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Post by ssiegel on Apr 25, 2017 19:08:34 GMT -5
Aimed at cutting insulin expenses for diabetics: www.usatoday.com/story/news/2017/03/30/nevada-coalition-wants-drugmakers-reimburse-diabetics/99817544/"The bill targets diabetes medications, which regulate glucose and insulin levels, and would require drugmakers to reimburse Nevada patients and insurers for what they pay above the highest price in other developed countries for the same prescriptions. Drugmakers would also have to reimburse people if American insulin prices increase more than inflation would suggest they should." |
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Post by peppy on Apr 25, 2017 19:15:57 GMT -5
Aimed at cutting insulin expenses for diabetics: www.usatoday.com/story/news/2017/03/30/nevada-coalition-wants-drugmakers-reimburse-diabetics/99817544/"The bill targets diabetes medications, which regulate glucose and insulin levels, and would require drugmakers to reimburse Nevada patients and insurers for what they pay above the highest price in other developed countries for the same prescriptions. Drugmakers would also have to reimburse people if American insulin prices increase more than inflation would suggest they should." quote: would require drug makers to reimburse Nevada patients and insurers for what they pay above the highest price in other developed countries for the same prescriptions.
Reply: Europe and Canada negotiate the price of drugs they cover with the drug makers? This could start the same negotiating process here in the USA?
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Post by otherottawaguy on Apr 26, 2017 7:23:44 GMT -5
Canadian Details: Starting in 2010 the provinces in Canada have banded together to negotiate prices (read: beat up on pharma). The following is an excerpt from the association website: April 2016 Update: On April 1, 2016, the pan-Canadian Pharmaceutical Alliance (pCPA) issued the First Principles for Subsequent Entry Biologics (SEBs) to guide negotiations and inform expectations. February 2016 Update: All 13 Provinces and Territories have been working together to achieve greater value for brand name and generic drugs for publicly funded drug programs. These initiatives, formerly known as the Pan-Canadian Pricing Alliance and the Generic Value Price Initiative, are now referenced collectively as the pan-Canadian Pharmaceutical Alliance (pCPA). Nova Scotia is currently co-leading with Saskatchewan on the generic drugs initiative and with Ontario on the brand name drugs initiative. We are pleased to announce that the Federal Drug Plans are now participating in the pCPA. We look forward to their involvement in both Brand and Generic efforts by the pCPA. An Office with dedicated staff to support the work of the pCPA is being hosted in Ontario. The decision to establish an Office of the pCPA (Office) was informed by the work completed by IBM Canada Ltd based on a review of international best practices and broad consultation with both internal and external stakeholders. The report is titled “Pan Canadian Drugs Negotiation Report” (Report) and can be found at the bottom of this page. The following tables provide information on: • Active drug product negotiations (as of March 31, 2017) link• Complete and closed drug product negotiations (as of March 31, 2017) link• No negotiations (as of March 31, 2017) link• Product negotiations being considered by each province/territory (as of March 31, 2017) linkOOG |
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Post by agedhippie on Apr 26, 2017 8:13:35 GMT -5
To give this perspective here are some Humalog prices (US prices from GoodRx):
5 x 3ml KwikPen (for use with BD pen needles).
UK = $37.71 ( £29.46 )
US = $511.67
1 x 10ml vial
UK = $21.26 ( £16.61 )
US = $269.01
I think I saw somewhere that insurers actually pay just over $100 for 5 pens, that is still 3 x the UK price.
Of course in the UK insulin is free to the consumer because it's effectively a single payer system and it's cheaper to control diabetes than treat complications - US insurers lack that incentive. Some options are not available, it's hard to get Tresiba for example, but on the other hand you can buy 5x3mL Tresiba pens for $60 ( $462.00 in the US ).
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Post by mnkdfann on Apr 26, 2017 8:38:58 GMT -5
"The bill targets diabetes medications, which regulate glucose and insulin levels, and would require drugmakers to reimburse Nevada patients and insurers for what they pay above the HIGHEST price in other developed countries for the same prescriptions."
Not quite sure how to read the above, but it sounds like the drug company gets the benefit of a very favourable comparison. It only has to match / reimburse agaist the highest price available outside the U.S. So comparisons to Canada or the U.K. may be moot.
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Post by ssiegel on Apr 26, 2017 17:53:05 GMT -5
"The bill targets diabetes medications, which regulate glucose and insulin levels, and would require drugmakers to reimburse Nevada patients and insurers for what they pay above the HIGHEST price in other developed countries for the same prescriptions." Not quite sure how to read the above, but it sounds like the drug company gets the benefit of a very favourable comparison. It only has to match / reimburse agaist the highest price available outside the U.S. So comparisons to Canada or the U.K. may be moot. Is there any other country outside the of US that doesn't have socialized medicine? |
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Post by mnkdfann on Apr 26, 2017 18:07:11 GMT -5
"The bill targets diabetes medications, which regulate glucose and insulin levels, and would require drugmakers to reimburse Nevada patients and insurers for what they pay above the HIGHEST price in other developed countries for the same prescriptions." Not quite sure how to read the above, but it sounds like the drug company gets the benefit of a very favourable comparison. It only has to match / reimburse agaist the highest price available outside the U.S. So comparisons to Canada or the U.K. may be moot. Is there any other country outside the of US that doesn't have socialized medicine? I don't know, but online I see Turkey, Syria, and Mexico as the only other major countries without universal healthcare. I wasn't claiming Canada and the U.K. were the only ones to have it, just in case that's any part of what you were getting at. But it's tricky. Even the U.S. has socialized medicine for very significant portions of its population (e.g., Vets, Indians, the elderly, etc.). |
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