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Videocast at DURB Feb 26 Medicaid NYS Hearing
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LINK:
HCV Medicaid DURB Hearing Outcome, Feb 26, 2015 - (03/04/15)
Apparently Viekira Pak is the choice for FFS in NYS & MCOs are on their own to decide formulary, 75-90% in NYS are on MCO.
(at 3:45 approx) DOH Recommendation that Viekira Pak be preferred, non-preferred Harvoni, Olysio - vote: 10 in favor, no opposed
![HCV1.gif](../images/031015/031015-5/HCV1.gif)
at 2:40 approx Oregon DERP Reports
![HCV2.gif](../images/031015/031015-5/HCV2.gif)
"57,000 have HCV....35,000 patients would need treatment based on the Guidelines"
"we don't require abstinence"
![HCV3.gif](../images/031015/031015-5/HCV3.gif)
"25% had been pretreated & 23% have cirrhosis thus will require a longer treatment regimen.....16,000 claims in 2014....from 2011 to 2013 only 11,000 claims so claims have increased a lot......$437 mill was spent in 2014"...do some math 35k are priority to be treated which is 2x the 16k so they must be thinking this would cost depending on discounts/cost $800+mill, if treating ALL that would be 57,000 of course not included those undiagnosed, 57k would increase cost perhaps to $1.2 Bill estimated"
![HCV4.gif](../images/031015/031015-5/HCV4.gif)
AASLD/IDSA/IAS-USA Guidelines
http://www.hcvguidelines.org/full-report/initial-treatment-hcv-infection
![HCV5.gif](../images/031015/031015-5/HCV5.gif)
![HCV6.gif](../images/031015/031015-5/HCV6.gif)
![HCV7.gif](../images/031015/031015-5/HCV7.gif)
HCV Guidelines Treatment Experienced
http://www.hcvguidelines.org/full-report/retreatment-persons-whom-prior-therapy-has-failed
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