Advocates for those living with Hepatitis C are urging the state
Department of Social Services to ease new criteria patients must meet in
order to have an expensive medication covered by Medicaid.
DSS has issued a bulletin to medical care providers, notifying them
that patients with Hepatitis C who are enrolled in HUSKY A, HUSKY C or
HUSKY D — parts of the state’s Medicaid program — must have “prior
authorization” in order for prescriptions for the medication Sovaldi to
Prior authorization typically is required by insurers when they want
to make sure certain prescription drugs are appropriately used. In
essence, it requires enrollees to meet a higher threshold of criteria
before insurers will agree to cover the medication’s expense.
Labels: access to drugs, Advocacy, Connecticut, medicaid, price of Sovaldi, Sovaldi