Aetna Confirms It Will Cover Provenge

22 June 2010

By David Miller, minyanville.com

Some out there in bio-investor land have argued insurers will attempt to avoid covering Dendreon's (DNDN) Provenge due to the price tag. This view is about as accurate as the notion that (and it comes from the same folks who said) Provenge would never be approved. That is to say, not very accurate.

The National Comprehensive Cancer Network (NCCN) Compendium listed Provenge as part of standard therapeutic practice for metastatic, hormone-refractory prostate cancer within two weeks of approval. This was a strong signal to doubters that insurance reimbursement wasn't going to be a tortured process since most insurers take their cue from compendia like NCCN. The very short time between drug approval and the NCCN compendia listing is remarkable and unusual. It's an indication of how active Dendreon has been over the past several months working the issue of reimbursement.

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