No Pharma Money
No Pharma Money
About Us

We fight for patients

Our message is simple: drugs don’t work if people can’t afford them.

We are bipartisan and fight for policies that lower prescription drug prices - we challenge the industry’s control over the system and give patients a seat at the table.

David Mitchell speaking at a rally for lower drug prices outside the U.S. Capitol
Our Story

We started with one patient's story

When David Mitchell was diagnosed with multiple myeloma in 2010, the prescription drugs he depended on were priced at $300,000 a year. Fifteen years later, the list price of those same drugs was increased to over $1,000,000 annually.

While grateful for the scientific breakthroughs that made those treatments possible, David was outraged that patients were expected to pay prices they couldn't afford. Recognizing that patient advocacy groups free from pharmaceutical industry influence were absent from the debates shaping drug pricing policy, David launched P4AD and its sister organization P4ADNow to challenge the industry’s control over the system and give patients a seat at the table. 

David retired from P4ADNow in 2025 and passed away on January 2, 2026. The movement he built gets stronger every day, powered by thousands of patients and advocates fighting to make prescription drugs affordable for all Americans.

What We Do

We mobilize patients and allies to push for lasting policy change.

Patients For Affordable Drugs NOW is the 501(c)(4) advocacy arm of Patients For Affordable Drugs. We mobilize patients and advocates to influence public policy and fight for lower prescription drug prices.

We work to expand Medicare's ability to negotiate lower drug prices, increase competition by tackling anti-competitive practices, address unaffordable launch prices, and build a stronger patient movement that can drive lasting change.

Since our founding, patients in our community have met with lawmakers, testified before Congress, participated in federal rulemaking, shared their stories with the media, and helped win the most significant prescription drug pricing reforms in decades.

Because we do not accept funding from any organization that profits from the development or distribution of prescription drugs, we can advocate independently, speak out against industry practices, and support policies that lower drug prices without financial conflicts of interest.

Our Wins

Patients pushed Congress to stand up to Pharma

P4ADNow and our patient advocates helped secure the most significant prescription drug pricing reforms in a generation. Those reforms are already lowering costs for millions of Americans — and proving that organized patients can serve as a counterweight to the power of the pharmaceutical industry and be successful in driving systems change.

Medicare Negotiation

1st

For the first time, Medicare can negotiate the prices of certain high-cost prescription drugs s. The first negotiated prices took effect in January 2026.

$2,000

Out-of-Pocket Cap

Starting in 2025 people on Medicare Part D have their out-of-pocket costs for medications capped. For patients who were previously paying tens of thousands of dollars out of pocket for a single drug, this is life-changing.

Starting in 2025, the $2,000 out-of-pocket cap will save me at least $6,000 a year and, more importantly, restore my self-reliance.
Lisa McRipley, Richmond, TX

Curbing Price Gouging

Drug companies that raise prices faster than the rate of inflation must now pay rebates to Medicare. For the first time, there is a real penalty on their power to hike prices at will. And people on Medicare will pay cost-sharing based on a lower price pegged to inflation.

$35

$35 Insulin Cap

Since 2023, people on Medicare pay no more than $35 per month for insulin. No exceptions.

Before the insulin cap, my Lispro and Lantus would cost me around $1,300 a month. Now I only pay $35.
Kaye Peterson, Lebanon, KY

Free Vaccines

Recommended vaccines are now available at no cost to people on Medicare.

More recently, bipartisan prescription drug reforms P4ADNow has long supported were signed into law, including measures that make it easier to bring affordable generic drugs to market and new rules that require pharmacy benefit managers (PBMs) to be more transparent and accountable.

Despite historic wins millions of Americans still struggle to afford the medicines they need. That's why we're continuing to fight for system-changing f reforms that will lower drug prices for most people.

See Our Agenda
FAQ

Frequently asked questions

Still have a question? Write to [email protected] and a person will answer.

Is P4ADNow bipartisan?

Yes, we are a proudly bipartisan organization. Our board of directors includes Democrats and Republicans, and we are committed to working with policymakers from both parties. Disease doesn’t know political affiliation so we are focused on policy, not politics. Whether it’s advocating for reforms to our system, engaging with Congressional committees, or educating policymakers in the Administration, we advocate for proposals that help make prescription drugs more affordable for patients. Patients and allies agree – prescription drug prices are too high, and we’re working to fix that.

Where does P4ADNow's funding come from?

FUNDING

Patients For Affordable Drugs Now is a 501(c)(4) organization.

What if I want to donate to P4ADNow?

We’re always grateful for your support in any amount–large or small! If you want to contribute, you can donate here. Your generosity will be put to good use – helping us to expand our outreach, supporting patient-led story-telling initiatives, and fueling our work to lower drug prices. However, if you or someone you know has experienced high drug prices, one of the most impactful ways to support our mission is by sharing your story. Your voice is powerful and can help drive meaningful change.

Do you offer resources and organize in Spanish?

Yes. We are committed to ensuring that the fight for affordable prescription drugs includes Latino and Spanish-speaking communities across the United States. We aim to empower Latino patients whose preferred language is Spanish to share their stories, understand policy reforms, and join us in advocating for lower drug prices Please start by visiting our Ley de Reducción de la Inflación, La Lucha por la Competencia, and Lucha Contra Farma sites in Spanish to learn more. Additionally, if you or a family member would like to share your story with us in Spanish, they can share their story here Comparte tu Historia or if you want to keep up with the latest drug pricing news, sign up for La Receta Informativa, our bi-weekly Spanish newsletter.

Tienes una pregunta? Escríbenos a: [email protected]

How can I support your work?
  • Share your story: Your personal experiences can shine a light on the need for lower drug prices.
  • Donate: Your donation helps us amplify patient voices and bring patients to key advocacy events.
  • Volunteer: If you’d like to get involved, reach out to [email protected] to find out about volunteer opportunities with our team.
  • Follow us on social media and help share our message.

I have a press request. Who should I contact?

For all press requests, please reach out to [email protected]. For non-press inquiries, reach out to [email protected]

Are you a patient looking for additional resources?
The resources listed on this page are provided for informational purposes only and do not constitute medical, legal, or financial advice. Patients For Affordable Drugs Now does not endorse or guarantee any specific program, service, or organization listed. We recommend that you consult with your healthcare provider, pharmacist, or a trusted advisor for guidance specific to your situation.
Up Next

The People Behind the Fight

Meet the Team

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