A national data supplier reviewed PCSK9 inhibitor claims for Medicare, Medicaid, Medicaid managed care, and commercial managed care organizations across the nation from January 2017 through December 2017.
Of national health plans that received at least 2,000 claims for PCSK9 inhibitors, the following had the highest rates of rejection:
• Federal Employee Benefit Plan – 83%
• Tricare Military Health SVC SYS – 49%
• Anthem – 45%
• Express Scripts – 38%
