med Bag   Ask Our Hepatitis Experts Questions About-HCV  
Back grey_arrow_rt.gif
 
 
 
 
I have a tough time figuring out how an insurer gets away with not offering a drug that is FDA approved.
 
 
Dear Dr. Chung,
 
 
 
I'm confused. After years with one insurance company, we've switched companys for next year. I was looking at there preferred drug list. I don't see Peg-Intron, only ribavirin/interferon a-b. The web site was updated 11/02/01.
 
It is my understanding that Pegasys was FDA approved along with ribavirin? I do know that Schering is trying to be cagey and are saying they want users of pegasys to register with them (which I am understanding is unlawful).
 
Why would they not have pegasys on this list? The only thing I can figure from this is they know its ineffective and people will not use something that causes these side effects and does not work. They save money because people don't use it. But can say they do offer this product.
 
I have a tough time figuring out how an insurer gets away with not offering a drug that is FDA approved. If there is competition with other drugs being available, I can figure.
 
I intend to call the insurance company but I realize that may not get me anywhere. This is why I am asking you about this. This information may help others who want to do Pegasys.
 
Thanks for your thoughtful input
 
 
 
 
 
 
  Dr Chung Writes-  
 
 
Pegasys is the Roche pegylated interferon and Pegasys has yet to be FDA approved. Perhaps end of 2002. Peg-Intron is the Schering peg interferon. I would ask your insurance company about if they are covering PegIntron or not. They should be covering it.
 
 
  RC      
 
 
 
  med Bag Ask Our Experts   www.natap.org   icon_envelope.gif Answers