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Public Opinion on Drug Prices, Importation and Online Pharmacies

consumers and drug prices

Will drug price angst unite America?

The executive director of Prescription Justice, Jodi Dart, published an op-ed in Morning Consult earlier this week called The Rx Rip-Off. The piece does contain Ms. Dart’s opinions but there are also some facts reported, ones based on a Zogby poll on drug prices commissioned by Prescription Justice. The poll shows that 90% of Americans are united on the need for the government to take action to make medication more affordable! As an incredible coincidence, President Trump tweeted just hours after the op-ed was published that “Pricing for the American people will come way down!

There’s a lot in this poll that I look forward to writing about but let’s consider some of the broad findings of the poll:

  • 75.5% of Americans agree with President Trump that the “drug companies are getting away with murder:
  • 29.6% of Americans say they have not filled a prescription because of cost.
  • 4.2% say they currently get prescription medication from a Canadian or other international online pharmacy.
  • 77% of respondents who had an opinion on the issue of importation laws (522 out of 674) supported reforms so that consumers could lawfully purchase medicines from Canada or other countries.
  • Only 15% of respondents were actually against legalizing personal drug importation (23% of those who had an opinion).

Source: Zogby Analytics, margin of error +/- 3.1%: http://prescriptionjustice.org/Prescription_Justice_Zogby_Poll_Data_Feb_2017.pdf.

(more…)

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What Emflaza’s Postponed Launch Says about Personal Drug Importation

 

Unapproved but safe and effective…

Personal drug importation works! This week, drug company Marathon announced  it is postponing the launch of Emflaza, its recently FDA-approved version of an off-patent drug called deflazacort, in the face of heavy scrutiny by Senator Bernie Sanders and Congressman Elijah Cummings over its price tag – $89,000 a year. This drug, which treats Duchenne Muscular Dystrophy (DMD), is available under the brand name Calcort in the United Kingdom at about 99% less (about $750) than the current U.S. “postponed” price. Generic versions of deflazacort are also available internationally among verified online pharmacies at an annual price tag of about $650.

For some background on the disease and treatment: DMD is a “genetic disorder characterized by progressive muscle degeneration and weakness.” It mostly afflicts boys, with onset ranging from ages 3-5. It’s caused by the absence of a protein called dystrophin. For more, see the Muscular Dystrophy Association’s (MDA) website. According to the MDA, corticosteroids, including deflazacort, help slow the disease’s progression.

For a critique of the Emflaza price read Sanders and Cummings’ letter. No one could do better than that. Marathon CEO Jeff Aronin attempts to rationalize the price here but it almost reads like an apology. They argue that no consumer will deal with the $89,000 price tag because health insurers only charge a $20 co-pay and they have patient assistance programs to help the uninsured. It’s never that perfect, at all: people always slip through the cracks and we’re not forcing people to go without needed medication or go into bankruptcy to get it. Right?

So now a fist full of truth about this medication and safe online access to affordable medicines to shine a bright light on the lifeline that is personal drug importation… (more…)

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Generic Truvada Purchased Online Helps Reduce HIV Infections Among At-Risk Communities in London

Truvada - HIV PrEP Medication

In case you didn’t know, PharmacyChecker is based in New York. We are a proud American company, one that has helped millions of Americans for well over a decade get the information they need to save money safely if choosing to buy lower cost, imported medication online. While my focus is often the American consumer, I’m very much concerned with medicine access needs globally, too.

The fact is that online access to affordable medication is helping consumers throughout the world. We’re going to look at one very interesting and uplifting example from the United Kingdom, where people in at-risk communities are saving themselves from contracting HIV through the safe purchase of medication over the Internet and importing it for personal use.

The title of an article in the New Scientist pinpoints the gist of what’s going on: “Massive drop in HIV rates may be due to Internet Drugs.” In late 2016, four health clinics in London saw a dramatic drop in new HIV infections of 40% among gay men over a 12-month period. That period corresponded with the launch of I Want PrEP Now (https://www.iwantprepnow.co.uk/), a non-profit initiative that helps people safely buy generic Truvada online. While it’s possible that other factors are at play, public health experts attributed the drop in new HIV infections to the ability of people to obtain generic Truvada affordably through the Internet. I cannot vouch for the online pharmacies recommended through I Want PrEP because we have not verified them in the PharmacyChecker Verification Program, but read on to see amazing evidence of the safety and efficacy of the medications ordered. (more…)

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Nineteen million Americans Have Imported Medication for Personal Use to Pay Less and Happy New Year

New Year's Eve Times Square CrowdAs we close out 2016, I’m not surprised to be reporting and commenting on new survey data by the Kaiser Family Foundation showing that 19 million Americans have purchased and imported lower cost medication from Canada and other countries. I suspect the number is higher and I’m sure it’s not high enough, as I’ll discuss at the conclusion of this post.

First, as reported in Kaiser Health News: “As drug prices have spiraled upward in the past decade, tens of millions of generally law-abiding Americans have committed an illegal act in response: They have bought prescriptions outside the U.S. and imported them.” The Kaiser story also reports that many such purchases are made online and while the FDA warns that many online pharmacies are not safe, “…many medicines purchased from another country are the same as the ones patients buy in the U.S.” That’s all true. The key to safety when buying medications internationally is only purchasing from properly verified websites, ones approved by PharmacyChecker.

Just to recap why importation is a lifeline, let’s look at some highlights from recent data. (more…)

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Will Trump Stand up to Big Pharma on Drug Importation to Tackle High Drug Prices?

We The PeopleFor the record, while I supported Obama for president, I was highly critical of the Obama administration for its obscenely cozy relationship with the pharmaceutical industry, one that has led to unprecedented increases in drug prices during his tenure. During his first presidential campaign, President Obama had vowed to stand up to drug companies, and he supported allowing Americans to import medication to find savings in other countries. He ended up making a deal with Big Pharma to help him pass Obamacare, dumping his support for Medicare drug prices negotiations and importation.

Candidate Donald Trump voiced his support for federal drug price negotiations to bring down drug prices under Medicare and allowing consumers access to lower drug prices from overseas. Those are two policies that the pharmaceutical industry has spent hundreds of millions of dollars defeating over the past decade through large contributions to Democrats and Republican alike in Congress. Of course, Americans can order medications online from foreign countries and import them for personal use, but under the Obama administration it has become more difficult and remains technically illegal.

Mr. Trump states on his website: “Congress will need the courage to step away from the special interests and do what is right for America.” During the Republican Primary President-Elect Trump vowed to stand up to the drug companies, mocking the career politicians who take their money and do their bidding in Congress.

From the Right, Americans who hate the heavy hand of big government will laud a President Trump that tells the FDA not to interfere with their freedom to purchase a lower cost medication from Canada or another country. From the Left and in states that border Canada, such as Michigan, Americans would love to see a president who will stand up to the outrageous U.S. pricing policies of multinational pharmaceutical companies by taking actions to expand access lower cost imported medications.

With high drug prices viewed as the #1 healthcare cost concern in the county, ALL AMERICANS WANT TO SEE TRUMP STAND UP TO BIG PHARMA.

Now let’s see if he does.

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A Letter from 33 Members of Congress to Obama Commends Expressly Permitting-Legalizing Importation

We The PeopleEarlier this month 33 members of Congress sent a letter to President Obama asking him to use executive authority to tackle the crisis of high drug prices in the U.S. The gist of the letter is that Congress is paralyzed (surprise surprise) to act. So, while we wait, and wait, and wait for Congress — the urgency of high drug prices calls for executive action.

One of the steps recommended is to expressly permit Americans to import lower cost medications for personal use. Well, Americans already do that and while its technically illegal, people aren’t prosecuted for doing so, and thus it’s generally permitted. But if it was expressly permitted it would remove the stigma of illegality, embolden many more consumers to import lower cost medication, deflate and defang the scare tactics of the pharmaceutical industry about importation and online pharmacies, and would instill more price competition into the U.S. market to bring down prices at local pharmacies.

A few questions. Don’t we need to pass a new law to “legalize” importation? Why do I choose to bold the phrase expressly permit? Would it be legal or expressly permitted? Maybe both? (more…)

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