Last week I told you about the CBS News story on skyrocketing generic drug prices. As referenced in that report, the Senate’s Health, Education, Labor, and Pensions Subcommittee on Primary Health and Aging held a hearing on the question, “Why Are Some Generic Drugs Skyrocketing In Price?” on Thursday, November 20th.
NCPA called for hearing
The hearing was first called for by NCPA in January. Subcommittee Chairman Bernie Sanders (I-Vermont) presided. The nine panelists included one independent pharmacist and one patient.
Rob Frankil, NCPA member and President of Sellersville Pharmacy, Inc. in Sellersville, PA, recalled the following case in his prepared statement.
“A recent example from my own experience is the price of Digoxin—a drug used to treat heart failure. The price of this medication jumped from about $15 for 90 days’ supply, to about $120 for 90 days’ supply. That’s an increase of 800%. One of my patients had to pay for this drug when he was in the medicare Part D coverage gap in 2014. Last year, when in the coverage gap he paid the old price. This year he paid the new price. Needless to say, the patient was astounded, and thought I was overcharging him. The patient called all around to try to get the medicine at the old, lower price, but to no avail. This caused him lots of stress and time, and caused us lots of stress and time in explaining the situation, reversing, and rebilling the claim. This example is typical of how these price spikes put consumers and pharmacists in a bad position, often grasping at straws for explanations. And all the while, everyone pays more, including the patient, the pharmacy, and the insurer (often the federal government).”
Frankil went on to discuss how generic price spikes cause serious reimbursement issues for independent community pharmacists, especially when those reimbursements are managed by PBMs. (Download his complete statement)
Carol Ann Riha of West Des Moines, IA, the sole patient to testify, related how her prescription costs had jumped from $849 to more than $1,700 due to price increases. Ms. Riha asked, “How can anyone on a fixed income deal with these vagaries in the system?”
Professor Stephen Schonmeyer analyzed 280 common generic drugs and found that approximately one-third of them had sustained price increases in 2013.
Some panelists discussed the economic forces that have contributed to the rising costs of generic drugs, while others suggested ways to revamp the system. The full list of panelists (plus prepared statements where available) included:
- Congressman Elijah Cummings (D-Maryland) – Download Statement
- Stephen W. Schondelmeyer, PharmD, PhD (Professor and Director, PRIME Institute, University of Minnesota College of Pharmacy – Download Statement
- Robert Frankil, RPh (Independent Pharmacist and NCPA Member) – Download Statement
- Erez Vigodman (President & CEO, Teva Pharmaceutical Industries Ltd)
- Arthur Berosian, JD (President & CEO, Lannett Company)
- Jeffrey Aronin (Chairman & CEO, Marathon Pharmaceuticals, LLC)
- Carol Ann Riha (Patient)
- Scott Gottlieb, MD (Resident Fellow, American Enterprise Institute) – Download Statement
- Aaron Kesselheim, MD, JD, MPH (Assoc. Professor of Medicine, Brigham and Women’s Hospital and Harvard Medical School) – Download Statement
Senator Sanders announced that he was introducing legislation requiring the makers of generic drugs to issue rebates to the federal Medicare and Medicaid programs whenever the cost of their generic drugs increased at a higher rate than the rate of inflation. A similar rebate program is already in effect for brand name drugs.
Click here to watch video of the entire hearing (1 hour, 36 minutes).
You’ll find more in-depth coverage from various media sources listed below.
- ABC News – Soaring Generic Drug Prices Draw Senate Scrutiny
- ABC News – Generic Drug Price Sticker Shock Prompts Probe by Congress
- Slate – Drug Bust: For 30 years, generic medications helped make health care cheaper. Why is their cost surging?
Justice Department investigating
As reported in the Wall Street Journal article, Justice Department Probes Generic Companies After Price Hike Reports, the Justice Department has subpoenaed sales and marketing personnel from drug makers Lannett and Impax Laboratories on the heels of an investigation into Digoxin price hikes by the Connecticut Attorney General.
Lannett and Impax are two manufacturers that sell Digoxin in the US.
Brand name drug prices continue to rise
The recently updated Rx Price Watch of AARP reports that brand name drug prices are rising as well.
According to the report,
“In 2013, retail prices for 227 brand name prescription drugs widely used by older Americans increased by an average of 12.9 percent. In contrast, the general inflation rate was 1.5 percent over the same period.”
Keeping you informed
I will continue to report on the issue of rising drug prices as stories develop.
All of these stories have one lesson in common for independent pharmacies. With prices fluctuating without notice, you need to compare prices of pharmaceuticals before you buy.
TRxADE has created a marketplace where suppliers compete for your business and you have the tools at your fingertips to stay informed and buy competitively. Daily Deals, Opportunity Buys, and Shortage Products comparisons will help keep you ahead of the curve.
If you are a TRxADE member and your pharmacy is not getting the most out of its membership, contact our Membership Assistance Team for help at 800-261-0281.