Hepatitis C virus (HCV) infection is the most common blood borne infection in the United States. The majority (80%) of those with theinfection will progress into developing persistent viremia (chronic infection).1 A recent study shows 1 in 3 adults in the United States are not aware of their potentially life-threatening infection.2 Successful hepatitis C treatment eliminates the constant viral insult to the liver and allows the liver to regenerate.
Health system specialty pharmacy role in hepatitis C elimination
Since health system specialty pharmacies have access to and work inside an integrated Electronic Medical Record, they have a unique opportunity to contribute towards achieving the national goals of eliminating hepatitis C as a threat to public health through:
· Patient Education and Engagement to increase public awareness on the need for hepatitis C screening and current treatment options
· Expanding Testing Services and making them easily available to high-risk communities
· Streamlining the Treatment Plan for a seamless transition from diagnosis to linkage to care path
· Developing Patient Support programs to make hepatitis C treatment readily accessible and affordable
· Maximizing Treatment Completion and cure rates though patient engagement and providing medication adherence and adverse effect management services via telemedicine
· Partnering with Primary Care Provider Offices to make sure patients follow through their cure confirmation laboratory studies
The Clearway Health Approach
Clearway Health partners with hospitals and health systems to accelerate their specialty pharmacy programs and operationalize clinical programs like hepatitis C screening and treatment. We have developed a clinical pharmacist-led hepatitis C program that eliminates barriers to testing services, medication access and affordability, and minimizes the attrition from initial diagnosis to linkage to care through:
· Making hepatitis C screening service accessible and convenient
· Minimizing attrition in the hepatitis C treatment cascade
· Increasing hepatitis C medication access and cure rate
For more information on Clearway Health’s hepatitis C approach, please read the full white paper here.
References
1. Kamal SM. Acute hepatitis C: a systematic review. Am J Gastroenterol. 2008; 103(5):1283-1297; quiz 1298.doi:10.1111/j.1572-0241.2008.01825.x
2. Lewis KC, Barker LK, Jiles RB, Gupta N. Estimated Prevalence and Awareness of Hepatitis C Virus Infection Among US Adults: National Health and Nutrition Examination Survey, January 2017–March 2020. ClinInfect Dis. 2023; 77(10):1413-1415. doi:10.1093/cid/ciad411