Tuesday, 14 August, 2018

New US drug laws might raise Indian medicines prices

By AgnosticPreachersKid By AgnosticPreachersKid
Patty Aguilar | 15 May, 2018, 13:43

Activating programs that allow CMS to stimulate drug price negotiation among Medicare Part D plan sponsors has been included in this proposal, as well as efforts to improve the value of drug purchasing programs.

"He is exhausted of the government getting bad deals on the drugs seniors need, and I couldn't agree more", Azar said, in a speech before the briefing.

"Right now, we're asking a pretty straightforward question: What if, instead of the current system where drug companies get paid rebates and middlemen take a cut, we just had fixed-price discounts?"

"I'm not interested in hearing those talking points anymore, and neither is the president", Azar said.

U.S. President Donald Trump on Friday blasted drugmakers and healthcare "middlemen" for making prescription medicines unaffordable for Americans, but healthcare stocks rose as his administration avoided aggressive direct measures to cut prices. The change ultimately pulls down the 20% copays Medicare patients have to cover since those copays are based on the Part B price rather than the 340B discounted price, he said.

The price on Celgene's widely used Revlimid - a connection Evercore ISI's Umer Raffat made in a note this afternoon - was jacked by 20% over the previous year, which means that Medicare patients pay an extra $115 month, moving from $575 to $690 per month, for their share of a drug that had cost $11,500 a month in 2015.

Chad Landmon, an attorney who chairs law firm Axinn, Veltrop & Harkrider's intellectual property and FDA practice groups, told FierceHealthcare that the pharmaceutical industry was holding its breath when talk of a drug pricing plan began. He noted that he'll work with Congress in the coming weeks to pass legislation to address the high prices of medicines. Co-directors of the group, Margarida Jorge and Ethan Rome said that the only winners were the big pharma companies.

"We are going to take on the tangled web of special interests ... the drug lobby is making an absolute fortune at the expense of American patients", Trump said. The proposal, a 44-page plan titled, American Patients First, promises to make generic drugs and biosimilars more accessible. Speaking to reporters alongside Food and Drug Administration Commissioner Dr. Scott Gottlieb and CMS Administrator Seema Verma, Azar suggested using a demonstration or pilot program to move either all Part B physician administered drugs into Part D so plans can negotiate prices or specifically target the drugs that are more expensive in the USA than in other industrialized countries. Patients could see those savings at the pharmacy counter.

IPhone explodes in Los Vegas store next to employee
The incident didn't happen at his shop, but Tartaglio says while iPhone battery explosions are rare they aren't unheard of. Due to the fact that the phone was at a fix shop, there is a strong chance, its batteries were already damaged.

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The initiative, called REPLACE , offers a "step-by-step" guide for nations to follow to remove trans fat from their diets. It estimated that every year, trans-fat intake leads to more than 500,000 deaths of people from cardiovascular diseases.

Secretary Of State Pompeo Meets With South Korean Counterpart
In the expert's opinion, Trump's statement "won't produce a negative effect on the negotiating process with North Korea". Trump latched on to the belief that he could be the president to bring peace to the Middle East.

The administration is considering rules instituting site neutrality that would eliminate or reduce facility fees charged for drugs issued at hospitals and hospital-owned clinics.

While doctors opposed an Obama administration proposal to overhaul this reimbursement structure, Azar and Centers for Medicare and Medicaid Services Administrator Seema Verma thought this change would be welcomed.

"This is a topic the President and I have discussed at great length, and the idea of direct negotiation in Medicare has come up". He said it would take years to restructure the US drug system.

President Trump vowed on Friday to "bring soaring drug prices back down to earth" by promoting competition among pharmaceutical companies, but he dropped the proposals of his presidential campaign, deciding not to have the federal government directly negotiate lower drug prices for Medicare.

Drugmakers have little incentive to negotiate when they know that Medicare's prescription drug plans must cover nearly all drugs in the six "protected classes": antidepressants; antipsychotic medicines, used to treat schizophrenia and certain related disorders; immunosuppressant drugs, to prevent rejection of organ transplants; anti-epilepsy drugs; antiretrovirals, used in treating H.I.V./AIDS; and many cancer drugs.

Forget about reimportation, said Azar.

Maybarduk said the proposal lacks three critical elements that would lead to lower drug prices.

Some critics said Trump's new focus on PBMs allows drug makers to slip off his radar, and industry stocks rose after the speech - a sign that pharmaceutical investors didn't feel threatened by Trump's plan. Some states negotiate supplemental discounts for certain drugs.

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