Prescription Drug Prices Up 100%-1,000% | FerrariChat

Prescription Drug Prices Up 100%-1,000%

Discussion in 'Other Off Topic Forum' started by REMIX, Aug 9, 2008.

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  1. REMIX

    REMIX Two Time F1 World Champ

    I guess advertising Viagra is getting more expensive or something? Is this not nuts? My girl got some kind of cream for cirriosis last week - it was $450 for a 6 oz tube. Nuts.

    Drug prices up 100% — or higher
    Spikes bring legal, political scrutiny

    By Julie Appleby
    USA TODAY

    Drug companies are quietly pushing through price hikes of 100% — or even more than 1,000% — for a very small but growing number of prescription drugs, helping to drive up costs for insurers, patients and government programs.

    The number of brand-name drugs with increases of 100% or more could double this year from four years ago, researchers from the University of Minnesota say. Many of the drugs are older products that treat fairly rare, but often serious or even life-threatening, conditions.

    Among the examples: Questcor Pharmaceuticals last August raised the wholesale price on Acthar, which treats spasms in babies, from about $1,650 a vial to more than $23,000. Ovation raised the cost of Cosmegen, which treats a type of tumor, from $16.79 to $593.75 in January 2006.

    The average wholesale price of 26 brand-name drugs jumped 100% or more in a single cost adjustment last year, up from 15 in 2004, the university study found. In the first half of this year, 17 drugs made the list.

    "This does drive up the price of health care," says Alan Goldbloom, president of Children's Hospitals and Clinics of Minnesota. "Hospitals are either eating the cost or passing it along to insurers, so you and I are paying it in increased premiums."

    Some of the drugs are administered in hospitals, which bill insurers, patients or government programs for them. Insured patients pay either a flat dollar amount, such as $20, or a percentage of the drug's cost.

    Last year, prices rose about 7.4% on average for 1,344 brand-name drugs, according to Express Scripts, which manages drug benefits for large employers and insurers.

    Reasons for the larger increases are varied, researchers say.

    "There's no simple explanation," says Stephen Schondelmeyer, director of the PRIME Institute at the University of Minnesota, which studies drug industry economics. "Some companies seem to figure no one is watching so they can get away with it."

    The price increases are drawing legal and political scrutiny:

    •In a decision awaiting approval by the 9th U.S. Circuit Court of Appeals, drugmaker Abbott agreed last week to pay up to $27.5 million to settle a lawsuit over a 400% price increase on its HIV/AIDS drug Norvir. Settlement did not lower the price.

    •Sen. Amy Klobuchar, D-Minn., and Sen. Charles Schumer, D-N.Y., asked the Government Accountability Office last week to investigate large price hikes. Klobuchar asked the Federal Trade Commission in April to investigate Ovation Pharmaceuticals, which raised prices on four drugs in 2006 by up to 3,436%.

    Drug companies say the price hikes cover the costs of keeping the drugs on the market. They say the drugs are often less costly than alternative treatments, such as surgery or newer, high-tech medicines.

    Questcor says on its website that it had to raise Acthar's price after struggling for years to "keep (it) financially viable."

    Ovation says it needed to cover its 2005 purchase of the drugs and facility upgrades. "We feel we made an important investment in keeping these older products alive," says spokeswoman Sally Benjamin Young.
     
  2. Osiris_x11

    Osiris_x11 Formula Junior

    Oct 30, 2007
    635
    Austin, Texas
    "Cirrhosis" or psoriasis? ;)
     
  3. djui5

    djui5 F1 Veteran

    Aug 9, 2006
    5,418
    Phoenix, Arizona
    WTF? First oil and now this? What is next? What the hell is going on???
     
  4. Pcar928fan

    Pcar928fan Formula 3

    Jan 21, 2008
    1,702
    Austin, TX
    Well, there are always going to be examples of stuff like that... I can only speak to what I know. Basically it costs $1.5 Billion now to develop a new drug. Of every 100 drugs that hit the market I believe the number is about 30 that will EVER sell in a volume great enough to recoup the costs. Of that same 100 institutions such as schools MIGHT make 3 of them and the Federal gov will have a significant hand in ONE of them.

    If you don't want to spend much on your drugs then ask your doctor for a generic or just don't buy it...unless it is a life threatening disease just take a pass on it.

    Also from a payment perspective as Insurance companies pay less and less for drugs and cover more and more lives the poor cash paying customer gets charged even more. When drugs were mostly paid for by cash paying customers pharmaceutical companies charged less... of course back then it only cost about $500MM to bring a new drug to market.

    Now for the good news... Over the next 5 years there will be more than $200 BILLION in pharmaceuticals moving from branded to generic. There will probably be a loss of more than 25,000 sales jobs in the pharma industry and probably more than 15% of the main office personnel who will loose their jobs too...

    So, anyway, maybe that gives you a little bit of insight. Now here is another question for you... Why don't you think there are a bunch of new antibiotics hitting the market these days? Well...there is just not money there. You make a super drug that kills Vancomycin resistant MRSA and guess what...the only infections that you will be allowed to treat with that drug will be confirmed VrMRSA infections. There are not very many of them thankfully, but they are often deadly and each treatment would have to cost $100,000 just to break even in 10 years... I am just estimating so take the numbers with a grain of salt, but it has been proven over and over again that capitalism works and that is something we are completely missing in medicine today...

    You might check out The Value of Medicine series that talks about the industry and drug development costs. That is where I got most of that info from...

    Sorry for the cost increase and all I can say is that I have never seen that with any of the products I have sold. We have had years where we did not go up 2% and we have had years where we went of 15% but I have never seen any of our products go up more than that in a year.

    Good luck to your gf!
     
  5. Darolls

    Darolls F1 Veteran
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    Jul 2, 2003
    7,782
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    Sparky
    He must have meant psoriasis. A cream isn't going to cure Cirrhosis.......NO WAY!
     
  6. GatorFL

    GatorFL Moderator
    Moderator Owner

    Nov 18, 2005
    16,965
    Wellington, FL
    Full Name:
    Duane
    Personally, I think the drug companies are over-developing. They are in a war to come out with the new "it" drug so they can market it and charge a premium, when there are plenty of older drugs that will do the trick. Problem is, after 20 years they lose exclusivity and the drugs go generic.

    Case in point--occassionally I'll get a migraine. Went thru 3 or 4 different "it" drugs and finally my doctor keyed me in on an old prescription called phrenilin, a $5 generic. Worked like a charm. Same thing with this contact dermatitis I had, went thru a couple of ointments and finally the dermatologist prescribed a $5 generic called Lidex and it took care of the rash in a couple of days.

    I've been reading about prescription drugs showing up in groundwater, I am now wondering how to dispose of all this top-dollar garbage I paid for without it affecting the environment. And in the future I'll be sure to ask for a basic, old school generic before trying the new-fangled "it" drug.
     
  7. luke9583

    luke9583 Formula 3

    Nov 8, 2003
    1,322
    Detroit Michigan
    Full Name:
    Luke Wells
    I'm a pharmacy tech at a mail order store. I do a lot of ordering so I am pretty familiar with pricing. This is BS. I haven't seen much change at all. e.g. Plavix is still roughly $3,000 for 500 tabs.

    If prices were hiked, your pharmacies would fall apart. It takes insurance companies MONTHS to adjust to pricing. When a new generic becomes available it sometimes takes an insurance company a month or two to even recognize and pay for it over a brand name.
     
  8. REMIX

    REMIX Two Time F1 World Champ

    LOL, brain fart. :)

    RMX
     
  9. REMIX

    REMIX Two Time F1 World Champ

    It's been long known the bulk of pharma's dollars goes toward direct to consumer marketing. Why? Less on that might help them recoup some of their costs. I'm not sure that **I** need to see a Viagra or Lunesta ad as much as my doctor does. What they want is for ME to walk in the door and ask for the brand name, not allow the doctor to prescribe what he thinks I should have. That's where a lot of money is going: toward branding. Probably a couple hundred million per drug. The poster is right, lots of lots of patents are expiring...I guess repackaging and (re) marketing the crap out of the brand name is what it's all about. There companies are all about making big dollars...hell, that's where Gerd Petrick made his money; how many McLaren F1s, F50s, CLK-GTRs does one guy need anyway? Where do you think that money came from?

    http://www.sciencedaily.com/releases/2008/01/080105140107.htm
    http://www.prwatch.org/node/7026
    http://www.nybooks.com/articles/17244

    http://www.consumerreports.org/cro/aboutus/mission/haveyouheard/pharmaceutical-companies-advertising-practices-9-06/overview/0609_have-you-heard_ov.htm

    RMX
     
  10. Pcar928fan

    Pcar928fan Formula 3

    Jan 21, 2008
    1,702
    Austin, TX
    RMX,

    You are out of your mind... A couple hundred million per drug on branding??? That is INSANE! MOST drugs don't even SELL a couple of hundred mill in a YEAR! Sure there are the billion dollar babies. We all love to have those, but they make or break you...usually BOTH! They make the drug company while they are on patent and then they break you when they go off patent! SUCK!

    I agree there is TO MUCH money spent on actual advertising, but the BULK of the money spent on "marketing" a drug is actually samples... Those help everyone. Unless of course you see one of those doctors that either does not see reps at all or maybe they do see reps but don't take samples for some reason. That is unfortunate for the patient as companies provide samples for patient to try BEFORE they buy, thus helping you NOT to waste money on something that does not work for you.

    As for old drugs doing the trick. YOU BET! There are some good generics on the market RIGHT NOW and TONS more to come in the not to distant future! Every person is different, some respond to one drug some to another. If you can get by w/ a $5 generic then knock yourself out! That is AWESOME...others it might take the full on brand stuff to do the trick.

    We should all be thankful we have choices! If gov. gets involved your choices will be what THEY (gov.) choose FOR YOU! You will no longer have a choice!

    James
     
  11. REMIX

    REMIX Two Time F1 World Champ

    Oh am I?

    Why are Branded drugs so expensive?

    Advertisement and research cost is the basic reason for huge price difference between original and generic products. Vioxx, an anti-arthritis drug, direct-to-consumer advertising budget ($160 million) topped the ad budgets for Pepsi ($125 million), Budweiser ($146 million) and Nike ($78.2 million).

    another...

    NEW YORK (AdAge.com) -- In a curious and stunning move, Schering-Plough and GlaxoSmithKline -- co-marketers of the erectile dysfunction drug Levitra -- have removed Publicis Groupe’s Saatchi & Saatchi Consumer Healthcare after only six months on the $140 million account and replaced the agency with Omnicom Group's BBDO Worldwide, executives involved in the move said.

    another...


    Within days of pharmaceutical giant Eli Lilly Co. and biotech partner Icos Corp. receiving an approval letter from the Food and Drug Administration for their the erectile-dysfunction drug Cialis, the two will launch a $100 million ad blitz.

    "We think there's going to be a lot of noise,'' said Matt Beebe, Lilly's U.S. team leader for Cialis.

    The ad campaign-from Healthy Grey Village, a unit of Grey Global Group's Grey Worldwide, New York-is...

    another...

    Pfizer, with a $484 million advertising budget, has thousands of salesmen in doctors' offices daily promoting Lipitor as the most proven way to prevent heart complications. Many employers, including General Motors Corp., that set their own payment rules carried out by drug insurance plans, say 80 percent to 90 percent of people will do fine on Zocor, even though it's less potent at lowering cholesterol.

    Am I insane?

    RMX
     
  12. mfennell70

    mfennell70 Formula Junior

    Nov 3, 2003
    609
    Middletown, NJ
    PCar's point still stands. You said "probably a couple hundred million per drug", which is clearly not the case. Pfizer's entire advertising budget is $484 million dollars by your account. Pfizer sells 200 or so different drugs (I grew tired of counting them all on their site).
     
  13. REMIX

    REMIX Two Time F1 World Champ

    The numbers below I believe are annual figures, the most recent I can find are from 2005. Yes, a "couple hundred million" per drug. If they spend zero promoting Amoxicillin, that wasn't my point. Perhaps, since these folks have patent protection for a number of years, they can avoid some of the advertising? Still, it makes no sense to me that I see advertising for products I cannot directly buy. Clearly they will spend enormous amounts of money to brand the drug and then pass along those costs to us. Sepracor's hiked the price of Lunesta several times...with a quarter billion dollar promotional budget, I wonder why. Same with Advair.

    Keep in mind the industry also has huge profit margins, close to 18%, higher than just about any other industry. http://www.allbusiness.com/company-activities-management/financial-performance/6356979-1.html

    http://www.sourcewatch.org/index.php?title=Direct-to-consumer_advertising_in_the_United_States

    In 2005 the drugs that were the most heavily promoted were

    * Lunesta - Sepracor spent $227.3 million promoting its prescription sleeping pill
    * Nexium - AstraZeneca spent $204.9 million promoting its gastrointestinal drug
    * Vytorin - Merck/Schering-Plough spent $161.5 million promoting its cholesterol lowering drug;
    * Crestor - AstraZeneca spent $158.6 million promoting its cholesterol lowering drug;
    * Advair - GlaxoSmithKline spent $138.5 million promoting its asthma product ;
    * Nasonex - Schering-Plough spent $131.8 million marketing its allergies spray
    * Lamisil - Novartis spent $125.9 million promoting its treatment for fungal infections.
    * Plavix - Sanofi-Aventis spent $121.9 million promoting its blood-disorder drug
    * Singulair - Merck spent $121 million asthma and allergic rhinitis drug
    * Wellbutrin XL - GlaxoSmithKline spent $119.9 million promoting its drug for depressive disorder.
     
  14. jimpo1

    jimpo1 Two Time F1 World Champ
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    Jul 30, 2001
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    Dallas, TX
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    Jim E
    #14 jimpo1, Aug 12, 2008
    Last edited: Aug 12, 2008
    I'm in the business too, probably work for your competitor. ;)

    Luke is correct, it's BS. And they qualify the BS early in the story:

    If 200 drugs had a 100% price increase four years ago, that means 400 drugs would get it this year. Out of how many THOUSANDS on the market? I see drug costs every day, from the people that are paying the bills. The cost of drugs in my business, based on year over year expenditure growth is called 'Trend'. Trend has been under 10% for a few years, and lately has been closer to 5%. Generics are driving most of the decrease. Are there outliers? Sure. Is it a National Crisis like USA Today convinced you of?

    No. Hell no.
     
  15. TexasF355F1

    TexasF355F1 Seven Time F1 World Champ
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    Feb 2, 2004
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    Jason
    Why is there a continual "debut" of "new medical conditions?"

    Doctors are continually diagnosing kids with all sorts of crap and parents are actually allowing, and believing (the doctors) that their kids should be put on meds. And drug companies are paying doctors to do so. They are being bought out, and instead of helping kids, they're ruining their minds from birth and fattening the pockets at the same time.

    I'll tell a doctor to shove a fat one down his throat and up his ass before I put my kid on any sort of medication. Everyones up in arms about oil companies when they should really be angry at drug companies. It's ridiculous.

    My friend has to take meds for a newly diagnosed case of arthritis. The **** costs $1700!!!!!! He has to pay $1000, as that's his deductable.
     
  16. jk0001

    jk0001 F1 Veteran

    Oct 18, 2005
    6,706
    Sun Coast
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    Jim
    With the price of prescription drugs now, people will start to put their medicine cabinet contents into their Wills.
     
  17. velocetwo

    velocetwo F1 World Champ

    Dec 11, 2006
    12,545
    Left Coast
    Well said, my wife has worked in the industry for 14 years and the article that came out this week is based on a few obscure drugs, not the whole industry. It sure does get everyone worked up and that is exactly why they print this junk. The press wants to get everyone on the free drug band wagon.

    A doctor can only operate on you or write you a prescription, so drugs play a huge part in practicing medicine, it wouldn't be smart to run the drug companies out of business!
     
  18. velocetwo

    velocetwo F1 World Champ

    Dec 11, 2006
    12,545
    Left Coast

    Yea everyone complains about the cost of their Viagra and they say they can't afford it, and then they tell you all about the trip they went on or the new TV they got. People have been convinced they should have their drugs free, my dad used to tell me nothing is free. By the way have you priced out the cost of a vintage Ferrari tool set..........much more than $1700.00.
     
  19. REMIX

    REMIX Two Time F1 World Champ

    We're not talking about people who can afford $2,000 Ferrari toolsets. This, to me, is about why my medical insurance keeps going through the roof year after year. A part of that reason is because of the insane amount of money these companies charge for their medications. I would guess if health insurance weren't available to pay these enormous bills, demand would drop and the prices would have to come down. As it is now, there's no reason to price it that way. And because of this, we all get to watch yet another commercial for some overpriced asscream or erection aid during the news tonight.

    RMX
     
  20. REMIX

    REMIX Two Time F1 World Champ

    You mean like RLS or ADD? That stuff is nonsense. Like we need a diagnosis for being hyper or bored out of your f'n mind.

    RMX
     
  21. Pcar928fan

    Pcar928fan Formula 3

    Jan 21, 2008
    1,702
    Austin, TX
    Profit and profit margins are what they are... As I stated before if you don't like the cost of your drugs go get a generic. There is probably something out there for you. There are lots of good ones out there. You may need to take them 5X a day and you may have more side effects from them...but hey, it only cost you a $4 or $5 copay. Do you go down to your local Porsche or Ferrari dealer and DEMAND that they sell you one of their products for the price of a Honda civic? I doubt it! Do you ***** because they have higher profit margins (though not higher profits) than drug companies? I doubt it. But by god make a drug that can save someones life that costs a company a $1.5 BILLION to research and develop and all of a sudden it should be FREE! While we are QUICKLY moving away from capitalist form of medicine (and that is TERRIBLY UNFORTUNATE) we are still at that point so if you want to play you have to pay...simple as that!

    If you want the best RXes, cars, TV's, cell phones, or whatever I think you should have to pay! As noted by another poster... NOTHING IN LIFE IS FREE! Get used to it and be glad you have a choice. If you find a product is to expensive then go buy something else. You might need to ask your doctor or pharmacist if there are alternatives but there almost always are these days.

    Here is another bit of info some here might not be aware of...

    When I patent for a pharmaceutical product is granted ALL of the information about that drug is immediately available. That means that countries that do not recognize and protect patents can in fact begin producing the product right away. What that also means is that 6 months to 1 year before a big products patent expires a generic house has already stock piled MILLIONS of dollars worth of product. The DAY that patent expires they can ship it! BUT, what normally happens is that 3 months or more before the expiration the companies start shipping and thumb their nose at Big Pharma (remember the generic companies do NOTHING, ZERO, ZIP, NADA to find and develop new drugs, they are parasites sucking off the big discovery based drug companies) and ship the product early! Then they dare you to get it off the market BEFORE the patent does expire!

    How big of a risk are you willing to put your personal income at? Drug companies do it EVERY DAY! Millions of dollars at a time! Sometimes it pays off big (Nexium, Crestor, Viagra, Advair) sometimes it is an utter failure (Raxar, Trovan, etc)...

    YMMV, but BE GLAD FOR CHOICE! If the government takes over your health care you will NO LONGER HAVE CHOICE!!!
    James
     
  22. Fred2

    Fred2 F1 World Champ
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    Jan 2, 2005
    18,189
    nj
    Pcar928fan has it right.

    The generics are the reason why the Ethical pharmaceutical companies have to make back their investment quickly.

    The patent on the drug starts to expire prior to the drug being developed, tested, approved by the FDA and launched into the market.
    By the time the drug is launched, it is just a few years away from being copied by a generic company.
     
  23. velocetwo

    velocetwo F1 World Champ

    Dec 11, 2006
    12,545
    Left Coast
    Pcar928fan has it right. +2

    Waa waa everyone wants top of the line drugs from those mean corporations who spend millions to develop and get the drugs approved by the FDA. The reason your medical bills are so high is because we are all underwriting a massive amount of people with no insurance and people get better health care than they used too. Americans are living longer too!
     
  24. SrfCity

    SrfCity F1 World Champ

    Just shop around online. I think US consumers get hit with R&D costs in the prices while other countries don't to the same degree.
     
  25. vvvmd

    vvvmd F1 Rookie
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    Dec 23, 2003
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    Victor Villarreal
    Thats correct. Many other countries either don't respect patents or have gov't price controls that keep the end price of the drug down. My sister works for CRS at the Library of Congress. Did a big project for a Congressman several years ago about prescription drug prices. CRS concluded that the high price of drugs in this country was due to R&D costs with less than 20% of any drug become a commercial success and the indirect costs of price controls of drugs in developed countries with gov't provided health care as well as subsidizing the low cost of drugs sold in developing countries.
    The idea that docs will treat conditions because there is pressure from the drug companies to prescribe a drug is preposterous. More likely a patient comes in with some complaint and will demand treatment even though it is a benign condition. I've had people leave my office because I told them there was noting wrong with their -insert body part here- and they don't need an operation or some prescription for treatment. These people will then doctor shop until they find some one to do the surgery or give them the script they want.
    Drugs are expensive because they cost a sh*t load of money to produce. The second pill will cost a penny to make the first will cost $1,500,000,000 to get to market. If you sell 1,000,000 pills each pill will cost $1500. Thats why treatment for rare conditions costs so much. An arthritis treatment like Remicade costs several hundred dollars a dose because its only good for Rheumatoid arthritis and Inflammatory bowel disease with fistulas. typical treatment is a shot very couple of weeks for six weeks. That doesn't add up to a lot of doses hence each dose costs a bundle.
     

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