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re: Cost Of Life-Saving EpiPen Injectors Soars To $700 A Set

Posted on 8/23/16 at 3:13 pm to
Posted by tiger91
In my own little world
Member since Nov 2005
40255 posts
Posted on 8/23/16 at 3:13 pm to
I should have one but don't. I am allergic to wasps and anytime I get stung it's to the walk in clinic ... learned my lesson the first few times when I chose to wait and wait and use home remedies. My arm swole up so bad that I was very close to needing to be admitted for cellulitis.

Doc said I should get an epi pen. At the time, 1 was $100 and our ded is HUGE and the pens expire. Never got one. Been lucky so far.
Posted by NYNolaguy1
Member since May 2011
21836 posts
Posted on 8/23/16 at 3:22 pm to
quote:

With those margins there is no way another company wouldn't jump in to get a piece of that market, UNLESS the government is keeping out competitors.



If you read the article there are cheaper alternatives, but they haven't made the same deals with insurance companies that Mylan has, so they are still out of reach for the average household.

It sucks when the only way for supply to meet demand is through lethal attrition. Meanwhile Mylan gets mega rich.
Posted by NYNolaguy1
Member since May 2011
21836 posts
Posted on 8/23/16 at 3:24 pm to
quote:

The poor probably get it for free just like everything else


Yeah we saw what free legal representation gets you- free room and boarding for very extended periods .
Posted by NYNolaguy1
Member since May 2011
21836 posts
Posted on 8/23/16 at 3:29 pm to
quote:

What is an acceptable price and why?


Honestly big pharma should get regulated like a utility due to the anti-trustishness of the business. They get rights to sell one drug and can extort people for pounds of flesh to hand over everything.

The better question to ask is how much is the average patients life worth? What about your child's life? If it's 1% cheaper than those figures, it's justified, right?

Not directed at you, I just have my own issues with big pharma .
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27871 posts
Posted on 8/23/16 at 3:38 pm to
quote:



The better question to ask is how much is the average patients life worth? What about your child's life? If it's 1% cheaper than those figures, it's justified, right?




Exactly. There is ZERO way in the world this cost is justified. Had Mylan DISCOVERED and isolated epinephrine, like it was 110 years ago, that guy deserves some cash.

They are selling something that's been used for a century and charging as though they've stopped cancer cells from replicating.

FAHHH-QQ
Posted by slackster
Houston
Member since Mar 2009
91871 posts
Posted on 8/23/16 at 4:03 pm to
quote:

The better question to ask is how much is the average patients life worth? What about your child's life? If it's 1% cheaper than those figures, it's justified, right?


I understand why someone would view it this way, but you and I both know Big Pharma is a business first and foremost. I wish these things were done out of the goodness of their heart, but very few modern medical breakthroughs are going to happen that way.

I'm not happy they do it, but I don't have a great solution either.
Posted by NYNolaguy1
Member since May 2011
21836 posts
Posted on 8/23/16 at 4:12 pm to
quote:

I'm not happy they do it, but I don't have a great solution either.


Treat them like the monopoly they are and regulate them accordingly. They should make money, sure, just not $699 of profit for $1 of overhead.
Posted by slackster
Houston
Member since Mar 2009
91871 posts
Posted on 8/23/16 at 4:37 pm to
quote:

Treat them like the monopoly they are and regulate them accordingly. They should make money, sure, just not $699 of profit for $1 of overhead.


I know I posted this earlier, but it has been a long thread. Mylan had a roughly 9% net profit margin for the year ending 12/31/2015. Southern Company is a large utility company that is regulated by the government. Their 2015 net profit margin is nearly 14%.

The EpiPen is a bad look for Mylan, but it buoys their entire portfolio which is mostly generics. Teva and other companies work the same way.
Posted by shell01
Marianna, FL
Member since Jul 2014
806 posts
Posted on 8/23/16 at 5:19 pm to
quote:

Exactly. There is ZERO way in the world this cost is justified. Had Mylan DISCOVERED and isolated epinephrine, like it was 110 years ago, that guy deserves some cash.


They developed the delivery method adopted by most of the outpatient epi users. As mentioned many times over, there are other delivery methods available (the Adrenaclick, or old school ampule and syringe.) They get to charge a premium for their product because people prefer their delivery method.

Here's an article re: the generic pre-loaded epinephrine syringe, Adrenaclick, noting the concerns with it. Nothing saying people can't use it, just that it works differently and people (most people...) are dumb or can't be trusted to think through things in time of stress. LINK
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27871 posts
Posted on 8/23/16 at 6:30 pm to
quote:

They developed the delivery method adopted by most of the outpatient epi users. As mentioned many times over, there are other delivery methods available (the Adrenaclick, or old school ampule and syringe.) They get to charge a premium for their product because people prefer their delivery method.



The epi pen has been around for a few years? At least 10. This is not some revolutionary technology. Insulin pens basically work the same way. You could easily give people prefilled syringes with the appropriate amount (0.3ml). Just use an old plunger syringe.

quote:

are dumb or can't be trusted to think through things in time of stress. LINK



True story... ER tale I PERSONALLY saw. Proof people are idiots and can't handle epi pens in times of zero stress. 17 year old girl fiddling with hers in her hand. Took the cap off for whatever reason and was looking inside at the needle, or trying to. She ran her thumb over it and it injected... Into her thumb tip. She looked like one of the Lichens in Underworld when they get shot with a silver bullet. Her entire hand was ghost white with all blood vessels to the arm a pronounced blue. She constricted everything out of that hand. Not sure if she did, but she was definitely at risk for losing the thumb.
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