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Valued Social Butterfly
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Re: Drug cost

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Personally, I think you are putting the emphasis in the wrong place.  A doctor nor the drug rep know the wholesale price of new meds.  Perhaps a new med would be life-saving to a person and they could be denied access because the doc thinks it is too expensive.

 

We should look to other countries who supply and negotiate the price of meds to their citizens - they base their approval on a value-based model and that includes the price of the medication.  In order for a new drug to be added to their formulary of covered meds, the medication is measured to be the best of the available treatments, including price.  This could kick off the formulary another med or if it is a new treatment, it goes on the formulary if it beats whatever previous form of treatment.

 

Sometimes the cost is justified if it helps or cures something or is expensive to make but still helps or cures something.  But even here, once other drugs are introduced which could be cheaper to make or more competitive in price, the older drug may get repriced to stay competitive.

 

We have, in a way, been spoiled by our access to any and all medications under one formulary or another.  In other countries, their choices are much more limited.

 

We also have an "orphan drug" rule in this country - meaning that we encourage the invention of drugs to treat conditions of which a relatively few have.  We all, in a way, subsidize these discoveries even if the receipient (or some related non-profit) is still paying a huge price for the med.

 

The VA Healthcare system here works with a pretty strict formulary and negotiates the price of the drugs on this formulary.  But here again, access is limited and even generic meds may change from one manufacturer to another depending on who is giving the best price at the time.

 

Look at the Medicare Part D prescription drug coverage - Insurers have to have at least 3 meds in every category and in 5-drug classifications, they have to cover all meds.  This does not lend itself to a good negotiation stance on the part of Medicare.

 

Drug companies do play games and that needs to stop and I can see only one way to control cost and stop the game playing and that is by going to a value-based approval process by the FDA, which would also include price in this value assignment.   But this would also limit access to some meds if they do not meet the best value test, including price, to be included on a national formulary of the best valued meds, including price.

 

We already have a drug approval process (FDA) but it is only looking at the clinical trial data, it does not look at a comparison between a new drug and an older one or other types of treatment and it does not look at price.  This is the place where government has the most control and they should begin to exert it, not in some some doctors office.

 

 

* * * * * * It’s Always Something - Roseanne Rosannadanna
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Drug cost

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What if: every doctor in America who writes prescription told every drug rep they were not welcome in their office until the drug company they work for lowers their prices on all drugs. Not taking my med because I can’t afford them on top of every day cost and we need this change now not over the next ten yrs

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