Senator Grassley Signals a Possible Comeback for Drug Importation Legislation

With drug importation champion Senator Byron Dorgan’s departure from the Senate, advocates for lower drug prices were concerned that no one would step up to the plate. Raising the issue from the dead, in an interview yesterday with IowaPolitics.com, Senator Chuck Grassley (R-IA), who supported the Dorgan bill, has boldly picked up the torch unambiguously voicing his continuing support of the legislation to allow lower priced drug imports.

Senator Grassley’s frames the issue as follows:

“Giving American consumers access to imported prescription drugs would force pharmaceutical companies to re-evaluate this unfair pricing strategy and drive U.S. prices down. It’s a free-trade issue. American consumers are able to buy almost every other product available from other countries. The same should be true for prescription drugs.” (more…)

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Pay-to-Delay Settlements Benefit Companies, Not Consumers

We often report about policies affecting access to safe and affordable medication through personal drug importation, and advocate for laws that help American patients – not corporate profits. Like safe personal drug importation, faster access to generic drugs right here at home would make prescription drugs more affordable for uninsured and under-insured Americans. Unfortunately, last month the 2nd U.S. Circuit Court of Appeals made a decision that adversely affects consumers but benefits pharmaceutical manufactures of both brand and generic drugs. The court decided to decline a review of the “pay-to-delay” ruling of Arkansas Carpenters Health and Welfare Fund v. Bayer AG means that, once again, pharmaceutical profits are protected at the expense of greater consumer access to affordable medication.

The decision declares that Bayer, the manufacturer of Cipro, an anti-infection drug, is lawful in paying Barr Laboratories, a large generic drug manufacturing company, $400 million to not challenge Bayer’s patent, which protects the high price now charged for Cipro. When generic drug manufacturers successfully challenge the validity of a patent, they are able to more quickly manufacture and sell low-cost versions of the drugs. Settlements that prevent such patent challenges cost consumers $3.5 billion a year, according to Federal Trade Commissioner Jon Leibowitz.

The 2nd Court’s decision was based on that same court’s earlier ruling of In re Tamoxifen Citrate Antitrust Litigation, 466, F. 3d 187 (2006), which found pay-offs to generic drug companies do not violate anti-trust law. There have been 53 similar pharmaceutical patent settlements, resulting in a variety of drugs with prices out of reach for many American patients.

Such rulings indicate that American patients can only win if the issue is decided differently by the Supreme Court or, and more likely, Congress changes the law.

Senator Herb Kohl is one congressman looking to make this happen. Senator Kohl introduced the Preserve Access to Affordable Generic Drugs Act (S. 369), legislation, which is still pending, to combat the practice of pay-off agreements between pharmaceutical companies and reduce the number of pay-for-delay settlements that keep generic drugs off the market. This legislation would be a big step in protecting consumer’s interests and health costs, and we hope for its success.

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New AARP Report Shows Dramatic Brand Name Drug Price Hikes

AARP, the leading advocacy group for America’s seniors, released a new study confirming that brand name drug prices were way up – 8.3 % higher on average – in 2009. These large increases occurred during a year  when the consumer price index was actually down by .4% . The report also finds that over the past five years, brand-name drug costs have increased by 41.5%, during which inflation only rose by 13%. Noteworthy in this report is that its authors, responding to pharmaceutical industry critics who contested that prior AARP reports only looked at manufacturer prices, derived the current findings by calculating the average retail prices of over 200 popular brand name drugs.

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The diabetes drug Avandia has been making headlines due to some longstanding safety and side effect concerns. Some doctors and diabetes patients may now be considering alternative medication, such as Actos.  We think it is important to point out that both drugs cost thousands of dollars per year, and that the price of Avandia, as well as Actos, at U.S. pharmacies is about 5 – 10 times higher than in some other countries.  That in itself is a safety concern – as these drugs remain out of reach to many Americans. Furthermore, people who may switch to Actos will find that it is nearly twice as expensive as Avandia.

The National Diabetes Information Clearing House states, “According to the American Diabetes Association, people with diabetes spend an average of $11,744 a year on health care expenses—more than twice the amount spent by people without diabetes.” What’s more, a 2004 study by researchers at the University of Michigan and Veterans Affairs shows that about one in five older diabetes patients cannot afford necessary medications. Out of 812 people surveyed (50 years and older), 20% said they had skipped prescriptions in the past, almost one-third said they had to limit basic needs like heat and food, and 10% borrowed money, all to cover the costs of their diabetes medication. (more…)

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Rogue Pharmacy Connections Found In LegitScript.com’s Network

The LegitScript network of “approved” online pharmacies includes connections to rogue pharmacies, although this is something that LegitScript prefers not to disclose. In 2008, Cardinal Health, which has a number of LegitScript-approved Internet Pharmacies within its retail network, paid a settlement of $34 million to the U.S. Drug Enforcement Administration for allegedly shipping controlled substances to illegitimate online pharmacies. According to then DEA Acting Administrator Michele M. Leonhart:

“Cardinal’s negligent conduct contributed to our nation’s serious pharmaceutical abuse problem. This substantial civil penalty underscores DEA’s determination to prevent pharmaceutical diversion and protect the public health and safety by continuing to hold companies responsible if they fail to fulfill their obligations under the Controlled Substance Act.”
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$250 Medicare Drug Rebate Checks, A Small Start

It has reached mid-June and the first of an estimated 4 million health reform rebate checks will be sent out this week. These checks will go to Medicare enrollees who have already reached the Medicare drug plan coverage gap, known as the “doughnut hole,” and subsequent checks will be mailed out 45 days after other Medicare enrollees hit the hole. According to Medicare.gov, eligible recipients who reach the “doughnut hole” this year will receive this one-time rebate check to offer some immediate relief.

Our previous post noted that compared to the $3,610 gap, $250 doesn’t seem like a lot of money. In fact it is only one-fourteenth of the total cost seniors will have to pay to get out of that hole and back into government subsidized prescription drug territory. This realization is discouraging in itself, but added to the fact that drug companies are boosting their prices higher than ever, seniors are faced with diluted savings that make little to no impact on their financial access to necessary prescription drugs.

The $250 check some seniors will receive this week, and others throughout the year, is welcome relief, but until pharmaceutical manufacturer’s stop taking advantage of consumers in need by jacking drug prices, prescription abandonment, prescription non-adherence, and unavoidable debt, will undoubtedly continue to grow.

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“Free Drug Programs” – Patient Assistance Programs Require A Lot of Patience

“Free drug program” is the phrase often used to describe Prescription Assistance Programs, or PAPs—programs run by pharmaceutical companies that help qualifying American consumers acquire prescription medication.  Sometimes PAPs  cover a patient’s full drug costs, but in many cases  they only provide a discount. Qualifying is not easy and there’s a lot of paperwork, but we’re supportive in exploring all useful options when it comes to affording medication.

Access

Consumers can find these programs through their doctors, pharmacists, community clinics, directly from the drug companies or on the Internet. There are three major sites which provide information on who can apply and how to take advantage of the benefits: www.rxassist.org (created by Volunteers in Health Care, a Brown University Center for Primary Care and Prevention resource), www.pparx.org (led, in part, by the Pharmaceutical Researchers and Manufacturers of America) which offers a useful eligibility screening questionnaire), and www.needymeds.org (which earns revenue  though advertising and  has a clickable map for national and local programs). (more…)

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Senator Byron Dorgan (D-SD), who is leaving congress at the end of this term, continues to stand up to the pharmaceutical industry and on behalf of American consumers, as he is once again trying to push forward legislation that legalizes drug importation in a manner that could make prescription medication more affordable. In December of 2009, Dorgan introduced an amendment to H.R. 3590: Patient Protection and Affordable Care Act to legalize drug importation, which received 51 yeas and 48 nays, falling short of the 60 votes needed for passage. Now Dorgan plans to introduce his legislation as an amendment to the food safety bill, which is sponsored by John Dingell (D-Mich). Dingell, however, is an adamant opponent to drug importation and is against attaching the amendment to his bill. Read the details in The Hill.
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Pharmaceutical Drug Price Increases Diminish Savings of Healthcare Law Mandated Discounts

You should know that drug prices are going down in the European Union, which is good for consumers — if you live in Europe. On our side of the ocean, according to AARP’s most recent price report, US drug price increases are on an even greater tare than previously reported – almost 10% over the last year. Analysts suggest that pharmaceutical companies continue to jack up prices on brand name drugs so that government-mandated rebates have less impact on corporate profits. Other reasons may include the need to compensate for lower prices in Europe and a desire to squeeze more profits in the face of pending patent expirations on several blockbuster drugs, such as Lipitor in 2011.

The bottom line is that the more drug prices go up now, the less meaningful the Medicare drug plan discounts will be later. Additionally, higher drug prices can push up Medicare drug plan premiums (up 11% in 2010 already) and have a major impact on tens of millions without health insurance or a drug benefit.

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Healthcare Law and Prescription Drug Prices: The Devil Is In The Details…

We reported and discussed the generally positive changes to Medicare’s Part D brought about by the new healthcare law, including a 50% reduction of drug prices during the coverage gap (the “doughnut hole”) in 2011. But the devil is always in the details. According to AARP, federal regulations drafted by the Centers for Medicare and Medicaid (CMS) may provide loopholes for some insurers whereby not all plans would have to meet this requirement. The AARP notes that it will closely monitor the actions of pharmaceutical companies to ensure that they are living up to their commitments to bring down drug prices for our seniors and other Medicare enrollees. PharmacyChecker.com commits to do the same and to help those who are falling through the cracks by providing information about finding safe and affordable medication online.

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