Coverage is not a Start

You Bought Coverage. You Did Not Buy a Start.

The short version: A rebate buys a position on a formulary. It does not buy a patient on therapy. Prior authorization removes roughly a quarter of targeted utilization, and about half of those patients do not switch, they abandon, which no market share report records. Before accepting the next contract, price the coverage against patient […]

You Bought Coverage. You Did Not Buy a Start. Read More »