To: Ditchdigger who wrote (57236 ) 5/5/2016 10:10:49 PM From: MNTNH 2 RecommendationsRecommended By Ditchdigger Steve K
Respond to of 78748 Hi Im not a industry insider so what I have are just stuff I read...usually a whole load of things so if you need sources, I might take while to track back. The actual price quoted in US (List price) for Sovaldi (Sofosvubir) is $84k for 12 week course. Single oral pill a day. Combo treatment Harvoni is $94.5k for same 12 weeks, once a day pill. So its easy to complete the course effortlessly. In terms of efficacy, For Harvoni it was said that Harvoni has 99% cure rate with very minimal side effects. harvoni.com The reasons why it hasnt been as widely introduced is because of what Graham said, insurers pushing back due to high costs even though it has higher efficacy.For Sovaldi, taken off GILD's siteIn a clinical study of 327 patients, among those with Hep C genotypes 1 and 4 without prior Hep C treatment taking SOVALDI + ribavirin + peginterferon alfa for a treatment duration of 12 weeks, the cure rate was 90% (289 out of 320 patients studied). ***********Is that $80k the list price or negotiated price for GILD's drug. I haven't followed this sector in 4 or 5 years(was following VRTX), what's the cure rate of these drugs now, 90% +.Quick back of the hand calc.10 years ago, the cure rate(sustained virologic response) was about 50/50, after having completed a 48 week course of treatment. Drugs used were peginterferon and ribavirin. $1000/wk for the drugs ($48,000).During the course of treatment dozens of CBC blood tests, as well as dozens of viral load pcr tests were done ($15,000+) in order to monitor treatment progression. Many couldn't complete the full treatment.Chances are during treatment blood booster drugs would be needed (whites/hgb) in order for the patient to even complete the full 48 week course of treatment ($20,000+) The treatment was only administered by a specialist (hepatologist/gastro) and closely monitored over the 48 weeks at a much higher cost than a GP.Chances of successful treatment (svr), 60% at best. Many relapsed after completing the treatment and would have to be retreated again. (start doubling costs)As I said, Hep C treatment costs have not increased much in a decade. This is the various prices for the same drug globally. http://esofosbuvir.com/harvoni-cost-in-usa-canada-europe-egypt-india/ In Europe, France negotiated about $60k per 12 week treatment by threatening to raise taxes on profits. Admittedly, my understanding of how the US medical care system works is still not good. If someone knows, please PM me a explanation. Like how doctors, patients, insurers, healthcare managers (UtdHealth, Cardinal, Mckesson, Express etc) and medicaid interacts and how money flows. I was surprised to find out doctors get paid to introduce certain drugs!! Appreciate your help!