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Not really according to this article concerned with recent price increases. The explanations offered up by the drug companies don't really ring true.
Exclusive - Makers took big price increases on widely used U.S. drugs
By Caroline Humer
NEW YORK (Reuters) - Major drug companies took hefty price increases in the U.S., in some cases more than doubling listed charges, for widely used medications over the past five years, a Reuters analysis of proprietary data found.
Prices for four of the nation's top 10 drugs increased more than 100 percent since 2011, Reuters found. Six others went up more than 50 percent. Together, the price increases on drugs for arthritis, high cholesterol, asthma and other common problems added billions in costs for consumers, employers and government health programs.
Extraordinary price hikes by two small companies, Turing Pharmaceuticals and Valeant Pharmaceuticals International Inc (VRX.TO), drew new attention to drug costs. Turing expected to book $200 million by raising the price of Daraprim, an antiparasitic used for a rare infection, by 5,000 percent, according to company documents released by Congressional investigators.
Routine price increases by bigger players may draw less attention, but they add up. Sales for the top 10 drugs went up 44 percent to $54 million in 2014, from 2011, even though prescriptions for the medications dropped 22 percent, according to IMS Health data.
At the top of the list was AbbVie Inc (ABBV.N), which raised the price of arthritis drug Humira more than 126 percent, Reuters found. Next were Amgen Inc (AMGN.O) and Teva Pharmaceutical Industries Ltd (TEVA.TA), which raised prices for arthritis treatment Enbrel and multiple sclerosis drug Copaxone by 118 percent.
The increases help explain federal data showing overall spending on drugs rose faster than doctor visits and hospitalization over the past five years.
Reuters based its analysis on the top 10 drugs, according to 2014 sales figures from IMS, and on proprietary pricing data provided by Truven Health Analytics. Reuters used commonly prescribed approved indications. Reuters shared its method and findings with the eight companies that sell the top 10 drugs; none disputed the findings.
In general, drug companies said they set prices to recoup investments in failed drugs, support new research and development efforts, and pay for clinical trials to broaden the use of approved drugs. Also, they said, medications prevent costly hospitalizations.
Some of the companies noted that Reuters' analysis of list prices failed to capture negotiated discounts and rebates – information they closely guard. In a few cases, companies offered a limited view into proprietary prices.
Amgen, for instance, told Reuters that, after most discounts, the average sales price for a dose of Enbrel is at least $200 less than list.
And, while Reuters found arthritis drug Remicade went up almost 63 percent, Johnson & Johnson (JNJ.N) spokeswoman Caroline Pavis said average selling price increases were closer to 5.4 percent per year.
For GlaxoSmithKline Plc's (GSK.L) Advair asthma drug, Reuters found a 67 percent increase. But spokeswoman Jenni Ligday said that, with discounts and rebates, prices actually fell during the period.
Even after discounts, pharmacy benefit managers told Reuters they pay annual price increases on top medications of up to 10 percent. By comparison, the U.S. consumer price index rose an average of 2 percent annually over the last five years.
Dr. Steve Miller, chief medical officer of top U.S. pharmacy benefit manager Express Scripts Holding Corp (ESRX.O), said the current level of drug price increases was "not sustainable."
NEW FOCUS
Drug prices have been a hot topic on the presidential campaign trail and in Congress since Turing hiked Daraprim and Valeant imposed triple-digit price increases on two heart drugs. Adding to the political pressure is the practice among employers and insurers of passing increases onto consumers.
Patricia Calopietro, 70, said she once paid $20 for a three-month supply of Nexium. AstraZeneca Plc (AZN.L) raised the list price of the acid reflux drug nearly 50 percent over the past five years, and Calopietro's insurer pushed her out-of-pocket share up to $250. She switched to a cheaper medicine but doesn’t like how it works.
"How can I pay something like that? I'm 70 years old, and I'm on a fixed income," said Calopietro, a retired sales manager for the U.S. Army & Air Force Exchange stores from Lorton, Virginia.
Leading drugmakers say price hikes by Turing and Valeant are outliers. "Our industry invests on average 20 percent of our revenues into research and development. It's a fundamentally different business model," said Robert Zirkelbach, a spokesman for industry lobby Pharmaceutical Research and Manufacturers of America, or PhRMA.
Sanofi SA (SASY.PA), Teva, Amgen, J&J and AstraZeneca, which all have top 10 drugs, said they offer assistance to low income consumers. AstraZeneca spokeswoman Abigail Bozarth said the company sets prices based on market conditions, "a common practice across the industry."
Memorial Sloan Kettering Cancer Center oncologist Peter Bach said patients would be better served if drug prices reflected value, instead of bargaining power. Pharmaceutical "companies have complete control over pricing in the U.S.," he said.
By Bach's estimate, increases last year on just one drug, Amgen's Enbrel, added up to $1 billion to care costs. In a statement, Amgen spokeswoman Kristen Davis questioned Bach's estimate, saying it is impossible to infer revenue growth from list price increases because of other factors, including rebates and discounts.
Davis said Amgen prices reflect research and development costs of $33 billion over a decade. Rebates and discounts bring the average sales price for a weekly dose of Enbrel to $704.23, down from its list price of $932.16, she said.
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The first step in controlling health costs needs to be controlling drug costs.
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tennyson wrote:
The first step in controlling health costs needs to be controlling drug costs.
...by outlawing direct-to-patient advertising of prescription drugs.
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Wondering what kind of salaries they have.
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This is nuts. Side story here:
I have a prescription for a drug called dexilant. It's for acid reflux or GERD as it is called. It was prescribed by a gastroenterologist. Ok, fine it works, but the cost is $65/month and I've been taking it for 2+ years.
Just for the heck of it I called the physician's office a couple of months ago and asked if there was a generic alternative. I was told, "yes, and if you would like to try it, we can change your prescription." I said, ok. Well, I picked up the new prescription in January. I had no idea what the cost would be. Get this .................. it's $8.30 per month for essentially the same damn thing!
Question for you guys: Do you think there might be some kickback or hanky-panky going on between the drug companies and the physicians that prescribe a drug? Makes me wonder.
Last edited by Just Fred (4/04/2016 5:39 pm)
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Just Fred wrote:
This is nuts. Side story here:
I have a prescription for a drug called dexilant. It's for acid reflux or GERD as it is called. It was prescribed by a gastroenterologist. Ok, fine it works, but the cost is $65/month and I've been taking it for 2+ years.
Just for the heck of it I called the physician's office a couple of months ago and asked if there was a generic alternative. I was told, "yes, and if you would like to try it, we can change your prescription." I said, ok. Well, I picked up the new prescription in January. I had no idea what the cost would be. Get this .................. it's $8.30 per month for essentially the same damn thing!
Question for you guys: Do you think there might be some kickback or hanky-panky going on between the drug companies and the physicians that prescribe a drug? Makes me wonder.
Absatively-posalutely ! ! !
That's why all the TV advertising (during the most expensive advertising slots around evening news and prime time) encourage the viewer to "ask your doctor if zimvastistatin is right for you".
Last edited by Rongone (4/04/2016 6:42 pm)
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Unfortunately, there are no generics for my two prescriptions. One is Advair mentioned in the article and I've never seen any rebates or discounts for that. And yes, it has increased in price over the past few years but I pay only a $50.00 co-pay but those drug price increases are partly to blame for increases in my insurance premiums each month. One way or the other the consumer gets hit in the budget.
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A lot of the kickbacks come in the form of free "continuing education" (learn about our latest products) "seminars" conducted on cruise ships or in place like Aruba in January and February.
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"Do you think there might be some kickback or hanky-panky going on between the drug companies and the physicians that prescribe a drug? " --Fred
Yes. Not only are they getting kickbacks but they're funneling some of that money to politicians through lobbyists.
This isn't the first time this issue has come up. There was a huge kerfuffle in the eighties.
And yet they still raise prices without fear of regulation because they own the people who make the rules.
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Another example of greed by drug companies and big pharma:
As Valeant’s CEO Apologizes, the Rest of the Industry Keeps Hiking Drug Prices
The outgoing CEO of embattled Valeant Pharmaceutical delivered a mea culpa to members of Congress on Wednesday morning, saying that he and his company had been “too aggressive” in acquiring drugs and shamelessly jacking up their prices at the expense of consumers, insurers and government health care agencies.
“Let me state plainly that it was a mistake to pursue, and in hindsight I regret pursuing, transactions where a central premise was a planned increase in the prices of the medicines, such as our acquisition of Nitropress and Isuprel from Marathon Pharmaceuticals,” J. Michael Pearson told members of the Senate Special Committee on Aging, one of several congressional panels investigating price gouging by the drug industry.
Related: Ignoring Warnings, Drug Companies Hike Prices By 10 Percent
Valeant first raised a storm of protest last April following the disclosure by The Wall Street Journal that the company had purchased the rights to Nitropress and Isuprel, both used to reduce blood pressure and help treat serious heart problems, and then jacked up their prices by 212 percent and 525 percent, respectively. It was part of a highly profitable acquisition and marketing strategy the company used over the years to grow from a $650 million a year business with 3,000 employees to a giant with 22,000 employees and $12 billion in annual revenue.
While insisting in a prepared statement that the company made many good decisions during his nearly eight-year stewardship for which he is proud, Pearson said, “In retrospect, we relied too heavily on the industry practice of increasing the price of brand name drugs in the months before generic entry.”
Pearson, who is being replaced as Valeant’s chairman and CEO, said that he understood the upset over his company’s drug pricing practices, and said that his company had to work hard to regain the trust of lawmakers and the public. He also apologized for his previous public statements that seemingly put his concern about stockholder profitability over the public’s welfare. “My cumulative public comments have left the misimpression that shareholder interests were my only focus as CEO of Valeant,” he said. “That is absolutely not the case.”
The company — whose stock has tanked in the wake of the controversy over its marketing and financial management practices — is part of a rogues’ gallery of pharmaceutical companies that have been sharply criticized by presidential candidates, lawmakers and consumer advocates for price gouging. Turing Pharmaceuticals, headed by wealthy hedge fund manager Martin Shkreli, last September obtained the manufacturing license for an antiparasitic drug called Daraprim and then raised its price by 5,556 percent, from $13.50 to $750 per tablet.
Related: Extreme Rise in Some Drug Prices Reaches a Tipping Point
Pearson, a one-time McKinsey & Company consultant, seemed sincere in his remorse and apology, and made legitimate points that Valeant and other drug companies have softened the blow of some price hikes with rebates and special programs for subsidizing drug costs for low-income consumers.
But that provides little solace for consumers, health care insurers and federal and state health care programs that are struggling to cope with the effects of wholesale price increases nearly across the board.
In January, the pharmaceutical industry largely shrugged off mounting concern about drug prices by unveiling hefty price hikes. Pfizer Inc., Amgen Inc., Allergan PLC and other companies raised U.S. prices for scores of drugs, with many of the increases between 9 percent and 10 percent, according to The Wall Street Journal.
Related: Wonder Drugs Blow a $1 Billion Hole in VA’s Budget
And The New York Times reported on Tuesday that many of the major drug companies have been quietly raising prices even more since then. In April alone, Johnson & Johnson boosted prices on some of its top-selling products, including a leukemia drug called Imbruvica, while Amgen, Gilead, Celgene and other major companies have also raised their prices this year.
“It used to be the drug companies only took one price increase a year,” Dr. Steve Miller, chief medical officer at Express Scripts, a major drug-benefit manager, told the Times. “Now what they’re doing is taking multiple price increases multiple times a year.”
Gee, maybe our do nothing legislators will take some action against these blood sucking, greedy corporate pharmaceutical companies and their executive management personnel. I mean, look how they went after the corporate perpetrators of the 2008 financial crisis. You can't count how many were fined pennies on the dollar and their executives were sent off to prison for what they did. Pretty stiff penalties from our lawmakers when it comes to corporate greed that has a detrimental effect on the economic condition of our country and the healthcare of their constituents.
Maybe it's time we get rid of our current crop of elected legislators and replace them with people who are not minions beholding to corporate contributions and the big dollar influence of greedy executives.
Last edited by Rongone (4/27/2016 3:27 pm)