This Week in Prescription Drug Pricing: Patient advocate introduces POTUS, P4AD launches new tool to defend Medicare negotiations, and how the Inflation Reduction Act is lowering drug costs for women
Welcome to the Week in Review.
1. Patient Advocate Introduces POTUS
Kris Garcia, a husband, father of four, and a P4AD patient advocate from Colorado introduced the President at the White House on Wednesday during an event hosted by President Biden and Senator Sanders focused on their efforts to lower the out-of-pocket cost of inhalers. This is a topic deeply personal to Kris who lives with chronic asthma, multiple bleeding disorders, and severe allergies. To manage his health, Kris relies on several expensive medications, including inhalers, and shared that the treatments he needs just to stay alive cost $800 a month, even after insurance coverage. The financial strain of these essential medicines has forced him to work extra shifts and has led him to ration doses, or forgo some of his prescribed treatments altogether. However, pressure from advocates and lawmakers has ledthree of the four largest inhaler manufacturers to commit to capping the out-of-pocket cost of their inhalers at $35 a month. This news, coupled with some of the drug price reforms in the Inflation Reduction Act, represents a glimmer of hope for Kris and millions of patients like him who will soon, as Kris put it, “spend less time worrying about surviving”, and more time living their lives. — (ABC 27, P4AD, P4AD, The Hill, The Washington Post, CBS News, Common Dreams)
Kris Garcia following the event focused on lowering inhaler costs at The White House
2. P4AD Launches New Tool to Defend Medicare Negotiations
As part of our ongoing campaign, US v. Pharma; Fighting to Protect Medicare Negotiation, P4AD unveiled a new tool: FightPharma.org. The website serves as a dedicated platform for our campaign to counter Big Pharma’s legal efforts to stop the implementation of Medicare negotiation. Currently, pharmaceutical corporations and their allies have filed nine lawsuits and additional appeals in an attempt to halt the program. Fightpharma.org will be updated with information on the status of these lawsuits and will provide opportunities for patients and advocates to take action, ensuring that the courts hear the lived experiences of those harmed or hurting from high drug prices. Se habla español? Stay tuned for a Spanish site coming in the next couple of weeks!
3. Lowering Drug Costs For Women
Women experience disproportionately higher rates of certain health conditions and also encounter higher health care costs relative to men. This financial burden is further exacerbated for women of color and women who have low incomes. A recent analysis from the Department of Health and Human Services’ (HHS) Office of the Assistant Secretary for Planning and Evaluation (ASPE) illuminates how the Inflation Reduction Act is delivering much-needed relief to some of the nearly 30 million women who have Medicare Part D coverage. According to the findings, in 2020, approximately 733,000 women on Medicare would have experienced considerable relief had the $35 monthly insulin copay cap been in effect. Additionally, in 2021, around two million women would have benefited from the provision eliminating cost-sharing for vaccines. Looking ahead, the analysis predicts that the $2,000 out-of-pocket cap, effective in 2025, along with other provisions in the drug price law, will reduce women’s Medicare out-of-pocket expenses by an average of 28 percent, saving them around $128 per year on average. These significant insights were highlighted at an event hosted by HHS this Tuesday, attended by P4AD and numerous allies, all eager to celebrate the transformative impact of the Inflation Reduction Act on patients grappling with exorbitant drug prices, particularly those who have been historically disenfranchised. — (Managed Healthcare Executive, Center For American Progress, ASPE, Mirage News, P4AD)
PHARMA FACT CHECK: The Centers for Medicare and Medicaid Services (CMS) remains in negotiation with manufacturers of the initial 10 drugs selected for negotiations, having rejected their latest counter offers. Contrary to the assertions of Big Pharma and its allies that Medicare negotiation constitutes “price-setting,” recent actions by both drug companies and CMS, involving offers and counteroffers, debunk this narrative and underscore a genuine negotiation process.
Welcome to the Week in Review.
1. Curbing Drug Price Hikes
On Tuesday, the Department of Health & Human Services (HHS) announced a list of 41 drugs available through Medicare Part B will have a lower coinsurance rate from April 1 – June 30, 2024, should drug companies raise prices faster than the rate of inflation. This measure, established through the Inflation Reduction Act, aims to hold drug companies accountable for excessive drug price hikes by requiring them to pay rebates to Medicare. During this period, some of the 763,700 people on Medicare who take one or more of these 41 essential medicines could save between $1 and $3,575 per average dose. According to an analysis by AARP, retail prices for 943 commonly used drugs increased faster than the inflation rate every year from 2006 until 2020. Until the passage of the Inflation Reduction Act, drug companies had been able to raise prices at will year after year. This initiative cracks down on aggressive drug price gouging and stands to generate substantial savings for patients and taxpayers. — (HHS, Healthcare Finance News, Patients For Affordable Drugs Now, AARP)
2. Cracking Down On Inhaler Patents
Despite announcements from major inhaler companies to cap out-of-pocket costs and reduce the list prices of some of their products, inhaler manufacturer, Teva, has yet to follow suit. This week, the Federal Trade Commission (FTC) filed an amicus brief in Teva’s lawsuit against a competitor, contending that Teva “improperly listed” patents on its asthma inhaler ProAir HFA. Teva used these patents to prevent Amneal Pharmaceuticals from obtaining approval for a generic version of Teva’s inhaler, therefore stalling an affordable alternative for patients. In November 2023, Teva and other drug companies were challenged by the FTC to remove improperly listed patents on their products. — (Reuters, VeryWell Health, Fierce Pharma, FTC)
3. Big Pharma’s Big Bag
Even though big drug companies claim that the Inflation Reduction Act would dramatically impact pharma research and development, these corporations continue to allocate billions toward CEO compensation. It was recently revealed that CEOs from some of the largest pharmaceutical corporations have seen substantial pay increases in 2023 including Eli Lilly’s CEO David Ricks whose compensation rose 24 percent to $26.6 million and Johnson & Johnson’s CEO Joaquin Duato who has received a staggering $28.4 million. Additionally, the industry has also seen a surge in biotech acquisitions and record-high mergers, exemplified by Novo Nordisk and AbbVie announcing multimillion-dollar deals just this week. Despite patients already benefiting from the law’s drug price reforms, with further cost savings anticipated as other provisions phase-in, it’s evident that the pharmaceutical industry is prioritizing profit maximization over patients’ well-being, driven solely by greed and a relentless pursuit of maintaining exorbitant prices. — (Public Citizen, Fierce Pharma, The Wall Street Journal, Reuters, Pharmaceutical Technology, Patients For Affordable Drugs)
BONUS: According to a new study published in JAMA, blockbuster diabetes, heart disease, and weight loss drug, Ozempic, could be manufactured for less than $5 monthly, and still be profitable, despite carrying a monthly list price of nearly $1,000. We urgently need legislative action to rein in these exorbitant prices. Drugs don’t work if people can’t afford them.
Follow our social channels for an exciting announcement next week in our ongoing fight against Big Pharma and efforts to defend the hard-fought reforms already lowering drug prices!
Have a great weekend!
Welcome to the Week in Review.
1. Big Pharma Caught In Contradiction
Big drug companies continue to drum up bold lies regarding the impact of the drug price reforms in the Inflation Reduction Act (IRA). This is despite the overwhelming evidence pointing towards the law as an important conduit for delivering financial relief to patients, while also maintaining critical levels of investment in innovation. Drug company executives, who are beholden to investors, recently stated that Medicare drug price negotiations were “encouraging” and would have “modest impact.” At the same time, several pharma companies have launched aggressive lawsuits attempting to dismantle Medicare negotiations, arguing that the program will deter investments and hurt revenue. In The Hill, P4AD’s Merith Basey calledout the hypocrisy of drug industry executives and allies who are talking out of both sides of their mouths: “We know that the impact of the IRA is not going to affect their bottom line in the way that they like to cry poor every time anyone tries to touch anything that gets in the way of their monopoly power.” Lower negotiated drug prices will not make a dent in Big Pharma’s huge profit margins, while delivering transformative relief to patients. “A few hundred dollars is a massive difference for one individual,” Merith continued. “Again, this is about ordinary people.” It’s evident that investments in drug development are not slowing down. So far this year, 21 biotech startups have received hundreds of millions of dollars in investments from venture capitalists. This juggling act displays Big Pharma’s lack of credibility and demonstrates their intention as clear as day: preserving monopoly pricing power at the expense of patients. — (Endpoints, Endpoints, The Hill, The Hill, Endpoints)
2. The Growing Impact Of The Inflation Reduction Act
Patients continue to reap the benefits of the groundbreaking drug price reforms in the Inflation Reduction Act. The number of vaccines administered to adults in the first nine months of 2023 exceeded pre-pandemic levels, largely thanks to the new vaccine provision introduced last year, which provides coverage without patient cost-sharing of certain recommended vaccines for people on Medicare Part D. “This underscores the importance of preventive health care and emphasizes the overall benefits of the Inflation Reduction Act in guaranteeing that Medicare patients receive accessible, affordable high-quality care,” the Department of Health and Human Services (HHS) spokesperson LaTanya Marble told Politico. The drug price reforms in the Inflation Reduction Act are directly addressing the urgent needs of patients living in the U.S. who pay on average nearly three times more for their medications than residents in other peer nations. — (Politico, Commonwealth Fund)
3. The Power of Public Pressure
Earlier this week, AstraZeneca and GlaxoSmithKline (GSK) responded to increased pressure and scrutiny from patients and lawmakers by announcing plans to cap out-of-pocket costs for some of their inhaler products at $35 a month. This move follows in the footsteps of Boehringer Ingelheim, which made a similar commitment earlier this month. The spotlight has been on the egregious price hikes of inhaler medications over the past year, prompting both the Senate Health, Education, Labor, and Pension (HELP) Committee and Federal Trade Commission (FTC) to call out the four major inhaler companies for patent abuse tactics that drive up prices and delay lower-cost competition. For example, AstraZeneca’s Breztri Aerosphere inhaler costs $645 in the U.S. compared to just $49 in the United Kingdom (U.K.) and GSK’s Advair HFA inhaler costs $319 in the U.S., while it is sold for only $26 in the U.K. These decisions by drugmakers to cap costs mark a significant milestone for some patients who rely on these medicines to manage conditions like asthma and chronic obstructive pulmonary disease. Jennifer, a patient advocate in Colorado, wrote to us about her experience with breathing complications, which led her to a prescription for an inhaler costing $495. “How could I pay for that regularly plus my mortgage, utilities, car insurance, gas to get to work, and the premium on my health insurance?” Her story is one of many shared experiences we’ve heard from patients who are forced to go without their inhaler medications due to cost. We urge Teva, the last of the four major inhaler companies, to immediately follow suit and reduce copay costs for patients. — (The Hill, Reuters, Common Dreams, CNN, FTC)
PRICE WATCH: Lenmeldy, a new life-saving gene therapy for the genetic disorder metachromatic leukodystrophy (MLD) will be the most expensive drug in the world at $4.25 million. Innovation is worthless if patients can’t afford it — we urgently need to address the high launch prices of transformative cell and gene therapies coming to market.
Have a great weekend!
Welcome to the Week in Review.
1. Biden Promises to Expand The Inflation Reduction Act
Key Senators remain committed to advancing bipartisan bills aimed at cracking down on pharmacy benefit managers (PBMs) and their opaque tactics, which drive up costs for patients and taxpayers. Senate Finance Committee Chair Ron Wyden and Ranking Member Mike Crapo, joined by advocates, held a press conference yesterday to encourage legislative action that would hold the secretive middlemen accountable. PBMs negotiate discounts, or rebates, with drug companies in exchange for preferable placement on formularies. However, the specific terms of these rebate contracts, including the amount of the discounts and how they benefit patients, are not disclosed to the public. As a result, it’s unclear whether PBMs are using their power to ensure patients are getting the best drug at the best price. Prior to the press conference, the Senators penned a letter to Senate Majority Leader Chuck Schumer, Senate Minority Leader Mitch McConnell, and members of the Senate Finance Committee, reaffirming their commitment to increase transparency and accountability in the PBM industry during this Congress. It’s time to pass reforms to ensure PBMs prioritize serving patients and consumers over padding their bottom line. — (Senate Finance Committee, Axios, Fierce Healthcare, DCNewsNowVimeo, Center for American Progress, Senate Finance Committee)
2. Exposing Big Pharma Lies
Despite warnings from Big Pharma suggesting the drug price reforms in the Inflation Reduction Act would stifle research and development (R&D) efforts and impede profits, recent data presents a starkly different picture. Contrary to the narrative propagated by drug companies and their trade associations, the industry is investing in R&D at record levels. Top drug companies have spent $153 billion on R&D, and mergers and acquisitions areincreasing at a steady pace. Additionally, costly advertising slots for major TV entertainment events this year, like the Super Bowl and The Oscars, weredominated by drug industry behemoths Pfizer and AbbVie. A report from Protect Our Care showed that last year alone, 16 of the largest drug companies reported $684 billion in earnings, a shocking figure that reflects the absurdly high prices set by drug makers. It’s glaringly apparent that Big Pharma is swimming in profits, all while patients struggle to afford essential medications. — (Endpoints, STAT News, Wall Street Journal, Axios, Fierce Pharma, Protect Our Care, Accountable.US)
3. Medicare Negotiation Puts Patients Over Profit
Big Pharma is marshaling its vast resources toward stopping the implementation of Medicare negotiations, one of the most popular and transformative drug price reforms in the Inflation Reduction Act. Kelly Bagby, Vice President at AARP Foundation Litigation, succinctly explained the objectives behind the various lawsuits pharmaceutical corporations have filed: “They want to make sure their historical profitability is maintained, and not changed, while at the same time trying to delay everything.” To date, however, judges in three district courts have sided with the Biden administration, and last week, oral arguments were presented in four cases brought by big drug companies, during which, the judge expressedskepticism that anything other than maintaining their bottom line motivated their challenges to Medicare negotiation. “All of the momentum is clearly on the side of the government at this point, and not on the side of some of these other manufacturers,” Theresa Carnegie, a health care attorney with Mintz Levin, told CNBC. — (P4ADNow, The Washington Post, FiercePharma, Bloomberg Law, CNBC, Forbes, STAT News, CNBC)
BONUS: A new study from Bentley University shows that the National Institutes of Health (NIH) invested $11.7 billion on research leading to the approval of the first 10 drugs up for Medicare negotiation. Lower negotiated drug prices will help ensure patients and taxpayers get a better deal on these widely-used, high-cost medications. We deserve a fair return on the drugs taxpayers paid to invent!
Have a great weekend!
My name is Rose Keller, I am a 22-year-old student at Bowdoin College. As an infant, I was diagnosed with cystic fibrosis, a rare and progressive genetic disorder with no cure. And my ability to breathe depends entirely on numerous prescription drugs.
Like countless others grappling with chronic illnesses, I’ve witnessed firsthand the burden exorbitant drug costs have imposed on my family. Last year alone, my family spent almost $3,000 out-of-pocket for my life-sustaining medications.
The only medication that treats the underlying cause of my disease carries an annual list price upwards of $300,000. The medication brings enormous relief, but its cost casts a shadow over my life.
As a young adult about to graduate from college, I should be focused on my next steps – finding a job, applying to law school, and weathering my dad’s embarrassing stories at graduation. One day, I hope to be an attorney who fights for good governance practices and effective public administration. I want to spend my time planning for that future.
Instead, I am worried about my ability to afford my health care and live an independent life. But amidst these challenges, the Biden Administration has offered a glimmer of hope.
President Biden said he’d take on big pharma and beat them – and he has. His Inflation Reduction Act lowered prescription drug prices for seniors. It’s a big deal.
Now he’s fighting to cap out-of-pocket drug costs at $2,000 for all Americans. For people like my family. For people like me.
President Biden believes health care is a right – not a privilege, and so do I.
Welcome to the Week in Review.
1. Biden Promises to Expand The Inflation Reduction Act
In a week marked by significant developments in the fight to make medicine more affordable, Patients For Affordable Drugs Now (P4ADNow) applauded President Biden’s ongoing commitment to reducing drug prices for patients nationwide. The Biden Administration’s proposals to expand Medicare negotiation to 500 drugs over a decade and extend cost-saving measures to millions of people on private insurance, among other reforms, signals a potentially monumental step toward achieving affordable drugs for every American. Furthermore, President Biden’s State of the Union address underscored the historic achievements of the Inflation Reduction Act for patients and highlighted the proposals he had announced on the eve of the address. P4ADNow patient advocate, Steven Hadfield, emphasized the impact of the reforms, sharing his personal experience and the relief he has felt thanks to capped monthly insulin costs and expressed hope for further relief brought by Medicare negotiation. His presence as a guest of First Lady Jill Biden during the State of the Union exemplifies the urgency and importance of lowering drug prices for millions of Americans. P4ADNow continues to advocate for the implementation of the new drug price law and bipartisan bills in Congress that help address the challenges faced by patients like Steven. We know the momentum and public pressure to reduce drug prices are stronger than ever. – (P4ADNow, P4ADNow, STAT News, Pharma Phorum, P4AD, AARP, NPR, New York Times, Yahoo News, P4ADNow)
A quick selfie with P4AD patient advocate, Steven Hadfield, before he joined First Lady Jill Biden for the SOTU
2. Legal Battles Over Medicare Drug Price Negotiation Heat Up
On Thursday, a federal district judge in New Jersey heard oral arguments in four of several cases challenging Medicare’s authority to negotiate drug prices. In a courtroom exchange that captured attention, Judge Zahid Quraishi probed the industry’s arguments and questioned the purported financial burdens Medicare negotiation would have on drugmakers, injecting a note of skepticism by remarking, “A lot of people would say pharmaceutical companies could give up an arm. They have a lot of appendages.” This observation reinforced the judge’s scrutiny of the industry’s claims. Rachel Cohrs of STAT News highlighted the judge’s remarks that these big drug companies were “businesses with the goal of profit… These companies are not Mother Teresa developing drugs for free for the American public.” A P4AD patient advocate was also in the room representing patients and listening to the arguments, which came just days after a federal judge in Delaware issued a sweeping ruling against pharmaceutical giant AstraZeneca in a case brought by the drug company seeking to overturn Medicare negotiation. Last month, a federal district judge in Texas dismissed a similar lawsuit from the industry trade group Pharmaceutical Research and Manufacturers of America (PhRMA), and in September a District Judge in Ohio ruled against the U.S. Chamber of Commerce’s case. That’s three times that a judge has ruled against pharma and for patients of the United States, and as this headline from Fast Company puts it, “Big Pharma is losing its fight to avoid prescription-drug-price negotiations”. – (P4AD, STAT News, BioSpace, Endpoints News, Georgetown Law, Reuters, FastCompany)
3. Boehringer Ingelheim Caps Inhaler Costs Amid Public Pressure
In a move spurred by mounting public pressure and widespread demand for lower drug prices, Boehringer Ingelheim has announced plans to cap out-of-pocket costs for its inhaler products at $35 per month starting June 1. The decision comes amidst growing criticism, notably from Senator Bernie Sanders, who, in his role as chair of the Senate Committee on Health, Education, Labor, and Pensions (HELP) launched an investigation into efforts by pharmaceutical companies to manipulate the price of asthma inhalers. These big drug companies have heard widespread complaints from American patients and consumers about the inability to afford their inhalers, especially considering they are drastically cheaper in other countries. This move draws parallels to actions taken by insulin manufacturers, including Sanofi, Novo Nordisk, and Eli Lilly, all of whom lowered the price on some of their older insulins after years of criticism over pricing practices. These developments help underscore the power of grassroots advocacy in driving industry reforms. While welcomed by many patients, Boehringer Ingelheim’s action demonstrates the ongoing need for sustained efforts to guarantee access to essential medications for all patients. – (Reuters, STAT News, The Lancet, The Hill, FiercePharma, P4AD)
In response to President Biden’s comments in his State of the Union address about the historic drug price reforms in the Inflation Reduction Act and the forward-looking proposals he announced to further reduce drug prices, Merith Basey, Executive Director of Patients For Affordable Drugs Now, issued the following statement:
“Tonight, President Biden highlighted the monumental drug price reforms achieved through the Inflation Reduction Act, a cornerstone of his agenda and an issue that is overwhelmingly supported by the American people who are tired of being ripped off by pharmaceutical companies to the detriment of their lives and livelihoods.
“The enactment of the historic drug price reforms, coupled with the President’s proposal to more than double the number of drugs subject to Medicare negotiation and expand cost-saving measures to millions of people on private insurance, would be transformative toward ensuring that everyone in the U.S. can access the drugs they need at prices they can afford.
“This landmark legislation is a testament to the relentless efforts of patients. While we are already witnessing the impact of some of these reforms to lower drug prices, we continue to hear from patients burdened with high drug prices who are desperate for relief. On behalf of patients, we will continue to advocate for policies that protect and expand on the drug price reforms in the Inflation Reduction Act, dismantle Big Pharma’s abuse of the patent system, and make drugs more affordable for all who need them.”
P4ADNow patient advocate, Steven Hadfield, was a guest of First Lady Jill Biden in her box during the State of the Union this evening. Steven, who is 71 and a longtime resident of North Carolina, takes Januvia for his diabetes, which is one of the first 10 drugs selected for Medicare negotiation. He is also living with blood cancer and despite being in his 70s, cannot retire due to the price of his medications. He shared the following statement:
“’For far too long, big drug companies have made a fortune while patients like me live in constant fear, wondering how we’ll pay for our medicine. The Inflation Reduction Act has been a lifeline, reducing my insulin costs from $400 to $35 per month. Medicare’s ability to negotiate lower drug prices offers hope for millions of patients like me. Less expensive drugs would finally allow me to rest more often or hopefully help me transition from working full-time to working part-time. I am honored to be a guest of First Lady Jill Biden during the State of the Union as President Biden advocates for lower drug prices. He understands that drugs don’t work if people can’t afford them.”
BACKGROUND The historic Inflation Reduction Act is lowering prescription drug prices and reducing out-of-pocket costs for millions of people in this country.
Starting in 2026, negotiated prices will take effect on 10 of the highest-cost drugs for Medicare, lowering prices and out-of-pocket costs for millions of patients. Yesterday, President Biden proposed expanding Medicare negotiation to 50 drugs every year instead of a maximum of 20 per year.
Insulin costs in Medicare are capped at $35 monthly. About 1.5 million people on Medicare who use insulin would have saved $734 million in Part D and $27 million in Part B out-of-pocket costs in 2020 if these caps had been in effect in 2020.
When the $2,000 out-of-pocket cap on prescription drugs applies in Medicare in 2025, nearly 19 million seniors and others on Medicare are projected to save $400 per year on prescription drugs. In yesterday’s proposal, President Biden called on Congress to expand the $2,000 out-of-pocket cap to all private insurance – expanding the cap to 189 million people not on Medicare.
Recommended vaccines that would have cost $100-200 per vaccination are now free under Medicare Part D because of the Inflation Reduction Act. In 2021, 3.4 million people received vaccines under Part D.
Yesterday’s proposal also includes a $2 cost-sharing limit for specific generic drugs such as statins and beta-blockers for people on Medicare Part D.
It also included a proposal to improve access to cell and gene therapies, starting with addressing sickle cell disease, a condition that affects more than 100,000 people in the United States, and extending requirements for drug companies to pay rebates when their price increases exceed the rate of inflation.
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Patients for Affordable Drugs Now, the C4 arm of P4AD, is the only national, bipartisan patient advocacy organization focused exclusively on policies to lower drug prices. We help educate and mobilize patients in support of legislation to fix our broken system. P4ADNOW does not accept funding from organizations that profit from the development and distribution of drugs.
Today, the Biden Administration announced proposals to more than double the number of drugs to be negotiated by Medicare and expand the $2,000 cap on out-of-pocket prescription drugs to people on private insurance – extending savings to an additional 189 million people not on Medicare.
The proposal also includes a $2 cost-sharing limit for specific generic drugs such as statins and beta-blockers for people on Medicare Part D, improving access to cell and gene therapies, starting with addressing sickle cell disease, a condition that affects more than 100,000 people in the United States, and extending requirements for drug companies to pay rebates when their price increases exceed the rate of inflation.
Merith Basey, Executive Director of Patients For Affordable Drugs Now, responded to the proposal with the following statement:
“These proposals would expand on the historic progress already being made as a result of the drug price reforms in the Inflation Reduction Act. For two decades, Americans have been held hostage by a system preventing the United States government from negotiating for lower drug prices on behalf of patients. These proposals would build upon hard-won victories and represent another step forward for patients and advocates in our ongoing fight to ensure that every person can get the drugs they need at prices they can afford. As we continue to hear from patients every day who are being forced to make impossible choices between skipping their medication or paying their bills —the urgency of this fight has never been more apparent.”
Americans pay 3-8 times more than other high-income nations for brand-name prescription drugs, and over 90 percent of voters from across the political spectrum said lowering prices should be an important or top priority for Congress. This announcement on the eve of President Biden’s State of the Union address, signals the Biden Administration’s commitment to prioritizing lowering drug prices in the coming year.
