Tuesday, October 20, 2015

Medication Prices Soaring—but Maybe Not for Long

In very real terms, the price party may well be over. As pointed out, the pricing game is about tapping tax dollars for as much as can be billed. We may have to suffer a while longer but as this writer points out the best sellers are all coming off patent and prices have been already hugely rolled back.

The drug company approach actually makes little sense except as a tax grab.  It is certainly not in terms of marketing to a real consumer.  Throw all that out and the whole game changes.  My point today is that politicians are reacting because they cannot rationalize it all either.  Pushback has started and is advancing against the visibly exploitative.

This takes time but i do think that the end is inevitable.

Add in what we are now learning about healing itself and the whole model is becoming obsolete anyway.

Medication Prices Soaring—but Maybe Not for Long

By Martha Rosenberg, Contributor | October 4, 2015

Last Updated: October 5, 2015 2:07 pm


A pharmacist holds a bottle of the prescription drug Lipitor at a Maximart pharmacy in Palo Alto, Calif., on Dec. 14, 2007. The cholesterol lowering drug Lipitor was the bestselling drug in the world before it went off patent. (Paul Sakuma/AP)

It looks like the pill profit party is over for drug companies. Bestselling pills like Lipitor, Seroquel, Zyprexa, Singular, Concerta, Cymbalta, and Abilify have gone off patent and Wall Street is moving on to industries that offer better returns.

To combat investor disenchantment, drug companies have rolled out expensive drugs that treat rare conditions. If you are sleepy during the day, you may have narcolepsy said Jazz Pharmaceuticals, a condition its drug Xyrem treats for $35,000 per year. If you have frequent diarrhea, gas, and bloating, you may have exocrine pancreatic insufficiency states the company AbbVie, which can be helped by its drug Creon.

Drug makers are not above scaring the populace if it will sell drugs for rare diseases. Your back pain may not be from working out at all but from a disease called ankylosing spondylitis, says AbbVie, a condition that can be treated with its biologic drug Humira for as much as $20,000 a year. (Injectable “biologic” drugs are a new drug industry push because they are so expensive and less susceptible to generic competition than pills.)

The drug industry is also trying to stay a Wall Street darling with new, overpriced drugs—notably hepatitis C drugs. Gilead Sciences sold $12.4 billion worth of hepatitis C drug Sovaldi at $1,000 a pill last year, reported the New York Times, “straining the budgets of insurance companies and Medicaid programs.”

While drug company representatives initially tried to cast the outrageous prices as recouping their research and development costs they quickly back pedaled into admitting the drugs are priced on “value”—what they are “worth” for the patient’s health. Needless to say such valuations come pretty close to the definition of extortion—or offers you “can’t refuse.”

Why does the same hepatitis C drug that costs $84,000 a year in the United States cost $900 a year in Egypt?

Even business writers cry foul. Why does the same hepatitis C drug that costs $84,000 a year in the United States cost $900 a year in Egypt, asked Forbes staff writer Avik Roy. Since most hepatitis C patients in the United States are uninsured, underinsured, or imprisoned, taxpayers pick up the bill through Medicaid, Veterans Affairs, and prison systems, writes Roy.

Now Sanofi and Regeneron Pharmaceuticals are rolling out a cholesterol-lowering drug that could be embraced by the millions who made the statin Lipitor the best-selling drug in the world before it went off patent. Yet the list price of Praluent, an injectable biologic, is over $14,600 a year. Like Gilead, Sanofi and Regeneron said the price reflects what it is worth in potential benefits to patients and savings to the health care system—in other words, what the companies can get for it.

Nor is cost the only question with the new cholesterol drug. Increasingly, high bad cholesterol is viewed as a weak cardiovascular risk factor versus other factors like inflammation.

Cholesterol-lowering drugs are also so powerful they can keep cholesterol in check, despite diet—allowing people to duck important lifestyle changes. “Plenty of adults down statins regularly and shine off healthy eating because they know a cheeseburger and steak can’t fool a statin,” wrote Dr. Michael J. Breus in an article for the Huffington Post.

Luckily, lawmakers are demanding cost breakdowns from drug companies on the new four-digit priced drugs. How much are true costs and what is profiteering? Some states are drafting bills that would allow insurers to refuse to pay for a drug if the manufacturer did not file the required cost breakdown reports.

What is the response of drug makers to bills addressing expensive drugs? They would be costly to comply with, they said.
Martha Rosenberg is author of the award-cited food exposé “Born With a Junk Food Deficiency,” distributed by Random House. A nationally known muckraker, she has lectured at the university and medical school level and appeared on radio and television.

No comments: