The RxView Blog

Real world data, analytics, and insights for healthcare decision makers

Advera Health Analytics, Inc.

Use Clinical Trial Results Linked to Real World Data for Better Formulary Reviews

Posted by Jim Davis on November 17, 2016

Managed Care Organizations are reviewing drugs well before a product is approved. According to a survey conducted by Dymaxium (the company behind the AMCP eDossier System) and presented in a recent webinar, two out of three healthcare decision makers begin to evaluate a drug at least six months prior to approval. The survey also indicates that the primary source of information that payers are using for these pre-approval evaluations is (, and that manufacturers are not always responsive to requests for information pre-approval.

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Topics: Formulary, Drug Formulary, Evidex, real world data, evidence aggregation platform, clinical trial results, adverse events

Express Scripts’ 2017 Exclusions – Analysis Using Real World Data

Posted by Jim Davis on August 2, 2016

It has become tradition at Advera Health to look closely at the annual formulary exclusions that the large payers such as Express Scripts introduce every August. Using our safety scoring and costing algorithms we are able to quickly provide a top-line view into the effects of their decisions. 

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Topics: Drug Safety, Drug Formulary, Express Scrips, RxCost

Express Scripts and CVS Exclusivity Deals: Immediate Cost Savings Overshadow Long-Term Medical Concerns

Posted by Jim Davis on January 9, 2015

In the past several weeks Express Scripts and CVS Healthcare have announced exclusivity deals with Abbvie and Gilead respectively, for their Hepatitis C medications. The deals offer access to the extremely costly medications that have been previously denied formulary inclusion by these massive PBMs. 

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Topics: Express Scripts, Drug Formulary

Applying Broken Windows Policing Theory to Drug Safety

Posted by Jim Davis on August 21, 2014

I read an interesting opinion piece in the Wall Street Journal recently titled Of Ferguson and Fallujah. In his essay Bret Stephens (@StephensWSJ) intends to compare President Obama’s foreign policy to the police response to the extremely unfortunate events that have been, and continue to be unfolding in Ferguson, MO. His view is that both are “disastrously reactive”.

To support his opinion, he uses the broken windows theory. Developed by George Kelling and James Q. Wilson, and written about in a 1982 Atlantic Monthly article. The title comes from the following example:

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Topics: Big Data, Drug Formulary

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