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Started By
Message
re: Cost Of Life-Saving EpiPen Injectors Soars To $700 A Set
Posted on 8/22/16 at 11:20 am to Darth_Vader
Posted on 8/22/16 at 11:20 am to Darth_Vader
I'm 100% for capitalism, but things like this are evil.
0
Posted on 8/22/16 at 11:21 am to GoCrazyAuburn
I'm all for the free market, so long as there are regulations to prevent price gouging and abuse.
Yes, I know that seems to be a conflicting statement, but it is right.
Yes, I know that seems to be a conflicting statement, but it is right.
Posted on 8/22/16 at 11:21 am to Darth_Vader
A friend is a pharmacist. I was talking to her and they got a shipment of medicine in a small box. She said it was $1.5M worth of drugs. Apparently the New Hep C cure, $36,000 a pop and they have the rates so high so insurance pays out. I do feel in a free market there is no real price gouging, but pharmaceuticals is not a free market and big pharma is scamming our insurance so we have to pay more.
Posted on 8/22/16 at 11:22 am to yoga girl
quote:
'm all for the free market, so long as there are regulations to prevent price gouging and abuse.
Yes, I know that seems to be a conflicting statement, but it is right.
I strongly disagree with your assertion that is the right path to take.
And the idea that something like 'price gouging' even exists is completely at odds with believing in a free market.
Posted on 8/22/16 at 11:24 am to oleyeller
I'm not against making money but come on, they shouldn't be that expensive. $100 for two is more than fair, even $200 is reasonable but not $700.
Posted on 8/22/16 at 11:27 am to MSMHater
quote:
Then it should be really easy to produce a generic. The patent protection is expired. Yet the two other companies that have tried have been unable to duplicate the product.
Also, most insurance companies refuse to cover the non Mylan equivalents already on the market.
Posted on 8/22/16 at 11:33 am to uway
quote:
1. Government control of price = reduced incentive to spend the money on R&D = fewer breakthrough medicines
That's always their excuse when they jack up prices and its total horseshite.
Medicines will be developed for diseases that tons of people have regardless b/c people suffering are going to buy the product no matter what.
The rare medical issues that might actually need that kind of funding? Yea, big pharma says frick you there's no profit in it.
Posted on 8/22/16 at 11:36 am to BluegrassBelle
quote:
Working in a school with a decent amount of kids that are legitimately allergic to some foods and definitely allergens/insect bites, it's a little scary to think parents may have to make the choice to not fill the Epipen because of the cost
Good point. I know a lot of businesses today have an AED on property. Will EpiPen be included soon? I know the 2 are very different, but still.
Posted on 8/22/16 at 11:41 am to ThatMakesSense
quote:
Good point. I know a lot of businesses today have an AED on property. Will EpiPen be included soon? I know the 2 are very different, but still.
Given that it's an actual prescription versus a life-saving device that can be used without a prescription, I doubt it.
But you never know. The state of Kentucky is trying to force all medication trained staff to administer insulin to students who cannot do it themselves instead of having contract nurses rotate through the schools to do so. So far my district has fought it because of the liability costs.
Posted on 8/22/16 at 11:50 am to Napoleon
quote:
She said it was $1.5M worth of drugs. Apparently the New Hep C cure, $36,000 a pop and they have the rates so high so insurance pays out. I do feel in a free market there is no real price gouging, but pharmaceuticals is not a free market and big pharma is scamming our insurance so we have to pay more.
In this particular instance, I have no objection to the price on Harvoni. This drug was YEARS in the making and many FDA rejections before it (the MOA concept) got through trials. This is basically a cure for people with HCV.
The previous medicine was awful (interferon and Ribovirin) and not effective. Most patients just gave up on it after starting treatment, and would either wait to transplant, wait to die, or live with it.
I'm not sure people realize just how prevalent HCV is in this country, and how many people just live with it. For the first time, they have a chance to be cured. And that cure happened to arrive at the same time as the "can not be turned away for pre-existing condition" in the ACA.
So people jumped ALL OVER IT. Also remember, though the plans are subsidized, most of these pre-existing condition patients still have enormous deductibles to pay for access to these drugs. Gillead and GSK are really good about helping patients cover these costs. Many times without repayment required.
So for a 12 week treatment course, $30,000 costs to the insurance company, and about $6000 cost to the patient (subsidized by "big pharma"), for a CURE to a lifetime of liver problems. Considering the investment in creating Harvoni, and the benefits to so many people, the costs is not as outrageous as other pharma examples.
This post was edited on 8/22/16 at 11:54 am
Posted on 8/22/16 at 11:50 am to Darth_Vader
I didn't read the whole thread but has anyone mentioned adereject as an alternative to epi pen?
Posted on 8/22/16 at 11:51 am to Dr RC
quote:
Also, most insurance companies refuse to cover the non Mylan equivalents already on the market.
What are the generic equivalents to epipen?
ETA: not finding the one mentioned above
This post was edited on 8/22/16 at 11:52 am
Posted on 8/22/16 at 11:54 am to lsu13lsu
quote:
I see kids doing car washes for travel baseball. Is this more important than that?
I would think having an EpiPen to save your kid's life is probably a little more important than getting on that travel ball team...
Posted on 8/22/16 at 12:07 pm to BluegrassBelle
quote:
Given that it's an actual prescription versus a life-saving device that can be used without a prescription, I doubt it
AED use requires a class. As does CPR. EpiPens are simpler to use than the 2 former.
Posted on 8/22/16 at 12:11 pm to baldona
quote:
I love expiration dates like this for liability reasons. I'm curious how long the drug would really work for? I have no idea and I know it's not worth risking your life either, but it's always laughable when a drug works on day 365 but 366 you gotta throw it away.
Expiration dates on drugs are mandated by the FDA, they are mostly arbitrary and have no relationship with the effectiveness of the drug. The Dept. of Defense did a study on this and found many medications are still 90% effective after 20 years. This study and others has been used as part of the FDA SLEP (shelf life extension program)
LINK
Posted on 8/22/16 at 12:11 pm to ThatMakesSense
quote:
AED use requires a class. As does CPR. EpiPens are simpler to use than the 2 former.
As does First Aid. But those are all life-saving measures that are typically used among anyone in the population (if that makes sense) with few restrictions should they go down. And I believe most of those are covered under Good Samaritan Law.
Where it would get sketchy with an Epipen is there are different required dosages dependent on the weight of the person. And as just a school-based first responder (not EMT, Fire, Police) you can't just use it on anyone you suspect is having an allergic reaction. And that's not even considering the liability of administering a prescription like that. There's quite a bit of a difference.
This post was edited on 8/22/16 at 12:23 pm
Posted on 8/22/16 at 12:14 pm to Darth_Vader
Epipen Expiration Study
This study concluded that if possible use a pen that is not past its expiration date, but if nothing else is available using one that is expired is acceptable and far better than doing nothing.
LINK
This study concluded that if possible use a pen that is not past its expiration date, but if nothing else is available using one that is expired is acceptable and far better than doing nothing.
LINK
Posted on 8/22/16 at 12:15 pm to BluegrassBelle
quote:
different required dosages dependent on the severity of the allergic reaction
Really?
So how many pens would someone with known issues need to carry on their person?
Posted on 8/22/16 at 12:19 pm to MSMHater
quote:Seems cheap to me. It's hard to find a decent used car for $6k. Shouldn't your life be with less than a used car?
about $6000 cost to the patient (subsidized by "big pharma"), for a CURE to a lifetime of liver problems.
Ultimately it's a question of value. If you don't think your kids life is worth $700, don't pay it. No one is forced to buy these things.
Posted on 8/22/16 at 12:20 pm to PatDyesPants
quote:
And the idea that something like 'price gouging' even exists is completely at odds with believing in a free market.
Clearly, price gouging exists in a free market. This is nothing more than legal extortion - you have an allergic child who you have to an epipen so they just keep ramping the price up.
Really don't need a government regulatory oversight, just cap the price at $50.
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