own internal SOC, so a drug may be at a high tier on formulary but not be prescribed often because the docs get pushback if they prescribe non preferred treatments too often (so I've been told). It would be big news to me if we actually hear of some Kaiser practice actively promoting Afrezza... as opposed to begrudgingly prescribing in situations such as someone coming in from another plan stable and well managed on Afrezza. |
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Post by porkini on Oct 9, 2019 18:44:33 GMT -5
No clue, however, healthy.kaiserpermanente.org/doctors-locationsCalifornia - Northern California - Southern Colorado - Denver / Boulder / Mountain Colorado - Northern Colorado Colorado - Southern Colorado Georgia Hawaii Maryland / Virginia / Washington D.C. Oregon / SW Washington Washington For CA, as of 9/3/19 Afrezza appears on KP Medicare part D formularies, but not on Covered CA plans. Other regions make their own formulary decisions. Kaiser is very top down when it comes to their own internal SOC, so a drug may be at a high tier on formulary but not be prescribed often because the docs get pushback if they prescribe non preferred treatments too often (so I've been told). It would be big news to me if we actually hear of some Kaiser practice actively promoting Afrezza... as opposed to begrudgingly prescribing in situations such as someone coming in from another plan stable and well managed on Afrezza. This is mostly a "just curious" thought of mine... Does anyone on PB forum know what health insurance is offered by MNKD to employees? Seems like it would look positive for them to offer health insurance coverage that includes their own product. |
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