Colorado Medicaid Executes its Fifth Pharmaceutical Value-Based Contract

Medicaid enters into value-based contract for Dupixent®

FOR IMMEDIATE RELEASE

July 22, 2024

Media Contact
Marc Williams
Public Information Officer
720-626-0801 (Cell)

Denver, CO - Today the Colorado Department of Health Care Policy & Financing (HCPF) announced it has entered into a value-based pharmacy contract designed to save Coloradans money on health care. This latest value-based contract is with Sanofi for Dupixent® (dupilumab), an injectable biologic medication approved to treat multiple diseases driven in part by type 2 inflammation. Dupixent is jointly developed by Sanofi and Regeneron under a global collaboration agreement.

HCPF is committed to addressing rising drug costs to the state and improving health outcomes for Medicaid members through this new contractual agreement. This value-based contract will measure the health outcomes of specific Medicaid patients starting or continuing on Dupixent. Clinical outcomes will be monitored by our partners at the University of Colorado Skaggs School of Pharmacy. If the clinical outcomes do not meet preselected targets, Sanofi agrees to reimburse part of the upfront cost. "This value-based contract demonstrates the shared commitment toward better patient outcomes, patient access, accountability and affordability" said HCPF Executive Director, Kim Bimestefer.

Value-based agreements help HCPF improve patient health outcomes and drive affordability by delivering savings to taxpayers, state and federal budgets in the form of manufacturer discounts. They also hold manufacturers financially accountable if drug therapies do not deliver the expected clinical outcomes for Medicaid members.

HCPF has entered into a number of value-based contracts with pharmaceutical manufacturers that recognize the importance of improving health outcomes and driving affordability. We encourage manufacturers to join us by sending their inquiries to [email protected].

About the Colorado Department of Health Care Policy & Financing: The Department administers Health First Colorado (Colorado's Medicaid program), Child Health Plan Plus, and other programs for Coloradans who qualify. These health care programs now cover about one in four Coloradans. For more information about the Department, please visit hcpf.colorado.gov.