Biosimilar Prescribing Decisions May Depend Upon Disease State

Express Scripts’ Eichholz says clinicians may be less inclined to use a biosimilar in ‘life or death’ oncology indications compared to inflammatory diseases.

Clinical decisions on whether to prescribe a novel biologic or a biosimilar may be driven, in part, by the condition and stage of disease, representatives from the pharmacy benefit, patient and clinician communities say.

“In terms of interchangeability, substitutability, similarity, it could very well depend upon the disease state,” said Jeff Eichholz, senior director of drug trend solutions at Express Scripts Holding Co.,...

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