Genetic Testing and Diagnostic Tools in the Pharmacy Benefit

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Price: $84
Pages: 43
PDF Version: 181 KB
ISBN: 1-933801-29-8
© 2007
Pub Code: BGTD

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Genetic testing may sound like science fiction to some, but it is already having a tremendous impact in health care. Such tests, which study patients’ genetic makeup, hold great promise as our society moves closer to personalized health care. But while targeted therapies hold greater treatment hopes for patients, such treatments, in turn, raise various issues, not the least of which involve ethical and legal questions.

Genetic Testing and Diagnostic Tools in the Pharmacy Benefit examines the evolving presence and impact of genetic testing on health plans and the pharmacy benefit industry. This report illuminates concerns associated with specific genetic testing products, as well as shifting cost trends, and includes a directory of companies that have performed specialized work in genetic testing.

Gain insight on the coverage implications of genetic testing, pending legislation and government regulation of these new technologies, and some of the science behind these tests. Order Genetic Testing and Diagnostic Tools in the Pharmacy Benefit today!

Table of Contents

Preface
Methodology

Government Regulation and Legal Issues

FDA Says It Will Regulate Some Genetic Tests
Genetic Privacy Bill Introduced in House, Passed in Senate; Bush Expresses Support
Genetic Privacy Bill Stalled Briefly in House
AHIP Supports Genetic Measure
Bill Would Restore Reimbursement for Colorectal Cancer Diagnostic Tests
In Step Toward Personalized Health Care, FDA Updates Warfarin Label to Reveal Genetic Link

Coverage Strategies and Challenges

Genetic Tests Offer Treatment Potential, But No Clear Solutions for Coverage
Aetna Calls for Broader Coverage of Genetic Tests, But Employers Remain Wary
Harvard Pilgrim to Streamline Approval Process
Company Will Work With Payers on Coverage Criteria for Companion Diagnostics
Aetna Sets Payment Rates for Breast Cancer Diagnostic Test
UHC Covers Oncotype Dx Test
Plans Face More Coverage Issues With New Pharmacogenomic Tests
Stage Set for More Use of Genetic Tests As Insurers Develop Pay, Coverage Policies
How Do Payers Approach Coverage of Warfarin Genetic Testing?

Specific Product Concerns

Experts: Having Medical Policy, Auditing Use Help Ensure Proper Herceptin Prescribing
With Clozapine Test, Plans Have New Tool in Their Care Protocols
Clinical Data Launches Rituximab Diagnostic Test for NHL Patients

Contracting, Alliances and Partnerships

Genzyme Adopts Preferred Distribution for Thyrogen, Awards Contract to PharmaCare
PBM Inks Genetic Testing Deal Tied to Two Drugs and Maybe More
Medco Signs Genetic Testing Deal With Mayo Collaborative Services

Cost Trends and Impact

Although Patients Are Few, Spend Is High in Hemophilia Management
Study Details Physician Behavior Regarding Costs for Diagnostics

Genetic Testing Resources and Related Companies

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