AMCP held an insightful webinar on preapproval information exchange (PIE) in June 2020. I encourage you to check it out.

Lisa Cashman (Director of Clinical Account Services, MedImpact Healthcare Systems), Laura Randa (Vice President Market Access, HEOR and Public Policy, Mycovia Pharmaceuticals), and Jay Jackson (Senior Vice President, Consulting, Xcenda) shared generous insights on payers’ perception of preapproval information exchange (PIE).

Payers want information as early as possible because they might make budgeting decisions a year-out—up to 25% of payers initiate this process 18 months from launch (depending on their plan size). The information they want can broadly be categorized into 3 buckets: volume, patient profile, and cost.

Unfortunately, many PIEs occur too late to be useful for this purpose.

The panelists suggested the following timeline:

• 18-12 months from launch: communicate indication, development plans, preliminary data, epidemiology, and disease information
• 3-6 months from launch: keep the conversation going by providing updates and pricing information (to the extent that you feel comfortable sharing)
• Leading up to launch: begin engaging in health care economic information exchange

Respect Time if you want your investment to work for you.

‘If you’re early, you’re on time. If you’re on time, you’re late. If you’re late, [hopefully you’re not dead. Because if you’re still alive, you get a second chance].’

When do you engage with payers in PIE?