The Institute for Clinical and Economic Review, a nonprofit organization that analyzes the cost effectiveness of prescription drugs, said Trikafta would need to be priced at $67,900 to $85,500 per year to be cost-effective. The current wholesale price is $311,740 per year.
Trikafta can treat about 90 percent of all cystic fibrosis patients, making it the first drug that can treat a majority of cystic fibrosis patients. But patients must take Trikafta their whole lives, meaning the price set by Vertex could cost patients millions of dollars over their lifetimes, the institute’s Chief Medical Officer David Rind told STAT.
To determine the drug’s cost effectiveness, the institute used a benchmark called QALY, or quality-of-life years, which measures both the quantity and quality of life generated by providing a treatment, STAT reported.
Another measurement was also used to make sure those with disabilities or who are already very ill were considered.
A Vertex spokesperson told STAT the price of the drug reflects the significant value it brings to patients and as a result, “U.S. payers have rapidly provided coverage.”
Read the full article here.
More articles on pharmacy:
CMS cleared to survey 340B hospitals on their drug acquisition costs
SSM Health to close 2 retail pharmacies
The race to develop a COVID-19 vaccine: 5 updates
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.