imo, based upon earnings coming next week, along with expectations re: continued sales results...my guess: a HUGE RUN-UP to earnings. Good luck to all.
insurers contract with a hospital at a set rate. the treatment is chosen by the physician at the hospital, and the hospital may have Rx utilization mgmt guidelines, but the insurer is not involved in this decision. If an insurer pays a percentage of charges or has a carve out rate covering high cost drugs, the hospital will be paid in addition to the length of stay, whichever drug is chosen. University Medical Centers generally will have better contracts that will pay extra, larger urban hospital and systems will about half of the time negotiate additional reimbursement. However, largely the decision will be based on the bedside physician accompanied with a hospital Rx prior auth guideline.
is dificid covered well by health insurance companies? Is it more costly to them? They could be thinking short term, they could treat more people with vancomycin using the same amount of money it would take to treat less people with dificid.
Very interesting article, that. thanks for the link. I did see use of the word slurry but it didn't explain it any better. I suppose it means what it sounds like, ie, a mixture. Now don't anyone give me the business on this cut and paste from some Veterinarian's page but here's the use in a paragraph:
"Your vet will probably recommend some find of pellet "slurry" for your rabbit. One standard recipe is 1/2 cup of pellets, blended with one cup of water, one tablespoon of psyllium husks, and one tablespoon of acidolopholus or Prozyme. You can throw it all in a blender or food processor; keep blending until it appears shiny. (Never give your rabbit straight psyllium, as it can suck the liquid out of the rabbit's gut and cause serious . . ."
mike here is an article using the term "slurry"
here's an excerpt from an article...
"But instead of treating patients with Vancocin for 10 days, doctors actually treat hospitalized patients with a slurry of generic vancomycin for 2-5 days, followed by 8-10 days of Vancocin after discharge.
According to Prunty, the cost of the slurry is about $30 per day. Thus the total cost of the vancomycin/Vancocin regimen runs about $1,260-$3,150."
and believe the ID docs will be recommending it to their patients vs. vanco as first-line treatment since data is already coming in that Dificid is more effective in the first 10 days of treatment. If there's a better mousetrap, I think docs will use it...cuts their liability/risk. The fact that the formularies are adopting is a huge point, and you can bet the hospitals will be doing their own studies re: outcomes of the drug. I have no doubt re: the marketing/sales strength of Dificid...I just got in during the initial hype (around 10-11) and need for it to continue with adoption/pps increase. Good luck to you - and remember the sunscreen!
well, no action, huh. I guess because it's Friday. I had a feeling that might be the case around 3 when I saw how low the volume was and never really picked up. Next week should be a hummer haha