I fell down on the job. Got all tied up in the proxy, earnings report, etc. There appears to be a lot of new policy updates since I published that article.
Still researching but...
-Missouri Medicaid got the new NDC code 2 weeks ago.
-Kaiser Georgia finally publishes the PA criteria after adding to formulary earlier this year. IS, MS with steroid contraindication, and generic list of other inflammatory. So covers RA, etc.
-Federal Employees Plan increases the PA use timeframe from 3 to 6 months? Maybe they are now including RA and/or NS. Note Caremark, which isn't an insurer but a PBM, were restricting a bit last year and shorts posted as an attack on twitter, the fly, etc.
- Western Health Advantage Commercial Tier 3, not 4 or 5, and no PA requirements? AS of 4/13. Still digging but no PA in that column and I can't find any on their provider site either. Wow! Soounds like they trust doctors.
- Iowa Medicaid approves without a PA? Still digging but I had this on my upcoming list in my article. From what I find now, approved without a PA.
- UHC no PA for Arizona. All other states, still the standard PA we are used to but not Arizona now.
Like I said, I'm still digging a bit, might find more but this is what I found while bored watching QCOR today. Very interesting, especially the ones with standard tier levels and/or no PA.
Just got back home after being out for a few hours and the sight of QCOR on my Fidelity Active Trader Pro is a sight for sore eyes. More importantly is the research work you have been doing regarding insurance coverage and reimbursement. It brings a great level of comfort to us all and I join the chorus of appreciative longs. Thanks Mike.
Sentiment: Strong Buy