New England Journal of Medicine Exposes Generic Price ScandalMarch 2016
Exposing health care corruptionThe public is waking up to a price-gouging scandal that Life Extension® sought to prevent decades ago. Igniting media attention is a New England Journal of Medicine article exposing spiraling increases for off-patent generic drugs. What no one knows is that most generics cost virtually nothing to make. Readers of Life Extension® magazine will be the first to learn the magnitude by which our pocketbooks are being plundered and a solution that will slash generic drug prices by 90%.
By William Faloon
GENERIC DRUG PRICE GOUGING
|Generic Drug||Price Increase per Pill||Percent Price Increase|
|Doxycycline (antibiotic)||6.3 cents to $3.36||5,300%|
|Captopril (antihypertensive)||1.4 cents to 39.9 cents||2,850%|
|Clomipramine (antidepressant)||22 cents to $8.32||3,780%|
Magnitude of the FraudPrice gouging on a growing number of generic drugs has grown beyond verbal description. In the box you see on this page are examples of price increases occurring in the generic drug marketplace reported on by TheNew England Journal of Medicine.21 These kinds of price increases are not unique. They reflect a growing swath of generic drugs that cost virtually nothing to manufacture, but they are spiking to stratospheric consumer price levels. TheNew England Journal of Medicine gave an example of a generic drug (albendazole) that costs less than one dollar per daily dose overseas, but has risen to $119 per typical daily dose in the United States ($3,570per month). This is a 2,010% increase from what this same generic drug cost in 2010. Medicaid spending on this one drug alone (albendazole) spiked from $100,000 in 2008 to $7.5 million in 2013—a 75-fold increase!21
We’re All Being DefraudedWhether or not you need a generic drug whose price has exponentially increased, you are paying through higher health insurance premiums, higher deductibles, and higher copays, as well as limitations on what physician you may use and what services that doctor may perform. A generic drug that I use called tretinoin costs $1,100 per month. My health insurance covers $850 and I have to pick up the balance of $250 per month. This drug (tretinoin) was approved in 1995 and long ago lost patent protection, yet it is costing me $13,200 per year. I say me because I pay this extortionist price via my insurance premiums along with the many “exclusions” that cause me to pay out-of-pocket for what health insurance used to cover. What may shock you most is what the active ingredient of this drug costs. Consumers are paying over $1,100 for this bottle of tretinoin. Yet the active ingredient for the entire bottle costs a mere 80 cents. Even including encapsulation and quality control, that’s a markup of about 400 times over the cost to make this off-patent drug. As we reported in the September 2014 edition of Life Extension® magazine, collusion amongst drug makers is causing generics to be priced beyond rational affordability. The cover headline of the September 2014 issue was titled “How to Turn 8 Pennies Into $600.” This was based on an article where I reveal that an antiviral cream (acyclovir) that long ago lost patent protection was being sold to pharmacies for 7,500% over the active ingredient cost. The active ingredient (acyclovir) costs only 8 pennies, yet pharmacies are paying a generic maker $600 for this drug and selling it to consumers for around $700. The media has just started reporting on the magnitude of generic drug price gouging. As a reader of Life Extension® magazine, you’ve been the first to learn about what generic drugs really cost to make. These kinds of price markups are unsustainable. They are part of the reason why health care has become unaffordable whether or not you have so-called “insurance.” An increasing number of experts are coming to this realization, including editors of TheNew England Journal of Medicine and other publications. We are all being defrauded by this unconscionable price gouging made possible by overregulation of prescription drugs.
I Used to Own a PharmacyI established a retail pharmacy (Life Extension Pharmacy) in an attempt to slash the high cost of generic drugs. I was able to witness some of the manipulation going on behind the scenes that results in consumer prices for generics spiraling upwards. Our pharmacists never knew what the price of a generic drug would be from day to day. Some drug companies “stop making” certain generics altogether, which usually results in a massive price spike from the remaining maker(s). This happens because competition has all but disappeared. One reason I set up the Life Extension Pharmacy in 2008 was to slash the prices of generic drugs to our members. Back then, pharmacies were selling generic drugs at out-of-pocket prices that were higher than what average people could afford. My goal of slashing consumer prescription drug costs was short lived, as generic makers raised prices so high that even copays on certain drugs remained unaffordable, even though the cost to make most generics is virtually nothing.
THE POLITICIANS ARE CLUELESS
Why This Concerns Life Extension®New readers may wonder why an organization like Life Extension®, which is best known for pioneering lifesaving nutrients like coenzyme Q10, is making a big deal about generic drug price gouging. One reason is that Life Extension® does far more than formulate advanced dietary supplements. OurDisease Prevention and Treatment protocols contain recommendations for people to ask their doctors about trying off-label drugs in order to achieve a better clinical outcome. Our track record of recommending off-label drugs like metformin and cimetidine to better treat disease is unparalleled.24 Insurance companies, however, often refuse to pay for the off-label prescribed drugs were commend. If this price gouging does not stop, it will render off-label use of these drugs meaningless as consumers will not be able to afford the generic drug’s high cost. So in addition to sparing this nation’s sick care system from economic collapse, we at Life Extension® need to ensure that affordable generic medications are available when the need arises for them.
A Free-Market SolutionThe solution to this problem of rip-off drug pricing is to amend the Food, Drug, and Cosmetic Act to allow more competition in the generic marketplace. If enacted, generic prices will plummet to levels so low you won’t even worry about what percentage your insurance company pays. When generic drugs drop this much, it will push down many patented pharmaceutical prices because generic substitutes often work as well as newer branded drugs. Against us are pharmaceutical lobbyists who will do virtually anything to protect their lucrative monopoly against free-market competition. On our side are 330 million American consumers, most of whom cannot afford to fall ill even if they have health insurance. That’s because the deductibles, copays, and exclusions result in enormous out-of-pocket expenses that are today’s leading cause of personal bankruptcies. My question is how many of you want to take political action to stop this price gouging?
We’ve Fought the Drug Cartels since the 1980sLife Extension® learned about the rip-off prices Americans were paying for their medications in the 1980s. We launched a relentless campaign to educate the public and Congress about the high prices Americans were forced to pay compared to what identical medications cost in Europe and other countries. When digging through a box of old papers, I ran across one of the many newspaper ads our supporters paid for to expose the corrupt prices and drug approval delays that were killing American citizens. We’ve reprinted one of those ads from year 1991 on the next page. You can see the date on this newspaper ad is October 11, 1991. On November 7, 1991, we were in handcuffs standing before a federal judge with the FDA insisting that we be denied bond because we represented a danger to the public (for informing Americans that lower-priced medications could be obtained almost anywhere else in the world). Fortunately, an avalanche of letters from our supporters to the judge helped persuade him to grant us bond ($1 million). The multiple charges the FDA tried to use to indict us were eventually dismissed by the Department of Justice in 1995-1996. If it were not for our supporters standing up to the FDA’s attempts to incarcerate us, there would be no Life Extension® organization today, and supplements like coenzyme Q10 would likely be available only via expensive prescription. Americans today routinely obtain lower-priced medications from Canada because they can access offshore pharmacies via the Internet. This was not the case in the 1980s-1990s. Back then, the FDA viciously fought anyone who dared to inform Americans where they could purchase less expensive medications.
Legislation Urgently Needed!Fighting the FDA’s ban on personal use importations of medications was only one battle we spearheaded. The other dealt with FDA’s attempts to turn many dietary supplements into prescription drugs. When we initiated action to combat FDA’s attempts to ban dietary supplements, a huge percentage of our supporters rallied to stop this from happening. The result was passage of a bill (Dietary Supplement Health and Education Act-1994) that protected supplements and substantially lowered consumer prices. For those who think it’s not worth the effort to let your voice be heard, consider the consequences of failing to take action. Seniors may have to return to the work force to afford their medications. Those working full time may have to find additional part-time work to pay the high premiums and many out-of-pocket expenses no longer covered by medical insurance. This problem can be partially resolved if free-market competition is allowed in the generic drug market place. If we can persuade Congress to amend the Food, Drug, and Cosmetic Act, the price of many generic drugs will plummet more than 90%. We at Life Extension® are organizing a grass roots campaign to overwhelm the lobbyists that currently dominate Congress and the federal agencies that are adversely impacting our health and longevity. A website has been set up for those who want to enlist as activists to combat the atrocities perpetrated against the citizenry by our politicians and unelected/unaccountable bureaucrats. To enroll in this campaign to tear down high drug prices, log on to: LifeExtension.com/consumer
FEEBLE SUGGESTIONS FROM THE AMERICAN MEDICAL ASSOCIATION
We Are More Than a Supplement Supplier…I know many of you view us as a trusted maker of innovative dietary supplements. The reality is that your support helps fund a variety of programs that challenge conventional dogma relating to human longevity and consumer justice. To reiterate what I said at the beginning of this editorial, no one has fought longer or harder against extortionist drug prices than Life Extension®. We have battled pharmaceutical interests for decades and won concessions in Congress and the courts that no one would have ever believed possible. You’re finally seeing news media revelations about the price gouging we predicted would inevitably happen back in the 1980s. The sad fact is that none of our politicians have the basic knowledge needed to rein in today’s runaway health care costs. We at Life Extension®, on the other hand, have a 36-year track record of involvement in all ends of the pharmaceutical arena. We know the only impediment to slashing generic drug costs is citizen apathy that allows the FDA to continue enforcing a defacto monopoly that benefits the entrenched pharmaceutical establishment. For longer life, William Faloon
Prescription drug spending is expected to rise to $1.3 trillion by the year 2018, up from only $326 billion in 2013.*
Price of 62-Year-Old Drug Jacked up by $736 a Pill
- Martin Shkreli is under criticism after raising the price of the anti-parasite medication Daraprim® from $13.50 to $750 per pill.
- Turing Pharmaceutical was founded in February 2015, bought the US marketing rights to the drug in August 2015, and hiked the price 55-fold in September 2015.
- Some people will now pay over $100,000 per year to stay alive.
- Albuterol sold at an average market price of $11 for a bottle of 1002 mg tablets in October 2013.
- By April 2014 the average price for albuterol sulfate jumped to $434.
- A price increase of over 4,000%.*
- Divalproex Sodium ER is used to treat seizures and prevent migraines. This drug had an average market price in October 2013 of around $31 for a bottle of 80 tablets.
- By April of 2014, the price for the same drug rose to $234…a price increase of 736%. *
We’re All Being Defrauded
- A generic drug called tretinoin costs $1,100 per month.
- The active ingredient in this generic drug costs 80 cents.
- Consumers pay $1,100 for a bottle of 40, 10 mg tretinoin capsules.
Impact on Economy
- Pravastatin saw a price increase of 573% from October of 2013 to April of 2014.
- The increased cost to Americans is an additional $5.9 billion per year.*