Richard Lowenthal

About 35% of the insurers out there still require prior authorization.

The ones that are still requiring prior authorization or are not covering NEFI, so only 7% are not covering NEFI right now,

They're mainly in the CVS Caremark Aetna category and Anthem category.

or some of the Blue Crosses.

And some of the Blue Crosses are covering NEFI.

Some are delaying.

Some are still assessing it.

And a few of them have decided not to cover NEFI, although we're working to overturn that decision, of course.

With regards to PBMs, we've had a mixed experience so far where Express Scripts saw the medical value of NEFI very, very quickly.

And they covered it based off of medical value.

Now, I'll go into the structure of these agreements with the PBMs when you're talking about PBM reform.

But certainly Express Scripts saw the medical value, and so did UnitedHealthcare.

So UnitedHealthcare Optum, so Optum, Express Scripts, and Caremark are the three big PBMs.

United Healthcare, United Health Group, United Healthcare Insurance and Optum covered NEFI very, very quickly also within about six months of launch.

And they also did it based off of medical value that they saw there was a medical need and they basically moved to contract very, very quickly and cover NEFI very quickly.

Caremark has been delaying.

We've been working through the issues with care mark and we're still hopeful that we will get care mark to cover very, very quickly without prior authorization.

They do approve.

NEFI with prior authorization.

So they are typically our second biggest dispenser of NEFI right now on a weekly basis.