Case Scenario Part 5:
Critical Issues
– Treatment considerations
Wants to start a family
Cardiovascular comorbidities (hypertension, dyslipidemia, type 2 diabetes) must be controlled
– Other considerations
Self-employed accountant who obtains health insurance through his wife’s employer
Annual changes in benefit design have led to frequent changes in his specialty pharmacy provider, plan formularies, and co-payment levels
Frequent changes in his pharmacy benefits have hindered his ability to effectively manage his hemophilia and his chronic comorbid conditions