‘Completely Reasonable Price’ May Boost Coverage of Pain Drug Journavx

  • Apr 10, 2025

    Since the FDA approved Journavx (suzetrigine) earlier this year for moderate to severe acute pain, a few payers have announced they would cover the medication, which offers an oral, non-opioid option for people who are at risk of developing opioid use disorder (OUD). Although Journavx’s list price is more than 20 times higher than some generic opioids, David Rind, M.D., chief medical officer at the Institute for Clinical and Economic Review (ICER), says the new medication has a “completely reasonable price” and is “almost certainly high value.”  

    Rind adds that ICER “almost always” recommends that pharmaceutical companies “should discount their prices.” However, in this case Rind says that Vertex Pharmaceuticals, Journavx’s manufacturer, “should be commended for fair pricing.” Journavx has a wholesale acquisition cost of $15.50 per tablet or $232.50 for a weekly regimen of two pills per day, which is significantly below ICER’s cost-effectiveness threshold of $4,500 to $6,500 per week. Rind notes that generic opioids cost about $10 per week.  

    Read more
    © 2024 MMIT
  • Tim Casey

    Tim has been a reporter and editor for newspapers, websites and magazines for more than 20 years, including 10 years covering health care business topics. He has a deep knowledge of the managed care industry and pharmacy benefit management. He also has experience covering medical conferences and clinical and legislative health care issues. In 2014, the Society for Advancing Business Editing and Writing selected Tim as one of 15 journalists to participate in a national symposium on the Affordable Care Act. Tim has a B.A. in Psychology from the University of Notre Dame and an M.B.A. from Georgetown University.

The Latest
Meet Our Reporters

Meet Our Reporters

×