For Bausch + Lomb, the company's goal is to make latanoprostene bunod affordable and accessible to the millions of open-angle glaucoma and ocular hypertension patients who may benefit from this treatment option, said the company in a prepared statement.
"As such, we are actively working with commercial and Medicare health insurers and pharmacy benefit managers to expand access for all insured patients, which includes almost 103 million lives today. We also continue to work to secure Part D coverage for 2019," the company said.
Today, most commercially insured patients can utilize the company's co-pay assistance program, available through the product's website (www.vyzulta.com). For qualified patients who do not have adequate commercial insurance coverage or who are without any insurance coverage, the patient assistance programs are designed to help those qualified patients who are unable to otherwise afford treatment, according to the company.
In March, Bausch + Lomb said it also announced an agreement with Express Scripts, which covers the product under an access position on both the commercial Express Scripts National Preferred and Basic formularies, giving access to an additional 23 million patients in the United States.
Finally, for commercial or Part D patients, Bausch + Lomb noted that eye-care professionals can submit either an electronic prior authorization (ePA) or request coverage for a non-formulary product through CoverMyMeds to help their patients obtain access to latanoprostene bunod.
The product is also included in CoverMyMeds' HubExpress platform, which monitors and helps both pharmacies and HCP's manage through requests for product coverage made to health insurers and PBMs. If a request is approved, HubExpress will follow-up with the pharmacy to ensure the script is dispensed, and if denied, HubExpress will contact the office to start an appeal or identify another course of action.
Savak "Sev" Teymoorian, MD, MBA
E: [email protected]
Dr. Teymoorian is a speaker and consultant for Aerie Pharmaceuticals and Bausch + Lomb and conducts research for both companies.
Miranda Gill, MSN, RN, NEA-BC
E: [email protected]
Gill did not report any disclosures.