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EpiPen Price Rise Sparks Concern for Allergy Sufferers


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2016 Aug 24, 11:53am   14,188 views  60 comments

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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

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41   bob2356   2016 Aug 25, 7:46pm  

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.

42   bob2356   2016 Aug 25, 7:52pm  

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.

43   MMR   2016 Aug 25, 8:02pm  

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.

44   bob2356   2016 Aug 26, 8:10am  

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.

45   indigenous   2016 Aug 26, 8:20am  

The problem is too much government meddling which enriches congress.

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

46   HydroCabron   2016 Aug 26, 8:30am  

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.

47   anonymous   2016 Aug 26, 8:57am  

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!

48   HydroCabron   2016 Aug 26, 9:04am  

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!

49   indigenous   2016 Aug 26, 9:07am  

Milo is a racist?

50   HydroCabron   2016 Aug 26, 9:18am  

HydroCabron says

Milo is a racist?

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

51   indigenous   2016 Aug 26, 9:22am  

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

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

52   HydroCabron   2016 Aug 26, 9:51am  

indigenous says

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

Yes: A shocking coincidence, but 'tis true!

53   HydroCabron   2016 Aug 26, 9:53am  

Ironman says

"Alt-right"

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

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

54   indigenous   2016 Aug 26, 9:54am  

HydroCabron says

Yes: A shocking coincidence, but 'tis true!

I see no evidence that that is true

55   HydroCabron   2016 Aug 26, 10:38am  

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:

56   HydroCabron   2016 Aug 26, 10:38am  

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

57   indigenous   2016 Aug 26, 10:58am  

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.

58   bob2356   2016 Aug 26, 4:07pm  

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.

59   neplusultra57   2016 Aug 26, 6:37pm  

HydroCabron says

This should fix your problem:

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

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

60   indigenous   2016 Aug 26, 7:38pm  

neplusultra57 says

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

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

Mutts...

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