80% of Rx claims for PCSK9 inhibitors in USA initially rejected, new findings show

20 March 2017

March 21, 2017

Results from two analyses of PCSK9 inhibitor rejection rates presented at the American College of Cardiology (ACC) meeting this weekend showed that around 80% of prescription claims in the USA are initially rejected.

Additionally, one of the studies showed no major differences in patient characteristics across those approved and denied, suggesting a utilization management process that is not driven by any observable clinical criteria.

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