A national data supplier reviewed PCSK9 inhibitor claims for managed care organizations in Illinois from January 2017 through December 2017.
Of health plans that received at least 150 claims for PCSK9 inhibitors, the following had the highest rates of rejections:
• Express Scripts – 40%
• CVS Health – 31%
• United Health Group – 23%
• Health Care Services Corp. HCSC – 21%
The following had the lowest rates of rejection:
• Aetna – 10%
• Humana Health Plan – 7%
