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What FDA Commissioner Gottlieb’s Mission on Drug Prices Says about Importation

FDA Commissioner Scott Gottlieb, MD

This week, FDA Commissioner Scott Gottlieb said something revolutionary about the role of the FDA. For many years, the agency has maintained that its sole focus when it comes to regulating drugs is to ensure their safety and efficacy, but that drug prices are beyond its purview. In remarks pertaining to the FDA’s new initiative to speed up generic drug approvals of complex  pharmaceuticals, Gottlieb stated that “if consumers are priced out of the drugs they need, that’s a public health concern that FDA should address.”

To those who support safe importation of lower-cost medications, that statement was the shot heard around the world. Indeed, drug prices are a public health concern. If we’re using logic, reason, and commonsense, it becomes untenable from a public policy and health perspective, grounded in basic medical ethics, to prohibit or even discourage importation of lawfully-manufactured medication by individuals who can’t afford it locally. (more…)

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Why Pharma Is So Focused on Importation

Last weekend, Jay Hancock of Kaiser Health News wrote an article entitled “Everyone Says We Must Control Exorbitant Drug Prices. So, Why Don’t We?” I’ve been thinking about it all week, as it ubiquitously made the rounds among our community of activists, journalists, policy wonks, etc.—many passionate people that focus on drug pricing and viable solutions.

Mr. Hancock’s answer was most cogently provided by writing that momentum has slowed on drug prices: “amid rancorous debates over replacing Obamacare (…) stalled by roadblocks erected via lobbying and industry cash.” Yesterday, with the threat of Obamacare’s demise alleviated, it’s worth noting, Congressman Elijah Cummings (D-DE) called out President Trump’s inaction on drug prices and for flouting his campaign promises. I suspect there will be more hearings, and talk, and talk, and condemnation, more talk, and exasperation with Big Pharma, mostly from Democrats but also from Republicans.

While pharmaceutical company lobbying initiatives loom over Congress’ every move preventing legislation and regulatory reforms to actually help Americans, patients are forced to ration and tens of millions skip taking critical meds due to cost. Mr. Hancock gives a rundown of the policies on the table to tackle high drug prices: drug importation, transparency, Medicare drug price negotiations, improved generic availability and competition. (more…)

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Rural Areas Can Benefit from International Online Pharmacies

Rural america, far from pharmacies I’m from a small town outside of Houston, Texas called Wallis. To my New Yorker friends, Wallis may appear “rural,” but, with a trip downtown clocking in at 35 minutes on sprawling Texas tollways, it’s not exactly that far from essential medication, not to mention some of the nation’s best hospitals. Despite slipping in some not-so-sneaky boasting, I’m concerned about the millions of Americans who live in rural areas who cannot access the prescription medications they need.

For years, rural residents in the U.S. have faced even greater obstacles to health care than their urban friends, and that includes problems (more…)

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Pfizer Continues to Push Viagra Without a Prescription

Pfizer wants to sell Viagra to you without you having to go to your doctor to get a prescription first. Sorry Yanks—this only applies to our friends that live in the United Kingdom, but this is absolutely of interest to us Americans because of Pfizer’s history with misleading public information campaigns surrounding sildenafil citrate (the generic name for Viagra). Those campaigns scare people from lower-cost Viagra available online.

But why? The per pill cost of Viagra today is as high as $75/100 mg pill. That’s $450 for just six pills! If you look hard, you can find it for just under $60 at your local U.S. pharmacy. In Canada, it’s as low as about $11; New Zealand about $9. Compare Viagra prices available online from pharmacies that do require your prescription.

Now that you understand Pfizer’s financial interest in trying to make sure Americans buy locally, let’s talk about prescription requirements and Viagra.

Pfizer has spent considerable sums of money fighting online sales of Viagra in the name of protecting patients from getting counterfeit drugs and has warned consumers not to buy it without a prescription. That media narrative scares men from buying lower-cost, genuine Viagra online. This includes from online pharmacies that do require a valid prescription. I’ve told this Viagra truth before.

But where does Pfizer really stand on the prescription requirement? (more…)

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Diabetics Out in Full Force to Rock the Big Pharma Boat – #insulin4all

There is profound frustration and anger reverberating throughout the diabetic community due to the skyrocketing prices of insulin in the United States. Pharmaceutical companies like Novo Nordisk, Eli Lilly and Sanofi are charging out-of-reach prices for insulin medications necessary for diabetics’ survival.

On September 9th, 2017, over forty people gathered outside of Eli Lilly headquarters in Indianapolis to make a statement on behalf of American citizens living with diabetes and, in actuality, all Americans who face the highest drug prices in the world.

(more…)

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Topical Pain Medications Much Cheaper Outside the US

When it comes to the topic of pain medication these days, we usually read about prescription opioid abuse, which tragically claims tens of thousands of lives each year. According to a recent article in the New York Times, while the landscape of dangers is different, we should also be concerned about every day, over-the-counter pain medication. NSAIDs (nonsteroidal anti-inflammatory drugs) are common pain relievers you may keep around the house to relieve an occasional headache, toothache or post-workout soreness. They are also used to treat fever, arthritis, menstrual pain, migraines and inflammation. Aspirin, ibuprofen, and naproxen are among the over-the-counter NSAIDs you’re probably most familiar with.

Particularly for those with a history of coronary artery disease, NSAIDs can cause serious health issues because they can clog your blood vessels. For others, NSAIDs can do harm to your digestive tracts. Other side effects, according to the article, include, “ulcers, bleeding, kidney failure and, in rare cases, liver failure.”

It appears that topical formulations, such as ointments, perhaps have minimal or fewer side effects. Here’s the rub…(pun absolutely intended)

(more…)

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