Happy Veterans Day to our nation’s heroes and their families.
In the spirit of the Medicare negotiation listening sessions, a reminder that the Department of Veteran Affairs has been negotiating drug prices since 1993.
Welcome to the Week in Review.
1. CMS Listening Sessions Continue
This was the second week of Centers for Medicare & Medicaid Services (CMS) virtual listening sessions where patients taking the first 10 drugs eligible for Medicare negotiations shared their experiences with high drug prices and what this relief will mean to them. And once again, we witnessed the reiteration of pharmaceutical industry talking points that do not align with the best interests of patients. Standing up to Pharma, P4AD patient advocate Lynn Scarfuto applauded the inclusion of her costly cancer treatment, Imbruvica — which carries a monthly list price of $17,000 — on the list of negotiated drugs. P4AD patient advocate Steven Hadfield, 71, (who introduced the President when the first 10 drugs selected for negotiation was announced) shared the relief he felt when his diabetes medication, Januvia, was announced as one of the first drugs that Medicare will negotiate a lower price for. “Lower drug prices will firmly allow me to rest more often and hopefully allow me to transition from working full time to working part time,” said Steven during the Januvia listening session. Bob Parant, who shared his story with CMS last week, was featured on the White House’s Facebook page, highlighting the power of patient advocacy. We are eager to see the negotiation process continue, and long-awaited relief delivered to patients, like Lynn, Bob, and Steven, who have been forced to pay unreasonably high drug prices. Millions of patients on Medicare will see significant savings when lower negotiated drug prices take effect in 2026. (P4ADNOW, Protect Our Care)
2. Momentum To Curb Patent Abuses
It’s no secret that big drug companies game the patent system to preserve their monopoly pricing power, delay generic competition from coming to market, and push medications out of reach for far too many patients. This week, the Federal Trade Commission (FTC) doubled down on its promise to address patent abuses and challenged more than 100 patents held by the makers of asthma inhalers, epinephrine autoinjectors, and other essential medications. “We’re taking this action because I think, as we all know, there is a crisis in our country when it comes to health care costs,” FTC Chair Lina Khan told NPR. “And all too often, people are not able to afford the medicines they need, the life-saving drugs that they need.” In an interview with Current Affairs, Nick Dearden, global director of Global Justice Now and author of Pharmanomics, detailed how drug companies game the patent system to extend market exclusivity, such as “evergreening” where drug companies make small, insignificant changes to a drug just to earn more patents. As a result, lower-cost generics are prevented from hitting the market and delivering relief to patients who depend on these life-saving medications. We must continue to crack down on Big Pharma’s deceitful maneuvers and pass laws to fix our patent system and close regulatory loopholes. — (NPR, Current Affairs)
BONUS: For our bilingual readers – shout out to our very own Jesse Aguirre for his op ed published in El Planeta yesterday in Spanish on how Patient stories have the potential to overturn the status quo of Big Pharma. Bravo!
Have a great weekend!
On November 1st, Ady Barkan, co-founder of Be A Hero, widely-known advocate in the fight for health justice, and who got his start in health advocacy at UAEM, died of complications from amyotrophic lateral sclerosis (ALS) at 39 years old. When he was diagnosed in 2016, Ady chose to leverage his own powerful patient story to persuade policymakers to prioritize people over profit. He will be sorely missed but his impact and legacy to help transform the US healthcare system will continue.
Welcome to the Week in Review.
1. P4ADNow Urges Senate Leadership To Pass Competition Bills
On Tuesday, over 60 organizations sent a letter, co-led by P4ADNow and AARP, to the Senate toadvance a package of bipartisan bills to lower drug prices through reforms to our patent and regulatory systems and increased competition. The organizations — representing patients, consumers, seniors, churches, students, and disease advocacy groups — called on senators to urgently pass these reforms to lower prescription drug prices for millions of patients. The letter addressed to Senate leadership underscored that these reforms have significant bipartisan backing from a majority of voters and that this package of bills will save taxpayers $2.5-3 billion over the next 10 years. “Senators on both sides of the aisle have put in far too much work on these bills over several years to let this opportunity be lost,” said P4ADNow’s Merith Basey. “The moment is at hand to enact reforms that voters overwhelmingly support and which will help patients of all ages regardless of whether they get their health care in the private or public sector.” We urge the 118th Senate to ensure that patients and consumers are seeing relief from high drug prices and advance bipartisan legislation to curb abuses to our patent and regulatory systems and encourage generic and biosimilar competition coming to market. Congress, over to you! — (P4ADNow, MedPage City, Inside Health Policy, Campaign For Sustainable Rx Prices)
2. P4AD Patient Advocates At CMS Listening Sessions
As part of the Medicare Drug Price Negotiation Program, Centers for Medicare and Medicaid Services (CMS) began its series of virtual patient-focused listening sessions this week. Dedicated P4AD patient advocates Judy Aiken and Bob Parant, shared their experiences with high drug prices and what Medicare negotiation would mean for them. “Enbrel’s high cost has been a burden, in cost and anxiety. A lower price for this drug will be life changing for me and thousands of other patients,” remarked Judy at the Enbrel listening session. While the sessions are intended to be an opportunity for patients, caregivers, and patient advocacy groups to share input related to the first 10 drugs eligible for Medicare negotiations, common Big Pharma talking points were clearly on display via numerous representatives of so-called advocacy groups. P4AD’s David Mitchell, who participated in the initial session for Eliquis, a blood thinner medication he relies on as a patient living with multiple myeloma, toldPolitico that “[Big] Pharma tried to hijack the first meeting with its paid front groups.” Next week, the listening sessions continue through November 15th. Keep an eye out for passionate P4AD patient advocates expected to share their lived experiences with unjustified high drug prices and what it means to have Medicare negotiate lower drug prices for their essential medicines. — (The White House, Protect Our Care, Politico)
3. Medicare Negotiations Will Bring Relief To Patients
Patients on Medicare are eager for successful implementation of the historic program and will begin to feel relief when lower negotiated drug prices take effect in 2026. In an interview with MedPageToday, Centers for Medicare and Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure explainedhow patients and taxpayers will see relief from Medicare negotiation: “So it helps people in Medicare, but it also helps all of us as taxpayers who are supporting the Medicare system to make sure we’re getting the best deal.” Public Citizen released a report that called out Amgen for the drug company’s extensive patent abuses for its blockbuster drug Enbrel, one of the first selected drugs to be negotiated. Public Citizen argued that Medicare could have saved “$1,053,023,122 in less than four years” if competition had been allowed to come to market in 2019. Thankfully, patients on Medicare will see a lower negotiated price for this essential medication. — (MedPage Today, Public Citizen)
4. On The Horizon:Sickle Cell Disease Gene Therapy
We are on the cusp of revolutionary cell and gene therapies coming to market that offer potentially curative benefits to patients. However, the looming question of how patients, taxpayers, and our health care system will pay for these treatments still remains to be answered. On Tuesday, the FDA advisory committee reviewed Exa-cel — a treatment using gene-editing tool CRISPR — which could become the first gene therapy for sickle cell disease if approved next month. Sickle cell disease affects 100,000 people in the U.S., and disproportionately impacts people who are Black or Brown. This cutting-edge, one-time treatment could save patients living with sickle cell disease from a lifetime of severe illness — but it’s expected multi-million dollar price tag will put this treatment out of reach for those who need it the most. “I’m worried that this will be a very highly lauded technology that people will not be able to use,” said Melissa Clearly, an assistant professor at the University of Michigan School of Public Health who studies sickle cell. In an op-ed for STAT News, Dr. Vivian G. Cheung wrote that “without targeted investment in medical infrastructure, these innovations will remain inaccessible to many.” Drugs don’t work if people can’t afford them. — (NBC, WPR, STAT)
Have a great weekend!
Organizations Representing Patients, Consumers, Seniors, Students, Churches, And Disease Advocacy Groups Push For Package Of Bills That Strengthens Market Forces To Lower Prices For All Americans
Patients For Affordable Drugs Now and AARP, along with 60 other organizations sent a letter to Senate Majority Leader Chuck Schumer and Senate Minority Leader Mitch McConnell urging them to pass bipartisan legislation to reform our patent and regulatory systems to curb unwarranted monopolies and promote competition to lower prescription drug prices for all Americans.
“There is a real opportunity in the Senate to advance a package of bipartisan bills that will increase competition and market forces to lower drug prices,” said Merith Basey, executive director of Patients For Affordable Drugs Now. “Senators on both sides of the aisle have put in far too much work on these bills over several years to let this opportunity be lost. The moment is at hand to enact reforms that voters overwhelmingly support and which will help patients of all ages regardless of whether they get their health care in the private or public sector.”
The letter to Senators Schumer and McConnell, and copied to every member of the Senate, supports a package of six bills — all bipartisan and all relying on competition and market forces to lower drug prices that complement reforms enacted last year under the Inflation Reduction Act.
“For too long, big drug companies have gamed the system to prevent less expensive generic and biosimilar drugs from entering the market. America’s seniors deserve better,” said Nancy LeaMond, AARP Executive Vice President and Chief Advocacy and Engagement Officer. “Now is the time for Congress to pass bipartisan common-sense legislation that will give consumers real choices and lower their drug prices.”
“Critically, almost four out of five voters support such reforms including 75 percent of Republicans, 73 percent of Independents, and 86 percent of Democrats,” the letter reads. “The bills will save taxpayers $2-3 billion over 10 years and lead to lower out-of-pocket costs for millions of Americans.”
Patients like Sue Lee, 81, of Crestwood, Kentucky will be helped by these bills. Sue lives with chronic plaque psoriasis and was forced to endure painful sores because she couldn’t afford the high monthly cost of Humira — which was protected by 165 patents — and had to stop taking the drug.
Read the full letter and list of signers here and below.
Bipartisan bills to strengthen competition and market forces to lower prescription drug prices have cleared every key Senate committee on strong bipartisan votes, and the undersigned groups that represent patients and advocates urge that they be enacted into law.
Critically, almost four out of five voters support such reforms including 75 percent of Republicans, 73 percent of Independents, and 86 percent of Democrats. The bills will save taxpayers $2-3 billion over 10 years and lead to lower out-of-pocket costs for millions of Americans. We ask you to advance the following bills now:
S. 142 to curb pay-for-delay deals in which brand name drug makers pay would-be generic and biosimilar competitors to keep them from bringing their products to market. S. 150 to crack down on patent thickets and product-hopping, which are used to build a patent wall around existing brand name drugs and block lower-priced competition. S. 148 and S. 1067 to stop drug company abuse of citizen petitions before the Food and Drug Administration (FDA) which drug companies use to delay generic and biosimilar market entry. S. 775 to improve the ability of the FDA to disclose information generic companies need for speedy approval. S. 79 to establish a task force between the U.S. Patent and Trademark Office and FDA in order to improve each agency’s patent-related activities.
The bipartisan bills now before the Senate would curb anti-competitive practices and ensure the will of Congress for generic and biosimilar competition and market forces to lower prices as intended to lower prices under the Hatch-Waxman framework. Recent academic studies have repeatedly shown the need for these reforms:
There has been a 200 percent increase in secondary patent filings by drug companies since 2000.
Makers of four blockbuster drugs used patent manipulation to earn 56 percent of their overall revenue on those drugs in the years after the end of the initial patent.
The bills will help people like Sue Lee, 81, of Crestwood, Kentucky who is living with plaque psoriasis and who was forced to endure painful sores because she couldn’t afford the $8,000 a month cost of Humira – which was protected by 165 patents – and had to forgo the drug.
The Congressional Budget Office estimates these bills will collectively save taxpayers between $2-3 billion dollars. They will result in lower out-of-pocket costs for patients and millions of people regardless of insurance status.
With only 26 work days left in this calendar year, we urge the Senate to come together now and address these critical issues to improve the health and financial well-being of people all across the country. Thank you.
Cc: Members of the United States Senate
Signed:
AARP ACA Consumer Advocacy Alliance for Retired Americans American Family Voices Beta Cell Action Beta Cell Foundation Blue Shield of California Business Leaders for Health Care Transformation Campaign for a Family Friendly Economy Campaign for Sustainable Rx Pricing Center for Health and Democracy Center for Medicare Advocacy Citizen Action/Illinois Consumer Action Dana Investment Advisors Doctors for America Families USA Foundation for Integrative AIDS Research Generation Patient Health Care Voices Health GAP Housing Works, Inc Initiative for Medicines, Access & Knowledge Interfaith Center on Corporate Responsibility Just Care USA Labor Campaign for Single Payer Long Island Center for Independent Living, Inc Lower Drug Prices Now Medicare Rights Center Metro New York Health Care for All MomsRising National Committee to Preserve Social Security and Medicare National Multiple Sclerosis Society New York State Council of Churches New York StateWide Senior Action Council, Inc Northwest Coalition for Responsible Investment Patients For Affordable Drugs Now Pennsylvania Health Access Network Physicians for a National Health Program – NY Metro Chapter Prescription Justice Protect Our Care Public Citizen Public Interest Patent Law Institute Rise Up WV Salud y Fármacos Seventh Generation Interfaith Sisters of Charity of Saint Elizabeth Sisters of St. Francis of Philadelphia Social Security Works Socially Responsible Investment Coalition SPACEs In Action T1International, USA TAG-Texans Against Gerrymandering Tennessee Health Care Campaign, Inc Tulipshare Two Faces of MS U.S. PIRG Unity Fellowship of Christ Church – NYC Universities Allied for Essential Medicines VOCAL-NY West Virginia Citizen Action Group West Virginians for Affordable Health Care
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Welcome to the Week in Review.
1. A New Chapter For Patients On Medicare
Implementation of the drug price reforms in the Inflation Reduction Act continues as the Biden administration, health care advocacy groups, and elected officials share how the law is delivering long-sought relief to patients. At a Department of Health and Human Services (HHS) roundtable, HHS Secretary Xavier Becerra and health care advocacy groups discussed how they can better educate consumers on the new reforms for patients on Medicare. Becerra emphasized the critical role these groups play in educating patients about the provisions that have already taken effect — capping insulin copays at $35 a month, and, for the first time, making all vaccines free. Pennsylvania Lieutenant Governor Austin Davis shared remarks at Protect Our Care’s tour stop about how the reforms make essential medications more affordable: “This is an issue that affects real Pennsylvanians. It’s really important because the insulin and prescriptions are just outrageous right now. So, they need to have a break. I mean, myself alone, when I go for one medication, it’s $400. They cannot afford $400.” Finally, patients are seeing lower drug prices from the historic new law — and we’re eagerly awaiting the relief to continue as the other provisions are implemented in the future. — (HHS, WGAL)
2. Medicare Negotiations Are Crucial For Patients
The Inflation Reduction Act’s Medicare Drug Price Negotiation Program will allow Medicare to negotiate lower prices on expensive, widely-used medications and undoubtedly bring savings to millions of patients. “It means that, for the first time, there will be an ability to have a little bit of counterweight to the pharmaceutical industry,” Andrea Ducas, Vice President of health policy at the Center For American Progress, told Fortune. When lower negotiated drug prices arrive in 2026 they will be monumental for patients on Medicare including those taking cancer drugs, blood thinners, autoimmune disease treatments, and some diabetes drugs. Last year, Bristol Myers Squibb blood thinner Eliquis, one of the drugs selected for the first round of Medicare negotiations, made “$11.8 billion in revenue…about 25% of the company’s $46 billion in total revenue in 2022.” C. Joseph Ross Daval and Aaron S. Kesselheim, drug price experts at the Program on Regulation, Therapeutics and Law (PORTAL) at Brigham & Women’s Hospital and Harvard Medical School, penned an op-ed in the Washington Post that debunks the claims made in recent lawsuits by pharmaceutical corporations to stop Medicare negotiations. The drug industry is trying to “achieve what it could not through the legislative process — maintaining unreasonably high brand-name drug prices at the expense of the American public.” wrote Daval and Kesselheim. Medicare negotiation will deliver relief to patients who have been forced to pay high drug prices and we won’t back down in our fight to ensure the successful implementation of this historic reform. — (Fortune, Accountable.US, The Washington Post)
3. Big Pharma Puts Profits Over Patients
While Big Pharma loves to shed crocodile tears about drug price reforms hurting their revenue stream, it turns out that actually — they are doing more than fine. In fact, they are exceeding expectations on profit margins and doubling down on lobbying efforts. This week, Novartis raised its full-year earnings forecast for the third time. Keytruda, Merck’s blockbuster drug, has seen “significant revenue growth” since last quarter, with sales growing 17 percent to $6.3 billion. The Pharmaceutical Research and Manufacturers of America (PhRMA) spent over $20 million this year on lobbying, making the trade group one of the top spenders in the industry. It’s clear that Big Pharma executives are busy lining their pockets with piles of cash. All the while, patients are struggling to afford their medications. Nearly 40 percent of working-age adults reported skipping or delaying necessary health care or a prescription drug in the past year due to cost, according to a recent survey by the Commonwealth Fund. It’s time to prioritize the health and financial well-being of patients over profit margins. Lower drug prices for all patients now. — (Reuters, SeekingAlpha, Merck, CQ Roll Call, Commonwealth Fund)
BONUS PHOTO: Check out our long time P4AD patient advocates Sue, Lisa, Judy, and a shout-out to Pamela who met with their respective senators on Capitol Hill to share their experiences with high drug prices and what competition would represent to them! Way to go ladies!
Have a great weekend!
Quick note to readers: This was Audrey’s last week (in review) at P4AD! She’s been honored to be in your inbox for the last couple years. We’ll be excited to announce P4AD’s incoming communications and media director very soon and we’ll see you here next week as usual.
Welcome to the Week in Review.
1. Enrolling In Medicare? The Inflation Reduction Act Will Bring Savings
The annual open enrollment period for people on Medicare kicked off this week – this time with added drug price savings built into the Inflation Reduction Act. Beginning in 2024, drug price reforms like the cap on out-of-pocket costs for patients on Medicare who fall into the “catastrophic” coverage tier are “going to help people who have very expensive medications for conditions like cancer, rheumatoid arthritis, and hepatitis,” said KFF’s Tricia Neuman. The cap will begin to phase in next year when people on Medicare will pay zero after they reach the catastrophic phase of Medicare Part D which should be at about $3,250-3,500 in spending. Senator Sheldon Whitehouse touted the provisions in the historic law and explained that the reforms are “lowering health care costs for seniors, and finally breaking the grip of Big Pharma, providing much-needed relief to Rhode Islanders on Medicare.” In a letter-to-the-editor, Diane J. Young cited Medicare negotiation as an important way to push back on the rising costs of prescription drugs in the U.S. For Bob in Nevada, lower drug prices through Medicare negotiation will save him money on his blood thinner medication, Xarelto — one of the most expensive medicines in Medicare Part D. Further in the coming years, patients living with cancer are going to see significantly lowered costs for their treatments because of Medicare negotiations and the $2,000 cap on out-of-pocket costs, explained Joshua Cohen in a column for Forbes. The savings will just keep coming – we’re excited for patients across the country to enroll in Medicare and feel the relief in their pocketbooks from the Inflation Reduction Act. — (KFF, The Newport Buzz, The Washington Post, Nevada Current, Forbes)
2. Patients Depend On Patent & Regulatory Reforms
While Congress is sorting out its end-of-year package bill (as well as the Speaker of the House), elected officials and drug price experts are pushing for passage of bipartisan bills to curb patent and regulatory abuses and increase competition to lower drug prices. Former Texas Rep. Joe Barton penned an op-ed that breaks down the tactics that Big Pharma employs to keep drug prices high, like “pay-for-delay” in which drug companies pay off generic makers to delay their drugs from coming to market. Earlier this month, the Mayo Clinic and LifePoint Health filed a lawsuit against Celgene over its multiple myeloma drug Revlimid — alleging that the drug company engaged in pay-for-delay deals to stall the sale of generic versions of the drug. “Whether the current legal landscape for pharmaceutical patents is good policy is a hotly debated topic,” wroteUPenn fellow Laura Delbow in an opinion piece. “Yet one thing is certain: Patents are a key reason why drug prices are so high.” We couldn’t agree more. Thankfully, there are bipartisan policies to rein in Big Pharma’s manipulation of our patent and regulatory systems. Senators, time to advance these bills. — (Irving Weekly, Fierce Healthcare, The Regulatory Review, Des Moines Register)
3. Addressing Launch Prices Of Gene Therapies
Revolutionary cell and gene therapies will transform the lives of patients and offer potentially curative benefits. But these therapies are coming to market at outrageously high launch prices that put profit over the needs of patients and our health care system. P4AD’s David Mitchell told Bloomberg that these treatments will be “miraculous,” but a pressing question looms for patients about how to reach a fair price. Patients like David may one day turn to second line treatments like gene therapy to treat their conditions and will depend on the price being within reach. We need to address the high launch prices that Big Pharma charges patients and taxpayers. Drugs don’t work if people can’t afford them. — (Bloomberg)
PRICE GOUGING ALERT: This week we learned Pfizer plans to set the U.S. price for its COVID-19 antiviral treatment Paxlovid at nearly $1,400. That’s more than double what the government currently pays and far more than what it costs to make. Outrageous.
Have a great weekend!
Welcome to the Week in Review.
1. Senators Celebrate Drug Price Reforms With Patients
This week, Senators met with constituents in their states — and the drug price reforms in the Inflation Reduction Act were top of mind. Senators TimKaine and TammyBaldwin discussed the benefits of lower negotiated prices for patients on Medicare and the $2,000 cap on out-of-pocket costs in their respective states. At a roundtable led by Senator Jacky Rosen and Centers For Medicare & Medicaid Services (CMS) Director Meena Seshamani, an outpour of Nevada residents in attendance praised the $35 monthly insulin copay cap as a huge relief to their drug costs. “I was an immediate beneficiary of the drop in insulin rates,” said David Berman, a retired attorney who lives with type 1 diabetes and participated in the roundtable discussion. “We were paying the $70 a month (per dose) and starting at the beginning of the year, $35 a month. That adds up.” In New Mexico, Senator Luján hosted a town hall with health care experts and local advocates who all touted the monthly insulin copay cap as a victory for patients on Medicare. “I am proud to have helped enable Medicare to negotiate the price of drugs,” Senator Baldwin remarked. “Negotiating drugs under Medicare will not only help our seniors but it will help drive down prices for those with private health insurance.” Couldn’t agree more – the Inflation Reduction Act provides the long-awaited relief millions of patients desperately need. — (WTVR, Richmond Times-Dispatch, Office of Senator Tammy Baldwin, The Freeman, Las Vegas Sun, Albuquerque Journal)
2. Medicare Negotiation: A Monumental Step For Patients
Health care experts and advocates continued to debunk Big Pharma’s weak claims about Medicare negotiation and highlighted the many ways the new program will help patients. P4AD’s Merith Basey sat down with MedCity News at the 2023 HLTH Conference to discuss how the Medicare negotiation program is highly favorable among people living in the U.S. “Recent polls have also shown that it doesn’t matter on which side of the aisle you sit. Over 80% of people in this country believe that Medicare should negotiate.” In a letter to the editor, Dr. Elmore Rigamer explained that U.S taxpayers fund a large share of basic research leading to new drugs. LA Times Columnist Michael Hiltzik penned a piece about how Big Pharma is “whining about having to negotiate with Medicare,” when clearly the industry isn’t strapped for cash: “As the Democratic staff of the House Oversight and Reform Committee reported in December 2021, the largest drug companies spent more on dividends and stock buybacks ($578 billion) than R&D ($522 billion) from 2016 through 2020,” Hiltzik explained. Drug corporations’ efforts to thwart negotiations won’t withstand. Patients have faced the high cost of prescription drugs for too long, and lower negotiated prices are on the way. — (AARP, MedCity News, The Advocate, The Los Angeles Times)
3. Momentum For Reforming Our Patent And Regulatory Systems
More momentum this week to restore fairness in our patent system and allow competition to lower drug prices for patients. The Center For American Progress (CAP) published a new report that highlights our rigged drug price system and recommends key bipartisan legislation to curb abuses of the patent system by drug companies. The report dives into the different patent abuse tactics — like product hopping, patent thickets, and sham citizen petitions — that Big Pharma takes on to preserve its monopoly pricing power. In an op-ed, Montana Rep. Mike Yakawich further echoed that there are currently bipartisan solutions in Congress to rein in Big Pharma’s aggressive patent abuses. Registered Nurse Jaclyn Clark penned an op-ed that explains how these “perverse and unfair practices” lead to the high prices that Mainers are paying at the pharmacy. Patients deserve access to medications they need at prices they can afford. We urge the Senate to pass bipartisan legislation to advance legislation that curb these abuses of our patent and regulatory system and promote competition to lower drug prices. — (Center For American Progress, Ravalli Republic, Portland Press Herald)
Have a great weekend!
Welcome to the Week in Review.
1. A Big Win For Medicare Negotiation
It’s official — Medicare has started negotiations with all the makers of the first 10 drugs selected. P4ADNow’s Merith Basey celebrated this important step inthe movement towardsloweringprices for the millions of patients who take these essential and costly medications including cancer treatments, blood thinners, autoimmune disease treatments, and some diabetes drugs. According to the White House, “the 10 drugs selected for negotiation accounted for $3.4 billion in out-of-pocket costs for an estimated 9 million Medicare enrollees in 2022.” Lower negotiated drug prices will bring savings to millions of patients on Medicare when the negotiation program takes effect in 2026. It comes as no surprise that voters across party lines support implementation of the Medicare negotiation program and overwhelmingly — by more than a five-to-one margin — oppose the lawsuits trying to halt the negotiation process. We’ll keep fighting for successful implementation of Medicare negotiations to ensure patients and taxpayers get a better deal on these widely-used, high cost medications. — (P4ADNow, CMS, The New York Times, The White House, Times-News, Forbes)
2. Push For Competition To Lower Drug Prices
Patients have been financially burdened by expensive prescription drugs for far too long and urgently need generic and biosimilar competition to enter the market to lower prices. Compared to peer nations, the U.S. spends more than twice as much on prescription drugs per person, according to a recentstudy by the Commonwealth Fund. The authors of the study found that prescription drug prices are two to three times those in other nations, with branded drugs accounting for 80 percent of prescription drug spending. These essential medications are priced out of reach for patients, who are forced to risk putting their health in jeopardy by not taking their drugs as prescribed. A CDC report in 2021 estimated that of the “60% of adult Americans who took at least one prescription drug in the past year, 9.2 million (8%) did not take their medications as prescribed to save money.” This is not acceptable. A solution? Generics and biosimilars can drive down prices. A recent Department of Health and Human Services (HHS) report found that biosimilars have significantly lowered costs for patients on Medicare and assessed that they can be used more widely to increase savings. Thankfully, there is a real opportunity in Congress to pass bipartisan legislation that increases generic and biosimilar competition to lower drug prices for patients. Let’s get it done. — (Medical Economics, Commonwealth Fund, Public Citizen, CDC, HHS, Politico)
3. Patients Need Affordable Vaccines
Everyone deserves access to live-saving vaccines. Yet, even when research leading to the development of vaccines is primarily taxpayer funded, Big Pharma often swoops in once they are considered profitable, and is able to dictate their price. This week, two pioneering scientists — Katalin Karikó and Drew Weissman — whose decades-long research in mRNA technology lead to the development of the COVID-19 vaccines, were awarded the Nobel Prize in Physiology or Medicine. P4AD’s David Mitchell applauded the scientists, and highlighted that the taxpayer grants funded their pivotal research and saved millions of lives: “The foundational work by Karikó, Weissman with the support of [the National Institutes of Health] NIH enabled the mRNA technology to be ready for development in record time when COVID-19 attacked the world in 2020.” In 2022, drug companies planned to raise the price of their COVID-19 vaccine more than six times what the U.S. government initially paid. Classic Big Pharma putting profits before patients. In a powerful essay published by ProPublica, Anna Maria Barry-Jester detailed how drug company GSK delayed rollout of its tuberculosis (TB) vaccine, developed with government and non-profit funding, to pursue more lucrative business opportunties. Profiteering from pandemics and deadly disease is abominable. The U.S. government and taxpayers deserve better, especially after footing the bill for key research that has helped and improved countless lives. — (The New York Times, ProPublica)
Have a great weekend!
Welcome to the Week in Review.
1. A Big Win For Medicare Negotiation
Marking an historic step in ensuring successful implementation of the Medicare negotiation program, a federal judge issued a court ruling yesterday that denied the Chamber of Commerce’s lawsuit to halt the negotiation process. P4ADNow’s David Mitchell celebrated the news following the announcement: “Today’s court ruling is an important victory for patients and all Americans, and demonstrates the weakness of the industry’s objections to Medicare negotiation to lower prescription drug prices under the Inflation Reduction Act.” This ruling comes just before the October 1 deadline for manufacturers of the first 10 eligible drugs selected for negotiation to sign an agreement with Medicare to participate in the process. For patients on Medicare, lower negotiated prices will mean lower out-of-pocket costs and increased use of these expensive drugs. As a reminder, these 10 drugs eligible for negotiation include cancer treatments, blood thinners, autoimmune disease treatments, and diabetes drugs. Considering that prescription drugs cost “2.56 times more” than in other countries, it’s clear why 80 percent of Americans support the new law allowing Medicare to negotiate lower drug prices. Mark, an AARP member from Rhode Island, knows the stress of trying to afford high cost medication all too well: “I am unable to afford the thousands of dollar co-pays for the rheumatoid arthritis drug Enbrel…I had to skip dosages.” With Enbrel on the list of the first 10 drugs to be negotiated, patients like Mark will get a better deal on this high priced medication and worry less about going without. We are eager for the negotiation process to begin in October – it’s time for Medicare, for the first time ever, to have a say in negotiating a fair price for these outrageously priced medications. — (CNBC, KFF, Commonweal, AARP)
2. Time To Stop Big Pharma Patent Abuses
Amidst a potential government shutdown, elected officials and drug price experts continue to advocate for reforms that address abuses of our patent and regulatory systems and encourage generic and biosimilar competition to be included in the omnibus package. In an interview with Salon, Senator Amy Klobuchar deftly explained the tactics that Big Pharma employs to preserve their monopolies like “pay-for-delay,” “product hopping,” and abuse of the citizen petition process. Thankfully, Senator Klobuchar is leading bipartisan legislation to curb these patent and regulatory abuses and encourage generic competition coming to market. Professor Sean Tu explained to STAT that years of patent abuses by Big Pharma has led to outrageous profit margins: “Humira made $21 billion last year. From what I understand, that is as much as McDonald’s.” Tu continued, “the fact that the moment a patent expires competition leads to dramatic price drops is a quintessential case of markets regulating themselves … and they shouldn’t be allowed to exploit loopholes to extend monopolies.” Drug companies game our patent and regulatory systems so they can pad their pockets with profit by setting outrageous prices. We need to pass bipartisan reforms to fix this injustice and lower drug prices for patients. — (Salon, The Blaze, STAT)
3. Sickle Cell Awareness & The Looming Question Of High Launch Prices
We’re on the cusp of remarkable, potentially curative cell and gene therapies coming to market, but the high price tags attached to these promising treatments draws concerns about how patients and the health care system will afford them. Treatments for sickle cell disease are on the horizon and patients are eager to access this new groundbreaking treatment. Approximately 100,000 people in the U.S. live with sickle cell disease, of which Black and Hispanic populations are disproportionately impacted. The two current gene therapies under FDA review are expected to be priced between $2 and $3 million dollars. The opportunity for patients who’ve faced a “lifetime of restricted activity and pain” to finally live a healthier lifestyle will be pushed further out-of-reach given this staggering price. We need to bring reforms to our system that address high-priced gene and cell therapies so that everyone can afford life-saving drugs. (CMS, Managed Healthcare Executive)
BONUS WATCH: Check out P4AD’s Bilingual Organizer & Program Assistant Jesse Aguirre celebrate National Hispanic Heritage Month in this new video! Worth a watch.
