Hillary Clinton calls on EpiPen maker to lower price immediately

Started by maria1oh
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maria1oh

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Two other senators have asked for more information from the maker, Mylan
Hillary Clinton has asked the maker of the the EpiPen to voluntarily lower the price of the lifesaving allergy treatment, which has jumped by over 400 percent in the past few years. Senators Susan Collins of Maine and Claire McCaskill of Missouri also requested pricing information from the manufacturer, Mylan NV, within two weeks.

Clinton called the price hit "outrageous" and "the latest troubling example of a company taking advantage of its consumers" in a statement. She’s not alone. Several senators have been pressing Mylan over the price hikes. The American Medical Association — the nation’s largest physician organization —made a similar plea, with AMA president Andrew Gurman calling the price hikes "exorbitant" in a statement. These rising priceshave been a burden on consumers who, depending on insurance, sometimes pay full price or otherwise have very high co-pays for the widely used treatment.

People with severe allergies stab themselves with the EpiPen to deliver a hormone called epinephrine that ends an allergy attack. Nine years ago, one EpiPen cost about $57. Now, a two-pack costs more more than $600. The dramatic price hike is even more astonishing given that epinephrine itself is incredibly cheap: there’s less than $1 worth of the hormone in each EpiPen. The cost comes from the design of the pen, which is necessary to make sure someone can easily use it and get the right dosage.
Several factors have made it easier for Mylan to hike up the prices. First, epinephrine is an unstable hormone; EpiPens need to be replaced so that the dosage inside remains correct. Because doctors advise having one around at all times, many people buy many EpiPens just in case. And six years ago, the US Food and Drug Administration ruled that the devices have to be sold in packs of two because some children need more than one at a time to fight an allergy attack.
The EpiPen controversy follows a similar controversy last year, when Martin Shkreli, chief executive of Turing Pharmaceuticals,drastically raised the price of a key cancer and AIDS drug. A new paper from Harvard Medical School researchers analyzing the phenomena of high drug prices concluded that FDA regulations and federal law work together to protect drug companies from competition. For Mylan, the EpiPen is a key product thatprovides 40 percent of its operating profit.

Accordingly, Clinton used this opportunity to promote her plan to lower prescription drug costs by increasing competition among drug companies to drive prices down.

A spokesperson for Mylan did not immediately respond to a request for comment.
https://www.google.com/amp/www.thev...8172/hillary-clinton-epipen-mylan-lower-price

Anyone else working retail been yelled by patients at about the high cost lately? Parents are getting these filled for kids going back to school. Patients present the $0 copay coupon card but it has a max savings of $100. Even the non a/b rated generic epinephrine pen (adrenaclick generic) costs $400+. I always try to make sure the expiration date on these is at least 8 months ahead.
 
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Anybody see the Mylan CEO on Squawk box this morning?

Let me paraphrase her argument:

The problem is the insurance companies are shifting costs to consumers. Consumers should not even be aware of the list price. We should be able to charge anything we want while consumers pay a flat copay.

In other words, a subtle version of the "blame Obama" rant you all hear at your counters (especially you Walmart employees)
 
This is a 3 year old interview but still germane. Medicine has become a criminal enterprise.



https://market-ticker.org/akcs-www?post=231480

"You are paying roughly five times what virtually everything ought to cost when it comes to medicine, and the reason you are paying it is because every firm and person in the business either is wantonly violating the law (and nobody ever gets indicted or goes to prison despite doing so) or even worse they've conspired with the government so they can enforce what is an otherwise-illegal act of restraint of trade under penalty of throwing your ass in jail instead of theirs and yet the're still quite-arguably violating the law themselves!"

 
I just saw a quote from her placing the price gouging blame on the crooked system, where she specifically mentions pharmacies as a reason for the high prices. That's just great.
 
although maybe we could educate people how to pull up a simple dose of epi from a vial and avoid the auto injector? (Obviously a child cant be relied on to do this) but most adults should be able to - all schools have people that are capable of this - no need to have epi pens in the schools
that would save a lot of $$$
 
I just saw a quote from her placing the price gouging blame on the crooked system, where she specifically mentions pharmacies as a reason for the high prices. That's just great.
makes perfect sense since we set the prices we pay for the drugs and love to pay a manufacturer more.

I am just waiting for the gout lobby to start complaining about colchicine
 
It's hard to defend the drug company in this case when epi is so dirt cheap compared to the pen... and it's not like this is a new drug.

I think this is what happens (though this is a total guess)... The drug company makes the pen for... say 100 dollars. The pharmacy buys the pen for 600 dollars. The insurance pays the pharmacy 620 dollars. The drug company then pays the insurance a rebate of 400 dollars.

So the drug company makes money, the pharmacy makes money, and the insurance doesn't actually pay anywhere close to the cost of the drug because they are getting a rebate for having it on the formulary. These are just made up numbers but at the end of the day I doubt the insurance is paying over 600 dollars for an epipen and the drug company is not pulling in the numbers that it may seem like on the surface.

My question is why would the drug company need to offer a rebate to begin with if there is no generic or competitors? Why not just lower the price instead while retaining the same margin?
 
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Anyone want to do the math on the cost of drawing up two 0.3 mg syringes every morning for a year?
 
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Most of the people offering commentary on this topic have absolutely no idea how this market functions. I've seen several people throwing around the term "government approved monopoly" and saying that branded pharmaceuticals are granted exclusivity for >20yrs? So many false statements that the public is eating up and then sharing on Facebook. This is just the latest bandwagon to jump on. Unfortunately the entire healthcare sector is taking a beating for it. For some reason people are ok with paying out the ass for inkjet cartridges, but when it's pharmaceutical companies all of sudden it's "price gauging". Sure, Gilead could sell Harvoni for $1000/course, but that would just be bad business when they can use liver transplant (the alternative costing big $) as leverage to justify a high price. /end rant
 
although maybe we could educate people how to pull up a simple dose of epi from a vial and avoid the auto injector? (Obviously a child cant be relied on to do this) but most adults should be able to - all schools have people that are capable of this - no need to have epi pens in the schools
that would save a lot of $$$

Indeed, this is what people did in the old days before Epi-Pen came on the market, something like 15 - 20 years ago. It's not like allergic reactions are new (though perhaps more common these days.)

My question is why would the drug company need to offer a rebate to begin with if there is no generic or competitors? Why not just lower the price instead while retaining the same margin?

Why doesn't any company offer lower prices, instead of offering coupons and rebates? Because people like to think they are getting a "deal" (even insurance companies want to think they are getting a "deal.") That, and there will always be people (and insurance companies) who end up paying full price because they didn't know or care about the coupon/rebate.

Most of the people offering commentary on this topic have absolutely no idea how this market functions. I've seen several people throwing around the term "government approved monopoly"

Well, this statement is true, to an extent. In a true capitalist society, there would be no government group like FDA approving drugs. Like in the 1800's, people could market any kind of tincture and remedy they wanted. Society decided it would be better to have a bit of a "government approved monopoly", so the FDA was created. Now of course, its not a pure monopoly, since other companies can market a type of epinephrine pen if they want to (apparently none want to at this time), but it costs money and time for this, so it does end up being quite a bit more monopolistic than in the old pre-FDA days. Instead of denying this fact, it's better to remind people that in a non-monopolistic drug system, there would be no oversight for safety or effectiveness testing-it would be totally up to the company if they decided to do any. Most people prefer having a "government approved monopoly", when they understand the alternative.
 
Most people prefer having a "government approved monopoly", when they understand the alternative.

Exactly. Everyone wants safe drugs but they don't want to pay the price for safety (regardless of how you feel about the FDA). I do agree that the Epipen situation is somewhat unique in that they really do have a "government approved monopoly" on that drug. But that's not really their fault, and it doesn't represent the norm in pharmaceuticals.
 
Bottom line is people will pay for an iPhone that's 6 months newer than the one they already have but not a 50 dollar co-pay for an Epipen that will keep them (or often their kid) alive when their airway is closing.

They way I look at it you can replace your car, phone, and house but not your health.

People don't realize that it costs 300m-1b to bring a drug to the market, and that's not even counting all the money the company loses on drugs that don't make it. Pharma companies are demonized across the board. There will always be a growing number of people who believe healthcare is a right rather than a commodity, so they won't be happy until anything and everything is free for everyone.
 
Bottom line is people will pay for an iPhone that's 6 months newer than the one they already have but not a 50 dollar co-pay for an Epipen that will keep them (or often their kid) alive when their airway is closing.

They way I look at it you can replace your car, phone, and house but not your health.

People don't realize that it costs 300m-1b to bring a drug to the market, and that's not even counting all the money the company loses on drugs that don't make it. Pharma companies are demonized across the board. There will always be a growing number of people who believe healthcare is a right rather than a commodity, so they won't be happy until anything and everything is free for everyone.
All true... Just not in this case. Mylen bought a patent for an old drug and marked it up 6X from the original price.
 
So...why doesn't anybody use the generic epinephrine pens? I think I've sold them once in the last year.

I've never even seen one stocked. I'm guessing it's because you can't sub and any script I have ever seen it written for Epipen? Plus they always hand the patient a manufacturer discount card to pick up the copay anyways so it's not like people in the real world are actually paying anything even if the drug is a ridiculous price.
 
All true... Just not in this case. Mylen bought a patent for an old drug and marked it up 6X from the original price.

To be fair Mylan bought the rights to Epipen in 2007. This price increase has occurred over the course of 9 years. Not to mention when they acquired the drug it was sold as a single pen, now it is a 2 pack (not sure if the 400% price increase statistic even takes this into account).

Don't get me wrong, there's no question Mylan is milking this. I'm not at all disagreeing with what people here are saying, it's just that the significance of this is WAY overstated in the media. Gives more reason to demonize pharm and healthcare which hurts everyone in the long run.
 
To be fair Mylan bought the rights to Epipen in 2007. This price increase has occurred over the course of 9 years. Not to mention when they acquired the drug it was sold as a single pen, now it is a 2 pack (not sure if the 400% price increase statistic even takes this into account).

Don't get me wrong, there's no question Mylan is milking this. I'm not at all disagreeing with what people here are saying, it's just that the significance of this is WAY overstated in the media. Gives more reason to demonize pharm and healthcare which hurts everyone in the long run.
Yes they bought the rights 7 years ago... Then got the FDA to only approve the twin pack... Then got a federal grant to pay for epi pens in schools/cruise ships/ government buildings. Besides, in 2009 (two years after they bought the patent), a two pack still cost right at $100. What changed after two years to justify a 6 fold price increase? Oh yeah, a massive marketing campaign...
 
Generic epinephrine pens are the generic for adrenaclick not epipen. If the kid was trained on epipen he/she may not understand how to use the generic epinephrine so they are not a/b rated. Also the copay cards mean a lot of people want brand over generic. The generic epinephrine pens are still over 400 though.
 
Generic epinephrine pens are the generic for adrenaclick not epipen. If the kid was trained on epipen he/she may not understand how to use the generic epinephrine so they are not a/b rated. Also the copay cards mean a lot of people want brand over generic. The generic epinephrine pens are still over 400 though.
Yeah...and that's why we should be training people on these. It's a big savings for those without insurance (basically half the people at my last pharmacy...these people still exist in some pockets of society).
 
Has anyone had any experience with the generic epi pen? I just ordered a sample and coupon code shipped to my hospital but I've never seen one in person.
The greenstone one will have residual medication after use. The patient should not be stabbed repeatedly to try and get it out. Also, if you put this info on a sticker on the code cart, nurses will not read it and will poke the patient a half dozen times.
 
Goodrx has a coupon for walmart so the generic epinephrine is $150 but other places expect around 400