New Hampshire

Liver damage restrictions

New Hampshire FFS and all MCOs do not have liver damage restrictions.

Sobriety restrictions

NH FFS and one MCO (AmeriHealth), require the prescriber to screen patients for substance or alcohol use during therapy. Two MCOs (Healthy Families and Well Sense) do not appear to have sobriety restrictions.

Prescriber restrictions

New Hampshire FFS and two MCOs (AmeriHealth and Healthy Families) require a prescription by or in consultation with a specialist or by a prescriber who has completed continuing medical education on the treatment of hepatitis C. One MCO (Well Sense) does not appear to have prescriber restrictions.

Recommendations

• Remove sobriety and prescriber restrictions.
• Regain parity across Fee-For-Service (FFS) and managed care organizations (MCOs) and regain transparency regarding hepatitis C coverage criteria.