Pharma Market Research | Managed Care, Drug Launch and Healthcare Research

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Welcome to Zitter Health Insights, formerly known as The Zitter Group, the healthcare industry’s leading source for insights into payer influence on the use of medical therapies and technologies.
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“Will payers change their reimbursement practices for our infused/injected agent when a competitor’s oral product is launched in 6 months?”
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“We are launching a molecule in a therapeutic indication that my company has limited experience with; how can I get up to speed on payer approaches and access requirements?”
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How will P&T committees respond to our pivotal clinical trial data?
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Test Your Knowledge:

Which oncology class has recently started to use step therapy in prior authorization criteria to enforce preferred agent use?
1. Non-Small Cell Lung Cancer
2. Prostate Cancer
3. Renal Cell Carcinoma
4. Glioblastoma Multiforme
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How will Health Insurance Exchanges affect access to your product?

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Did You Know...

GlaxoSmithKline had the greatest increase in share of voice with payers over the past 6 months

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Did You Know...

Rheumatoid Arthritis is now payers' top specialty management priority
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Test Your Knowledge:

The percentage of payers that are piloting pathway programs is:
1. 70%
2. 60%
3. 50%
4. 40%
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Did You Know...

76% of payers plan to offer health insurance coverage in the individual or small group exchange market after January 1, 2014

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PA Snapshot:

Humana now requires failure of Enbrel and Humira before Xeljanz

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Test Your Knowledge:

Which channel for distributing co-pay programs do brand marketers rate as having the highest impact on program redemption?
1. Physician
2. Internet
3. Pharmacist
4. Automatic Program
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Did You Know...

Payers’ top 5 oncology priorities are…
- Breast
- Colorectal
- Lung
- Prostate
- Melanoma
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Did You Know...

The manufacturer discount applied in the coverage gap counts toward the Medicare incurred cost calculation

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Did You Know...

Plans representing over 50 million covered lives typically do not cover new products at launch.

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Did You Know...

Only 3% of brands with a co-pay offset program are brands that have a direct generic available.

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Do You Know...

… how stakeholders intend to respond to interferon-free regimens and USPSTF recommendation on screening?

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Did You Know...

Employers anticipate significant changes in the coverage mechanisms in the next 2 years, moving toward shifting employees to exchanges

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Upcoming P&T Perspective Sessions: December 14, 2013:

Prostate Cancer (syndicated)

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What makes some populations more likely than others to enroll in the new health insurance exchanges?
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How do consumers make choices within the health insurance exchanges?
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Zitter Health Insights Access Answered.