PolicyView™: Medical Policies. Synthesized, Simplified, Sourced.

PolicyView™ provides direct access to thousands of Medical Policies and Prior Authorization Forms for Autoimmune and Oncology therapeutic agents.

A comprehensive library of reimbursement policies for Specialty Drugs across leading national and regional payers in the US. PolicyView™ captures the key criteria for authorization and utilization of Specialty Drugs.

PolicyView’s AI-powered analysis and query functions lets you access the most up-to-date coverage policies for specialty brands so you can:

Track trends in payer coverage policies by category over time

Quickly and efficiently source medical policy data without the cumbersome searching across insurer websites

Create customized therapeutic area and/or drug reports based on key metrics e.g. formulary tier, required testing, and step criteria

PolicyView’s access restrictiveness continuum creates payer coverage segments that distinguish restrictions into easy-to-understand levels and categories:

  • Distinctions in specialty drug access are clearly understood and customized for each therapeutic area
  • Payer coverage policies can be analyzed within and across therapeutic areas to understand a payer’s overall aggressiveness in managing specialty drug categories
  • Current and historical medical policies can be assessed to understand trends in payer utilization management