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...

Combivent Respimat (Boehringer Ingelheim) messages were rated most credible from July through December 2012

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Did You Know...

Hepatitis C 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...

only 34% of employers plan to offer retiree coverage 2 years from now
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PA Snapshot:

Humana now requires failure of Enbrel and Humira before Xeljanz

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Test Your Knowledge:

What proportion of biologics brands have an associated co-pay offset program?
1. Three-quarters
2. One-half
3. One-quarter
4. One-third
5. Two-thirds
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Did You Know...

Payers’ top 5 oncology priorities are…
- Breast
- Colorectal
- Lung
- Prostate
- Melanoma
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Test Your Knowledge:

Which of the following does not involve a co-pay offset program ban?
1. BCBS RI co-pay program activity
2. CVS Caremark formulary changes
3. MA co-pay program legislation
4. UHC co-pay program specialty
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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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Did You Know...

80% of Sub-Q and oral agents are distributed by specialty pharmacy
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Upcoming P&T Perspective Sessions, June 1, 2013:

Multiple Sclerosis (syndicated)

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Did You Know...

26% of commercial benefit designs predominantly contain 4 tiers?

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Zitter Health Insights Access Answered.