Mutambo-kuchinja hepatitis C mishonga, Sovaldi (sofosbuvir) , yakarwiswa kutanga kwegore ra2014 apo yakaparidzirwa kuti mutengo wose wekodhi yemasvondo gumi nemaviri yaishamisa $ 84,000, kana kuti zvinenge $ 1 000 pamapiritsi. Kunyange zvazvo kuedza kwakaitwa nemuiti, Siriyedhi Sciences kupa ruzivo kune nyika dzine urombo nevamwe vanhu, kukosha kwechirwere ichi kunomanikidzira kunyange kune avo vane hutano hwehutano hwakanaka, nekunze kwemahomwe mari inowanzokwira muzviuru zve madhora.
Nhau dzakaratidza kujekesa zvakare pamusoro pemari yakawanda yemishonga inoshandiswa kurapa hepatitis muUnited States Neine 3.2 mamiriyoni evaAmerica vane utachiona hweHpatitis C (HCV) uye vanopfuura mamiriyoni maviri vane utachiona nehupatitis B (HBV), zvinodiwa zvekutengesa kushandiswa kwemishonga haana kumbove mukuru.
Uyezve, kubva munharaunda yepasi rose, pakati pemamiriyoni mana kusvika mashanu mavanhu vane hutachiwana hweHCV neHIV pasi rose (kana anenge 9% o huwandu hweHIV).
Co-Pay uye Mushandi Wemubatsiro Purogiramu (PAP) Kukodzera
Muchiedza chekuita kuti zvigone kuwanika, Fair Fair Pricing Coalition (FPC) yakaburitsa zvirongwa zvekubhadhara pamwe nekurasikirwa kwevarwere (PAPs) pamwe nevakawanda vese vanoita zvechipatara zvinodhaka. Mapurogiramu ose aya anopa rubatsiro kuvarwere vanozadzisa zvigadziriswa zvinotarisirwa, zvichibva pamhuri yemhuri kana mari yegore negore inoshandiswa Federal Poverty Level (kana FPL). Nzira yekubatanidzwa inopesana nepurogiramu, pamwe nePAPs, somuenzaniso, kupa ruzivo rwevaya vanowana mari iri pasi pe500% yeFPL.
FPL inowanikwa ikozvino inoshandiswa mukugadzirisa kuongororwa inowanikwa kuburikidza newebsite yeHeritage.gov.
Kunyange zvazvo mapurogiramu ekubhadhara mari anobatsira nemubhadharo wokubhadhara wehushuga wezvinodhaka mumwe nomumwe, PAPs inoshanda nekupa mari shoma kuti isunungure mishonga yevanhu vanogona. Kuongorora kwemari inowanikwa, kazhinji nenzira yehurumende yekubhadhara mutero.
Chimwe chiitiko chazvino chave chave chiri kuumbwa kweCommunity PAP Application, chirongwa chinorongedzwa kuburikidza nehurumende yeUnited States kururamisa hurongwa hwekushanda. Iyo fomu yakagadziridzwa ichazodikanwa kuendeswa kumushandi wega wega wepurogiramu yekubatsira mishonga yekugadzirisa.
| Zvinodhaka | Company | Contact | Rudzi Rurongwa | Zvichemo zvePurogramu |
| Copegus (ribavirin) | Genentech / Roche | 888-941-3331 kana kushanyira Pegasys Access website | PAP | Inovhara vanhu vasingakodzeri rubatsiro rwenhare ipi zvayo. Kukodzera kunogadziriswa nemari. |
| Daklinza | Bristol-Myers Squibb | 844-442-6663 kana BMS Mutsigiri Rutsigiro CONNECT | Co-Pay | Inovhara kusvika ku $ 5,000 pamasikati ezuva makumi mana. |
| Bristol-Myers Squibb | 800-736-0003 kana BMS Patient Assistance Foundation | PAP | Inovhara vanhu vasina kukodzera kune mamwe rubatsiro avo vane mari inowira pasi pe 250% yeFPL. | |
| Epclusa | Girasi Sciences | 855-769-7284 kana yeGiredi Support Path website | Co-Pay | Inoderedza kubhadhara mari yekubhadhara mari yakaderera sekusvika $ 5 yevarwere vakakodzera avo mhuri yavo inowana mari isingasviki $ 100,000 kune mhuri yevatatu kana kuti pasi pe500% yeFPL kune mhuri yevana kana kupfuura. |
| Girasi Sciences | 855-769-7284 kana yeGiredi Support Path website | PAP | Inogona kupa rubatsiro rusununguko kune varwere vane mari yemhuri inodarika madhora 100 000 kune mhuri yevatatu kana kuti pasi pe500% yeFPL kune mhuri yevana kana kupfuura. | |
| Harvoni | Girasi Sciences | 855-769-7284 kana yeGiredi Support Path website | Co-Pay | Inoderedza kubhadhara mari yekubhadhara mari yakaderera sekusvika $ 5 yevarwere vakakodzera avo mhuri yavo inowana mari isingasviki $ 100,000 kune mhuri yevatatu kana kuti pasi pe500% yeFPL kune mhuri yevana kana kupfuura. |
| Girasi Sciences | 855-769-7284 kana yeGiredi Support Path website | PAP | Inogona kupa rubatsiro rusununguko kune varwere vane mari yeimba inodarika madhora 100 000 kune mhuri yevatatu inopfuura 500% yeFPL kune mhuri yevana kana kupfuura. | |
| Olysio | Janssen Therapeutics | 855-5-OLYSIO kana chigadzirwa webhusaiti | Co-Pay | Inoderedza kubhadhara-kubhadhara kusvika kudarika $ 5 pamwedzi. Mari yemari inofanirwa kunge inofanirwa kunge iri pasi pe500% yeFPL. |
| Janssen Therapeutics | 800-652-6227 kana Johnson & Johnson Patient Assistance Foundation | PAP | Inopa kugovera pachena kweOlysio kune vanhu vakagadzirira vanowana mari inowira pasi pe500% yeFPL. | |
| Genentech / Roche | 888-941-3331 kana kushanyira Pegasys Access website | PAP | Inovhara vanhu vasingakodzeri rubatsiro rwenhare ipi zvayo. Kukodzera kunogadziriswa nemari. | |
| PegIntron (peginterferon) | Merck | 866-939-4372 kana chigadzirwa webhusaiti | Co-Pay | Inopa varwere vakakodzera kusvika pamadhora mazana maviri ekuchengetedzwa kwemitemo kusvika 12. |
| Merck | 866-363-6379 kana kuti Merck Inobatsira website | PAP | Inovhara vanhu vasingakodzeri rubatsiro rwenhare ipi zvayo. Kukodzera kunogadziriswa nemari (inowanzo mari yemhuri inopfuura 500% yeFPL). | |
| Sovaldi | Girasi Sciences | 855-769-7284 kana yeGiredi Support Path website | Co-Pay | Inoderedza kubhadhara mari yekubhadhara mari yakaderera sekusvika $ 5 yevarwere vakakodzera avo mhuri yavo inowana mari isingasviki $ 100,000 kune mhuri yevatatu kana kuti pasi pe500% yeFPL kune mhuri yevana kana kupfuura. |
| Girasi Sciences | 855-769-7284 kana yeGiredi Support Path website | PAP | Inogona kupa rubatsiro rusununguko kune varwere vane mari yemhuri inodarika madhora 100 000 kune mhuri yevatatu kana kuti pasi pe500% yeFPL kune mhuri yevana kana kupfuura. | |
| Viekira Pak | Abbvie | 844-2PROCEED (844-277-6233) kana webhusaiti yeAbbvie ProCeed | Co-Pay | Varwere vangave vakakodzera kusvika kune 95% kubhadhara mari yekubhadhara. |
| Abbvie | 844-2PROCEED (844-277-6233) kana webhusaiti yeAbbvie ProCeed | PAP | Inogona kupa rubatsiro rusununguko kune varwere vane mari yemhuri inodarika madhora 100 000 kune mhuri yevatatu kana kuti pasi pe500% yeFPL kune mhuri yevana kana kupfuura. | |
| Zepatier | Merck | 866-251-6013 kana webhusaiti yeMerck Access | Co-Pay | Inoderedza kubhadhara mari yekubhadhara mari yakaderera se $ 5 pamwedzi yevashandi vanokwanisa. |
| Merck | 866-251-6013 kana webhusaiti yeMerck Access | PAP | Inogona kugovera pachena kune varwere vane mari yemari ye $ 59,400 kana kuti vashoma kune vanhu, $ 80,100 kana kuti vashoma kune vakaroorana, kana $ 121 500 kana kuti vashoma kune mhuri ye4 kana kupfuura. |
Sources:
Sanger-Katz, M. "$ 1 000 Hepatitis Pill Inoratidza Sei Kugadzirisa Utano Hwehutano Hwakanyanya Kuoma." New York Times; yakabudiswa musi waAugust 2, 2014.
Rotman, Y. uye Liang, T. "Coinfection neHepatitis C Virus uye Human Immunodeficiency Virus: Virological, Immunological, uye Clinic Outcomes." Journal of Virology. August 2009; 83 (15): 7366-7374.
Fix, O .; Locarnini, S ;; uye Peters, M. "Virology And Clinical Management yeHepatitis B Uye HIV Coinfection." The PRN Notebook. April 2007; guru 11.