{"id":293322,"date":"2024-06-18T00:00:00","date_gmt":"2024-06-18T00:00:00","guid":{"rendered":"https:\/\/clarivate.com\/life-sciences-healthcare\/report\/acreim0017-2024-biopharma-psoriasis-access-reimbursement-access-reimbursement-psoriasis-us\/"},"modified":"2026-03-31T10:29:29","modified_gmt":"2026-03-31T10:29:29","slug":"acreim0017-2024-biopharma-psoriasis-access-reimbursement-access-reimbursement-psoriasis-us","status":"publish","type":"report","link":"https:\/\/clarivate.com\/life-sciences-healthcare\/report\/acreim0017-2024-biopharma-psoriasis-access-reimbursement-access-reimbursement-psoriasis-us\/","title":{"rendered":"Psoriasis &#8211; Access &#038; Reimbursement &#8211; Access &#038; Reimbursement \u2013 Psoriasis (US)"},"content":{"rendered":"<div>\n<div>\n<p style=\"\">The arrival of newer and more effective treatments in the U.S. psoriasis market is changing the treatment landscape and fueling competition for favorable coverage from <abbr title=\"managed care organization\">MCO<\/abbr>s. After years of dominance of well-entrenched biologics, such as AbbVie\u2019s Humira, Janssen\u2019s Stelara, and Novartis\u2019s Cosentyx, newer agents like Amgen\u2019s oral <abbr title=\"phosphodiesterase\">PDE<\/abbr>-4 inhibitor Otezla, Eli Lilly\u2019s <abbr title=\"interleukin\">IL<\/abbr>-17 inhibitor Taltz, and Janssen\u2019s <abbr title=\"interleukin\">IL<\/abbr>-23 inhibitor Tremfya have successfully found their place in the treatment algorithm. AbbVie\u2019s Skyrizi, the latest <abbr title=\"interleukin\">IL<\/abbr>-23 inhibitor, outperforms earlier biologics on the market and is gaining on the established market leaders. The recent entries of Sotyktu (<abbr title=\"Bristol Myers Squibb\">BMS<\/abbr>\u2019s oral <abbr title=\"tyrosine kinase 2\">TYK2<\/abbr> inhibitor) and Bimzelx (UCB\u2019s <abbr title=\"interleukin\">IL<\/abbr>-17 A\/F dual inhibitor), along with the increasing penetration of adalimumab biosimilars, are further intensifying the competition. This report provides valuable insights into how payer coverage policies influence dermatologists\u2019 prescribing decisions, helping marketers navigate this challenging market access environment.<\/p>\n<\/div>\n<div>\n<p style=\"\"><strong>QUESTIONS ANSWERED<\/strong><\/p>\n<\/div>\n<ul class=\"BulletListStyle1 SCXP238853570 BCX0 round-bullets\">\n<li>Among commercially insured psoriasis patients, what percentage receive newer targeted agents, and how do <abbr title=\"managed care organization\">MCO<\/abbr> restrictions impact physicians\u2019 prescribing of biologics \/ oral targeted agents?<\/li>\n<li>How do payers cover biosimilar versions of adalimumab (e.g., Amgen\u2019s Amjevita, Boehringer Ingelheim\u2019s Cyltezo), and how do physicians prescribe these biosimilars?<\/li>\n<li>How do <abbr title=\"managed care organization\">MCO<\/abbr>s cover branded biologics \/ oral targeted agents in their largest fully insured commercial plans, and what economic factors most influence favorable coverage?<\/li>\n<\/ul>\n<div>\n<p style=\"\"><strong>PRODUCT DESCRIPTION<\/strong><\/p>\n<\/div>\n<div>\n<p style=\"\">U.S. Access &#038; Reimbursement provides integrated brand- and disease-level insight on reimbursement dynamics and the impact of U.S. payer policy on physician prescribing behavior in the market access environment. Each report includes up-to-date analyses of drug coverage and restriction policies as well as payer and prescriber perspectives on key marketed drugs and their receptivity to emerging therapies.<\/p>\n<\/div>\n<div>\n<p style=\"\"><b>SOLUTION ENHANCEMENT<\/b><\/p>\n<\/div>\n<div>\n<p style=\"\">Access &#038; Reimbursement includes key analyses from Clarivate Real-World Data Product\u2014comprehensive and timely data that provide clarity around the healthcare experiences and activities of hundreds of millions of patients, <abbr title=\"healthcare provider\">HCP<\/abbr>s, and payers. Analyses include payer mix, percentage of claim rejections for key therapies, and reasons for claim rejection.<\/p>\n<\/div>\n<\/div>\n<p><strong>Key drugs<\/strong>: Humira, Amjevita, Enbrel, Remicade, Inflectra, Renflexis, Avsola, Cimzia, Stelara, Otezla, Cosentyx, Taltz, Siliq, Tremfya, Ilumya, Skyrizi, Bimzelx, Sotyktu<\/p>\n<p><strong>Key companies: <\/strong>AbbVie, Amgen, Bristol-Myers Squibb, Eli Lilly, Janssen, Merck, Pfizer, Novartis, UCB<span class=\"EOP SCXP238853570 BCX0\" style='margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; touch-action: pan-x pan-y; font-size: 10pt; line-height: 0px; font-family: \"Avenir Next LT Pro\", \"Avenir Next LT Pro_EmbeddedFont\", \"Avenir Next LT Pro_MSFontService\", sans-serif;'><\/span><\/p>\n","protected":false},"template":"","class_list":["post-293322","report","type-report","status-publish","hentry","report-gateway-biopharma","biopharma-therapy-areas-psoriasis","biopharma-geography-us","biopharma-date-985"],"acf":[],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/report\/293322","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/report"}],"about":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/types\/report"}],"version-history":[{"count":10,"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/report\/293322\/revisions"}],"predecessor-version":[{"id":575946,"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/report\/293322\/revisions\/575946"}],"wp:attachment":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/media?parent=293322"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}