Nearly half of US doctors in five major specialty areas surveyed - physicians with significant biologics prescribing patterns - anticipate expanding their prescribing of biosimilars in the next three years, as biosimilar availability increases. Respondents ranked lower costs for patients as the chief way biosimilars could bring value to their patients. Reflecting practical considerations, one in four doctors said that payers and insurance firms ultimately will determine - if not mandate - their level of biosimilar prescribing over the next three years.
“If they are equally effective, and cheaper, it’s tough to see a downside,” said one dermatologist in the survey.
About 17 percent of respondents felt biosimilars would become the norm or replace biologics in the next three years. Questions concerning pharmacy-level substitutions offered mixed results with only two out of 10 stated they were likely to strictly prohibit pharmacy-level substitution of the originator biologic with biosimilars.
As per the survey, efficacy (89 percent) and safety (81 percent) outranked patient costs (71 percent) among the top important factors in determining whether health care professionals would prescribe biosimilars.
Physicians expect to prescribe biosimilars to a greater proportion of their treatment-naive patients (49 percent) - those who have never tried any drug treatment - than to patients currently or previously treated with the originator biologics (30 percent and 38 percent, respectively).
“As the healthcare industry grapples with the best strategies to lower drug costs, the MicroSyndicated survey shows that while understandably prioritizing efficacy and safety first, physicians are on board with their use. The key will lie in how payers decide to reimburse for biosimilars and their biologic counterparts,” said Diane Hayes, president and co-founder of InCrowd.
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