« prev   random   next »

6
0

EpiPen Price Rise Sparks Concern for Allergy Sufferers

By zzyzzx follow zzyzzx   2016 Aug 24, 11:53am 10,246 views   66 comments   watch   nsfw   quote   share    


http://well.blogs.nytimes.com/2016/08/22/epipen-price-rise-sparks-concern-for-allergy-sufferers/

A steep increase in the price of the EpiPen, a lifesaving injection device for people with severe allergies, has sparked outrage among consumers and lawmakers who worry that parents won’t be able to afford the pens for children heading back to school.

With a quick stab to the thigh, the EpiPen dispenses epinephrine, a drug that reverses swelling, closing of the airways and other symptoms of a severe allergic reaction to bee stings, peanuts or other allergens.

Mylan, the pharmaceutical company, acquired the decades-old product in 2007, when pharmacies paid less than $100 for a two-pen set, and has since been steadily raising the wholesale price. In 2009, a pharmacy paid $103.50 for a set. By July 2013 the price was up to $264.50, and it rose 75 percent to $461 by last May. This May the price spiked again to $608.61, according to data provided by Elsevier Clinical Solutions’ Gold Standard Drug Database.

Doctors advise allergic patients to carry two EpiPens with them at all times in case an extra dose is needed to quell a severe reaction. Most parents buy multiple EpiPens for home, in the car and school and may replace them annually, depending on the expiration date.

Mylan has declined to comment on the price hike, issuing a statement pointing the finger at high-deductible health plans that require consumers to pay much more out of pocket for many drugs. The company said a $100 coupon they offer for the product means most people don’t pay anything for the pens.

But how the price hike affects consumers varies widely, depending on the prices charged by their local pharmacy and the details of their insurance plan. People without insurance or with high-deductible insurance plans can’t always use the coupon and are paying about $640 a set, said Michael Rea, the chief executive of Rx Savings Solutions in Overland Park, Kan. Other patients say that even with good insurance, their copayments are as much as four times higher than in the past.

Naomi Shulman of Northampton, Mass., has a 12-year-old daughter who is allergic to cashews and keeps EpiPens at home and school. Last year, Ms. Shulman’s out-of-pocket copayment for an EpiPen two-pack was $100. But because EpiPens may expire after a year, Ms. Shulman had to buy another two-pack to send along to her daughter’s camp this summer. Her cost for the same two pens was $400.

“I called the insurance company and asked why it was so high and was told that, actually, it’s $700 total, and my co-pay is $400,” she said.

Lauren Barr of Clark, N.J., said her copayment on EpiPens has risen from $141 to $245 in a year, and she will spend $735 this year for a supply of three EpiPen sets. Her 6-year-old daughter Leah is allergic to rice, tree nuts and mushrooms.

“The price of EpiPens has been getting progressively worse over the years, but now it is just obscene,” Ms. Barr said.

The price hike has caught the attention of Washington lawmakers. Senator Amy Klobuchar, Democrat of Minnesota, who has a daughter who carries an EpiPen, has called on the Senate Judiciary Committee and the Federal Trade Commission to review whether the price hikes violate any anti-competition rules. Last year, the drug maker Sanofi recalled a competing product, Auvi-Q, because it may not have been delivering the correct amount of epinephrine, leaving the EpiPen as the primary emergency treatment for severe allergic reactions.

“This is a mainstream product that people carry, and it’s getting harder and harder for people to afford it,” said Senator Klobuchar. “It’s just another example of what we keep seeing, outrageous price increases when a monopoly situation ends up in a company’s lap.”

Senator Chuck Grassley of Iowa called on Mylan to explain the price hikes, noting that they impose a burden on both parents and school districts, who often keep supplies of the pen at the ready.

A petition to Congress protesting the price increase, called “Stop the EpiPen Price Gouging,” has emerged on social media. It has collected more than 48,000 signatures.

In April, a pharmacist told Sarah Brown of Boulder, Colo., that her copayment on an EpiPen two-pack would be $585, even with a $100 coupon from Mylan. She said she had no choice but to take her chances and hold on to her expired EpiPens instead. “It was a gamble,” she said.

#corruption #pricegouging #mylan

« First    « Previous    Comments 27 - 66 of 66    Last »

28   Quigley   ignore (2)   2016 Aug 25, 6:28am     ↓ dislike (0)   quote   flag        

bob2356 says

Poor Teva being put out of business by the fda. They only have 15% YOY revenue increase for 2016 up to 22.4 billion with net profit margin up from 13% to 25%. My heart bleeds that they are being picked on by the fda..

Why are you so partisan, bob? This is a clear-cut case of capitalist gouging of the consumer, made possible by government cronyism and corruption.
But you defend it? At this point you can't even call yourself a liberal, just a Democrat team-player, along for the ride as they go into Nero territory.

29   mell   ignore (3)   2016 Aug 25, 8:45am     ↓ dislike (0)   quote   flag        

zzyzzx says

Article fails to mention how the government is currently blocking the generic equivalent that Teva wants to make.

I'm much long ATRS (may have mentioned that before) which in partnership with TEVA supplies the generic version. Good publicity for the stock. Still a good time to jump in into this turnaround story.

Ironman says

bob2356 says

Their version of the epi pen failed trials and was rejected by the fda. Teva is modifying their pen and expect to try again next year.

Oh Bullshit Bobby. Do you really think with today's technology it is so difficult to design a delivery device that works?

Agreed, The generic version should have been approved, but there's lots of politics and protection of major drug makers. Same thing happened for very long with Shire who was protected from Chelsea's doxidropa which eventually got approved after giving Shire many more years of $$$ for their inferior drug. The "concerns" some of the FDA panel members came up with were astounding to put it mildly ;) Too much politics and crony protection everywhere in politics these days.

http://nypost.com/2016/08/24/ceo-who-gouged-price-of-epipen-is-daughter-of-democrat-senator/

30   turtledove   ignore (0)   2016 Aug 25, 8:52am     ↓ dislike (0)   quote   flag        

Dan8267 says

Technically illegal due to capitalists buying senators

Humm... My IVF patients do it all the time. I just provide the prescription. What they do with it afterward is their business. But most of them are doing it because they can get their meds for $2,000 vs $6,000. For some of these patients it's the difference between being able to afford to do the cycle, at all. I find it ironic that the parts of IVF that have gone up are the facility portion (anesthesia) and the drug portion. The rest has remained stable for 30 years! Interesting how it's the part that is NOT ever covered by insurance where the prices stayed the same (even went down on certain things).

31   anonymous   ignore (null)   2016 Aug 25, 9:15am     ↓ dislike (0)   quote   flag        

Interesting how it's the part that is NOT ever covered by insurance where the prices stayed the same (even went down on certain things).

------------

Not sure interesting is the word you were looking for here

32   CornPoptheOriginalGangster   ignore (5)   2016 Aug 25, 9:42am     ↓ dislike (0)   quote   flag        

Dan8267 says

Patent laws written by big corporations.

Yep. And just wait until TPP passes.

The TPP member states have surrendered their sovereign right to define ‘patentability’ criteria. Not only have they have surrendered their right, they have agreed to grant patents for:

a) new uses of a known product;
b) new methods of using a known product, or;
c) new processes of using a known product.

This would lead to the “evergreening” of patents and result in an average extension of monopoly by at least five years. Some can stretch it beyond five years, as was done by Novartis AG for Gleevec (imatinib). This would encourage innovators to go for low-hanging fruits at the cost of more difficult-to-succeed efforts. Generics will slow down and patients will have to wait longer for affordable treatments.


http://www.ip-watch.org/2015/12/02/impact-of-the-tpp-on-the-pharma-industry/

33   Dan8267   ignore (3)   2016 Aug 25, 10:24am     ↓ dislike (0)   quote   flag        

turtledove says

What they do with it afterward is their business.

We live in a global economy. I have to compete with cheap third world labor for my talents. Companies should have to compete with foreign competition for their products. Either you should not be able to outsource IT or everyone should be able to outsource pharmaceuticals. It is utter hypocrisy to allow companies to buy labor from any market but not allow consumers to buy goods and services from more than one market, and one that is severely restricted.

34   Dan8267   ignore (3)   2016 Aug 25, 10:26am     ↓ dislike (0)   quote   flag        

thunderlips11 says

Yep. And just wait until TPP passes.

Another reason to vote against Hillary. She's all for the TPP except when she thinks it's unpopular and says she's against it, but you know she's really for it.

http://www.politifact.com/truth-o-meter/statements/2015/oct/13/hillary-clinton/what-hillary-clinton-really-said-about-tpp-and-gol/

35   CornPoptheOriginalGangster   ignore (5)   2016 Aug 25, 10:27am     ↓ dislike (0)   quote   flag        

Dan8267 says

It is utter hypocrisy to allow companies to buy labor from any market but not allow consumers to buy goods and services from more than one market, and one that is severely restricted.

Surprise! Treaties written by big Multinationals favor themselves. The ideology is only the pastiche; money is the object.

It's why you have companies that hate paid sick days or holidays, letting their largely immigrant workforce take the day off to protest immigration enforcement.

On the minimum wage, healthcare, holidays, sick leave, safety, outsourcing, etc. corporate America is mostly dyed in the wool greedbags. But we're supposed to believe when it comes to Immigration and Insourcing, they honestly have the best interests of everybody in mind, and if you don't agree you must be a racist.

36   turtledove   ignore (0)   2016 Aug 25, 10:29am     ↓ dislike (0)   quote   flag        

Dan8267 says

and one that is severely restricted.

No doubt under the guise of public safety.

Though in that regard, I should mention that it's estimated that half of the world's drugs are adulterated (in other words, watered down for profit). The FDA guards against that. So you do take your chances when you order stuff from certain countries. But I wouldn't consider Canada to be one of those countries...

37   missing   ignore (1)   2016 Aug 25, 10:36am     ↓ dislike (0)   quote   flag        

turtledove says

Humm... My IVF patients do it all the time. I just provide the prescription.

Are there restrictions for using prescriptions abroad, and from abroad? My mother was visiting some time ago and wrote perscription for antibiotics for herself (she is a doctor). The pharmacy refused to honor it.

38   turtledove   ignore (0)   2016 Aug 25, 10:47am     ↓ dislike (0)   quote   flag        

FP says

Are there restrictions for using prescriptions abroad, and from abroad? My mother was visiting some time ago and wrote perscription for antibiotics for herself (she is a doctor). The pharmacy refused to honor it.

Depends. Here you need a valid prescription from a doctor who is licensed in the US. My husband has licenses in several countries, so it doesn't really come up as a problem for him. He can write here, of course, the UK, Ireland... and then the UK registry has reciprocity with other countries... So, Dubai recognizes the UK license, HK used to... that's probably changed, though.

I'm not sure how my patients get away with filling their prescriptions through the Canadian pharmacy. The Canadian pharmacy must have a US office that they run US generated scripts through. Because I've never had a patient tell me she had to get a duplicate script from a Canadian doctor... and I know that Canada doesn't accept scripts written by doctors who don't hold a Canadian license. But, it works. If the shipment were to get stuck in customs, the DEA just cares that you have a US prescription, so patients are covered on that end. If it got stuck on the other side of customs, you might have a problem. Not a huge problem... You'd just need to find a local doc to rewrite the prescription. That wouldn't be a big deal with fertility medications... Now if you're talking narcotics, that would be a much more serious issue.

39   Dan8267   ignore (3)   2016 Aug 25, 10:59am     ↓ dislike (0)   quote   flag        

thunderlips11 says

a) new uses of a known product;

b) new methods of using a known product, or;

c) new processes of using a known product.

All of which go entirely against the alleged purpose of patents, to encourage innovation. All of these things stifle innovation.

If I discover a way of using smartphones to cure cancer, why would I spend my time and effort developing a cancer curing app if Apple gets all the profits because I'm using their product in a new way? Capitalism is incompatible with free markets and innovation. Those who own the means of production and distribution do not want other people inventing new means of production and distribution for doing so circumvents their control and their ability to siphon all wealth creation.

40   bob2356   ignore (4)   2016 Aug 25, 2:23pm     ↓ dislike (0)   quote   flag        

Quigley says

bob2356 says

Poor Teva being put out of business by the fda. They only have 15% YOY revenue increase for 2016 up to 22.4 billion with net profit margin up from 13% to 25%. My heart bleeds that they are being picked on by the fda..

Why are you so partisan, bob? This is a clear-cut case of capitalist gouging of the consumer, made possible by government cronyism and corruption.

But you defend it? At this point you can't even call yourself a liberal, just a Democrat team-player, along for the ride as they go into Nero territory.

What is partisan? Where in the world do you see a defence of anything? Just pointing out that as usual iron brain has his head up his ass. The problem with epi pens is the patent system, not the fda despite the usual knee jerk bullshit of the terminally and wilfully uninformed who have spent so many years rattling around the right wing echo chamber that they no longer have even the faintest grasp of reality. How exactly do you see that as liberal or democratic team player? I was a registered republican for 30 years until bush rove, and darth cheney destroyed the party. No one I know has ever considered me liberal. But I'm not batshit crazy right wing nut either, so to the low wattage posters who are batshit crazy right wing nuts anyone left of hitler is a liberal.

Ironman says

Oh Bullshit Bobby. Do you really think with today's technology it is so difficult to design a delivery device that works?

I don't know. Teva accepted the fda's findings and is redesigning. Want to fill us in on how you know more than the manufacturer about it? Totally lacking in your tin foil hat scenario is any reason whatsoever that some gs scale fda employee would care which company makes the money.

41   bob2356   ignore (4)   2016 Aug 25, 2:41pm     ↓ dislike (0)   quote   flag        

FP says

turtledove says

Humm... My IVF patients do it all the time. I just provide the prescription.

Are there restrictions for using prescriptions abroad, and from abroad? My mother was visiting some time ago and wrote perscription for antibiotics for herself (she is a doctor). The pharmacy refused to honor it.

You need a dea number to write scripts for controlled substances in the US. Non controlled just needs a us medical lic in theory, but many states require a dea number for all scripts. Some states don't fill out of state scripts in certain circumstances . Texas requires a script on a texas script pad for controlled as an example.

Prescriptions abroad are country by country.

42   turtledove   ignore (0)   2016 Aug 25, 6:08pm     ↓ dislike (0)   quote   flag        

bob2356 says

You need a dea number to write scripts

And you need a license to have a dea number. Seriously, you don't have to split hairs on every little thing, do you? Obviously, we have both a license and a dea number.... and an NPI number and a tax ID number... But by saying licensed, we were referring to the ability to prescribe in the US, in general. We assumed that the person had a dea number or obviously he/she wouldn't be prescribing anywhere.

43   indigenous   ignore (0)   2016 Aug 25, 6:53pm     ↓ dislike (0)   quote   flag        

What is you all's take on this?

44   MMR   ignore (0)   2016 Aug 25, 7:16pm     ↓ dislike (0)   quote   flag        

If you can get your hands on vial and know how to dose it, you canIronman says

It never stops you from proving what an idiot you are.

While not always right (claiming that primary care doctors would not have patients if they don't round on their patients in hospital)....he's not an idiot...

He feigns stupidity to start arguments

45   bob2356   ignore (4)   2016 Aug 25, 7:44pm     ↓ dislike (0)   quote   flag        

turtledove says

And you need a license to have a dea number. Seriously, you don't have to split hairs on every little thing, do you?

Read more carefully. I was responding to the comment about prescriptions abroad and from abroad, not to you.

46   bob2356   ignore (4)   2016 Aug 25, 7:46pm     ↓ dislike (0)   quote   flag        

Ironman says

Yes, It's the greedy Pharma's Fault!!!

Very good, now you are starting to figure it out. Perhaps there is some dim flicker of hope for you after all.

47   bob2356   ignore (4)   2016 Aug 25, 7:52pm     ↓ dislike (0)   quote   flag        

Ironman says

bob2356 says

I don't know.

You prove that every time you put your hands on the keyboard and respond here. It never stops you from proving what an idiot you are

You certainly would know. No one on patnet knows more about proving themselves to be an idiot than you.

48   MMR   ignore (0)   2016 Aug 25, 8:02pm     ↓ dislike (0)   quote   flag        

Ironman says

Yes, It's the greedy Pharma's Fault!!!

In fairness, this product has been on market for a long time and is not exactly a ground-breaking technology that can't be duplicated by someone else for a fraction of what it's being sold for.

Someone has to jack up the price. Of course, they are in cahoots with the FDA which is just a revolving door between government and the private sector

It's convenient that the ceo of the company is using her dad and lobbyists to protect their profits. Not really capitalism but rather crony capitalism at its finest

These types of events raise the cost of healthcare maybe more so than obamacare.

49   APOCALYPSEFUCKisShostikovitch   ignore (43)   2016 Aug 26, 3:55am     ↓ dislike (0)   quote   flag        

MyLan and its investors should be awarded the Medal of FREEDOM! for fucking America in the ASS!, exactly the way the Founding Fathers intended.

50   bob2356   ignore (4)   2016 Aug 26, 8:10am     ↓ dislike (0)   quote   flag        

MMR says

In fairness, this product has been on market for a long time and is not exactly a ground-breaking technology that can't be duplicated by someone else for a fraction of what it's being sold for.

Someone has to jack up the price. Of course, they are in cahoots with the FDA which is just a revolving door between government and the private sector

It's convenient that the ceo of the company is using her dad and lobbyists to protect their profits. Not really capitalism but rather crony capitalism at its finest

These types of events raise the cost of healthcare maybe more so than obamacare.

Of course it can be duplicated at a fraction of the cost. As can every other item made under patent. You guys really need to make up your minds. First high prices and patents are necessary because without them there would no research, but then when companies charge high prices it's bad. Lobbying is free speech, lobbying is crony capitalism. Regulations are bad, why isn't crony capitalism regulated. Obedience is freedom, freedom is obedience. Which is it?

When will you be documenting how the fda rejected the Vega epi to protect the profits of Mylan along with the collusion between Bresches? Tin foil hat getting a little tight?

As pharma stooge ironman accidentally (the only way he gets anything right) got right, it's greedy Pharma's fault. No shit sherlock. That's what corporations do, maximize profits any way they can. There is no corporate rules of queensberry to play fair. If paying off politicians with donations and lobbying perks to get favourable laws and corporate welfare gives the best ROI then corporations will do it. Amazing the far right constantly screams for a free market then has a shit fit when it works out against them. Be careful what you wish for, you may get it.

Someone once said corporations are like small children and satellites. Without adult supervision they will wander off and get into trouble.

DieBankOfAmericaPhukkingDie says

MyLan and its investors should be awarded the Medal of FREEDOM! for fucking America in the ASS!, exactly the way the Founding Fathers intended.

Hooray, someone who understands how the world really works.

51   indigenous   ignore (0)   2016 Aug 26, 8:20am     ↓ dislike (0)   quote   flag        

The problem is too much government meddling which enriches congress.

It is our fault for not pushing for more and more nullification.

52   HydroCabron   ignore (1)   2016 Aug 26, 8:30am     ↓ dislike (0)   quote   flag        

Yes, it's for "the children."

Liberal sentimentality aside, there are tens of millions of children and allergy sufferers in the United States. This is an oversupply. I see no reason why we should keep the weak ones alive through artificial, expensive drugs provided by big PHaRmA. If you go to the muffler shop, you're coming back with a muffler. These substances certainly make the situation worse: diet plus homeopathic pyramids and harmonic resonance are the real solution.

If children were precious, disruptive Bay Area VC firms would fund them. Under such a scenario, any price for their (useless) medications would be easily met. For now, however, it's clear that kids are just not cost-effective.

There are over 7 billion humans in the world. They are not a resource to be treasured. Only a handful of them (extreme geniuses plus Rachel McAdams and Helen Mirren) are unique snowflakes. The rest of us are just so much protein.

53   anonymous   ignore (null)   2016 Aug 26, 8:57am     ↓ dislike (0)   quote   flag        

Sarcasm and ridiculing anyone critical of the system is the only chance we have at fixing it.

Vote Clinton in '16, because Trump is very insensitive!

54   HydroCabron   ignore (1)   2016 Aug 26, 9:04am     ↓ dislike (0)   quote   flag        

errc says

Vote Clinton in '16, because Trump is very insensitive!

Robert Byrd (mourned by the NAACP on his passing) is a big ol' racist, same as crooked bigot Hillary!

Trump (who actively discriminated against black renters), Milo and David Duke are not racist!

55   indigenous   ignore (0)   2016 Aug 26, 9:07am     ↓ dislike (0)   quote   flag        

Milo is a racist?

56   HydroCabron   ignore (1)   2016 Aug 26, 9:18am     ↓ dislike (0)   quote   flag        

HydroCabron says

Milo is a racist?

"Alt-right" is soft PC-speak for "racist."

57   indigenous   ignore (0)   2016 Aug 26, 9:22am     ↓ dislike (0)   quote   flag        

A conservative queer who speaks for Libertarian ideas is a racist?

https://www.facebook.com/myiannopoulos/videos/730718597066038/

58   HydroCabron   ignore (1)   2016 Aug 26, 9:51am     ↓ dislike (0)   quote   flag        

indigenous says

A conservative queer who speaks for Libertarian ideas is a racist?

Yes: A shocking coincidence, but 'tis true!

59   HydroCabron   ignore (1)   2016 Aug 26, 9:53am     ↓ dislike (0)   quote   flag        

Ironman says

"Alt-right"

Hurr, durr ... that's what they call themselves.

Same as how they refer to slaves as "agrarian interns."

60   indigenous   ignore (0)   2016 Aug 26, 9:54am     ↓ dislike (0)   quote   flag        

HydroCabron says

Yes: A shocking coincidence, but 'tis true!

I see no evidence that that is true

61   HydroCabron   ignore (1)   2016 Aug 26, 10:38am     ↓ dislike (0)   quote   flag        

indigenous says

HydroCabron says

Yes: A shocking coincidence, but 'tis true!

I see no evidence that that is true

Here's a fix for your problem:

62   HydroCabron   ignore (1)   2016 Aug 26, 10:38am     ↓ dislike (0)   quote   flag        

indigenous says

HydroCabron says

Yes: A shocking coincidence, but 'tis true!

I see no evidence that that is true

This should fix your problem:

http://i.imgur.com/N5sV8m4.jpg

63   indigenous   ignore (0)   2016 Aug 26, 10:58am     ↓ dislike (0)   quote   flag        

HydroCabron says

This should fix your problem:

Yes looking at some very old books for a celebrity who has gained most of his notoriety in the past year.

That makes sense.

64   bob2356   ignore (4)   2016 Aug 26, 4:07pm     ↓ dislike (0)   quote   flag        

Ironman says

bob2356 says

As pharma stooge ironman accidentally (the only way he gets anything right) got right, it's greedy Pharma's fault. No shit sherlock.

That was sarcasm asshole, but in your ability to comprehend, you missed it. It's NOT the Pharma's fault in this case.

That was sarcasm? I'm shocked. Shocked I tell you. I hadn't even begun to suspect that was sarcasm. Ok maybe I suspected just a teeny tiny bit. Things went right over your head again didn't they?

So who paid god only knows how many millions to influence federal and state laws to game the system if it wasn't pharma? They got exactly what they paid for. The people like you who voted free market got exactly what they voted for. For once man up and don't whine about it.

65   neplusultra57   ignore (0)   2016 Aug 26, 6:37pm     ↓ dislike (0)   quote   flag        

HydroCabron says

This should fix your problem:

http://i.imgur.com/N5sV8m4.jpg

Aaarrrrggghhhh!! GRAPHS!!!! Get thee behind me!!!!!!

66   indigenous   ignore (0)   2016 Aug 26, 7:38pm     ↓ dislike (0)   quote   flag        

neplusultra57 says

Aaarrrrggghhhh!! GRAPHS!!!! Get thee behind me!!!!!!

I wonder what the odds are that one of those books says anything about Milo?

Mutts...

« First    « Previous    Comments 27 - 66 of 66    Last »


about   best comments   contact   one year ago   suggestions