Managed Care

Flu season: Most HMO formularies cover Tamiflu, Relenza











As the influenza season approaches, managed care patient access to Tamiflu (oseltamivir) from Roche Laboratories and Relenza (zanamivir) from GlaxoSmithKline, the two medications indicated for influenza, looks relatively open. To be specific, when combining the following formulary statuses — non-formulary/covered, on formulary/approved/first or second tier, and prior authorization — over 90 percent of managed care patients currently have access to these two medications. This is according to MediMedia's Formulary Compass, which monitors more than 1,200 HMO formularies.

Roche, for one, is planning a promotional campaign that lets the public know that flu can be treated and that prompt initiation of therapy is important.

The Food and Drug Administration will focus on manufacturers' promotional efforts in this area, ensuring that manufacturers do not overstate the efficacy of their brands.

Now it's just a matter of stocking up on tissues and washing your hands often.

Current Formulary Access for Flu Medications (% of HMOs)

SOURCE: MEDIMEDIA INFORMATION TECHNOLOGIES

Subscribe to Our Newsletters

Monthly table of contents

Be notified as each issue of Managed Care is available online.

Biweekly newsletter

Recent topics have included:

  • Doug Jones and the ACA, Epic misses a White House meeting, and man caves for man-flu sufferers
  • CVS-Aetna deal may trigger merger mania, Johns Hopkins criticized for lack of asthma prevention, & Columbia sees free-ride future for all of its med students

PTCommunity news

New drug approvals, clinical trials, drug management. Three times per week.