A national data supplier reviewed PCSK9 inhibitor claims for managed care organizations in Mississippi from January 2017 through December 2017.
Of health plans that received at least 50 claims for PCSK9 inhibitors, the following had the highest rates of rejections:
• BCBS Mississippi – 97%
• State of Mississippi Employees – 94%
• Express Scripts – 79%
• United Health Group – 45%
The following had the lowest rates of rejection:
• Humana Health Plan – 14%
• WellDyneRx – 0%