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-   -   Should Medicare be allowed to negotiate drug prices? (https://www.talkofthevillages.com/forums/medical-health-discussion-94/should-medicare-allowed-negotiate-drug-prices-323912/)

Proveone 09-12-2021 09:06 AM

Big Pharma
 
I won't trust anything Big Pharma says. They are only interested in ripping us off for medicines that we need to stay safe and exist.




Quote:

Originally Posted by heims01 (Post 2001886)
Seeing

a new add sponsored by PhRMA stating that allowing Medicare to negotiate drug prices will reduce availability of drugs. I think that might be a fib but wonder what others think. I know drug prices are very high for many Tier 4 and 5 drugs when on Medicare.

S.99 - Medicare Drug Price Negotiation Act
116th Congress (2019-2020)


Albany 09-12-2021 09:14 AM

Yes allow medicare to negotiate drug prices!
 
Quote:

Originally Posted by heims01 (Post 2001886)
Seeing a new add sponsored by PhRMA stating that allowing Medicare to negotiate drug prices will reduce availability of drugs. I think that might be a fib but wonder what others think. I know drug prices are very high for many Tier 4 and 5 drugs when on Medicare.

S.99 - Medicare Drug Price Negotiation Act
116th Congress (2019-2020)

Drug prices are lower in other countries, Canada comes to mind, because prices are negotiated. Our Congress, all of them, forbid Medicare from negotiating drug prices because Big Pharma lobbied them relentlessly to get what they wanted, no negotiation. It is a travesty and should immediately be changed. Medicare is an enormous user of prescription drugs and would be a formidable foe in any negotiation--that is if they were ALLOWED to negotiate.

Fuzzy 09-12-2021 09:26 AM

😂😂😂😂😂

LateBoomer 09-12-2021 09:26 AM

VA and DoD have the ability, and do, negotiate bulk drug prices.

No idea why Medicare does not have this authority, but they should

retiredguy123 09-12-2021 09:28 AM

Quote:

Originally Posted by LateBoomer (Post 2002738)
VA and DoD have the ability, and do, negotiate bulk drug prices.

No idea why Medicare does not have this authority, but they should

See Post No. 21 and No. 45

Villages Kahuna 09-12-2021 09:46 AM

The VA and DoD Does… Why Not?
 
Veterans and active duty military have enjoyed the significant benefits of negotiated drug prices for years. Both the VA and the Department of Defense have effectively negotiated drug prices for years. Just because the lobbyists for Big Pharma paid off members of Congress in exchange for their promise to never even permit the negotiation of drug prices to come up for a vote?

What about the rest of us?

Topspinmo 09-12-2021 09:51 AM

Quote:

Originally Posted by jdulej (Post 2002046)
I'm hoping we'll finally see an administration with the balls to stand up to the pressure and fulfill their promises. It'll be a first, but I am hopeful.

Not going to happen when you have representative’s that don’t even read bills. The most famous was we have to pass it to see what’s in it.

TSO/ISPF 09-12-2021 09:52 AM

Quote:

Originally Posted by Villages Kahuna (Post 2002751)
Veterans have enjoyed the significant benefits of negotiated drug prices for years. Just because the lobbyists for Big Pharma paid off members of Congress for their promise never to even permit the negotiation of drug prices to come up for a vote?

What about the rest of us?

I wonder if there is a Veteran willing to offer his/her cost for 90 day supply of Eliquis. Only because we know that number for Canadian
suppliers and it would be an apples to apples comparison. I am a vet
but don't qualify for the benefits. I am on Medicare and paying for a
Part D supplement insurance policy from UHC.

Stu from NYC 09-12-2021 12:00 PM

Quote:

Originally Posted by Topspinmo (Post 2002755)
Not going to happen when you have representative’s that don’t even read bills. The most famous was we have to pass it to see what’s in it.

And very foolishly we the people keep reelecting them. How sad.

WelchNH 09-12-2021 12:28 PM

I'm on The Villages Health Plan (Medicare Advantage plan run by United Healthcare). I also take Eliquis and my quarterly co-pay is $125. I agree that Medicare should be authorized to negotiate drug prices- the USA is the only advanced country where the government is not authorized to negotiate prices. This occurred because of the 2004 plan for senior drug coverage under Medicare
.

TSO/ISPF 09-12-2021 12:46 PM

Quote:

Originally Posted by WelchNH (Post 2002846)
I'm on The Villages Health Plan (Medicare Advantage plan run by United Healthcare). I also take Eliquis and my quarterly co-pay is $125. I agree that Medicare should be authorized to negotiate drug prices- the USA is the only advanced country where the government is not authorized to negotiate prices. This occurred because of the 2004 plan for senior drug coverage under Medicare
.

that's what I was paying until I hit the donut hole. Now it's close to 400.

OrangeBlossomBaby 09-12-2021 01:02 PM

Just as an FYI, which I already mentioned and now confirmed - you can request a co-pay card from BMS/Pfizer. Savings And Support Info | ELIQUIS(R) (apixaban) | Safety Info

You can also get a "free trial offer" which gives you your first prescription absolutely free (they might let you have one refill free if you're already taking it, I didn't dig any deeper than that.


Paying $125 every 3 months for Eloquis is actually pretty amazing, considering that for people who have NO insurance, it is over $600 for a 30-day supply ($1800 per quarter), and with GoodRx discount you can get it for around $500 per month.

Looks to me like someone is getting a pretty amazing price on this ridiculously-priced anticoagulant. You could always go back to coumadin/warfarin, which you can get at Walmart for $6/month. What in the world did people DO before Eloquis was invented? They took something else, and paid less for it. That's what they did.

Eloquis only came out in the last couple of years, there's no generic for it yet. Once there is, they'll lower the price. Or you can just get the cheaper generic.

I had to go through the same thing when I first started taking Ambien, though my cost was still not that astronomical. But my insurance plan didn't cover it at all because it only covered generics at the time. Now that it's available in generic, I only have to pay around $13 for a 90-day prescription at Publix. And that's without any insurance at all, just normal GoodRx.

If I wanted to use the brand name Ambien instead of the generic zolpidem, it'd set me back $1700 and change for a 90-day supply - WITH GoodRX. Insurance I believe won't cover it at all.

TSO/ISPF 09-12-2021 01:53 PM

Quote:

Originally Posted by OrangeBlossomBaby (Post 2002870)
Just as an FYI, which I already mentioned and now confirmed - you can request a co-pay card from BMS/Pfizer. Savings And Support Info | ELIQUIS(R) (apixaban) | Safety Info


You can also get a "free trial offer" which gives you your first prescription absolutely free (they might let you have one refill free if you're already taking it, I didn't dig any deeper than that.


Paying $125 every 3 months for Eloquis is actually pretty amazing, considering that for people who have NO insurance, it is over $600 for a 30-day supply ($1800 per quarter), and with GoodRx discount you can get it for around $500 per month.

Looks to me like someone is getting a pretty amazing price on this ridiculously-priced anticoagulant. You could always go back to coumadin/warfarin, which you can get at Walmart for $6/month. What in the world did people DO before Eloquis was invented? They took something else, and paid less for it. That's what they did.

Eloquis only came out in the last couple of years, there's no generic for it yet. Once there is, they'll lower the price. Or you can just get the cheaper generic.

I had to go through the same thing when I first started taking Ambien, though my cost was still not that astronomical. But my insurance plan didn't cover it at all because it only covered generics at the time. Now that it's available in generic, I only have to pay around $13 for a 90-day prescription at Publix. And that's without any insurance at all, just normal GoodRx.

If I wanted to use the brand name Ambien instead of the generic zolpidem, it'd set me back $1700 and change for a 90-day supply - WITH GoodRX. Insurance I believe won't cover it at all.

Getting the help requires you have few assets.
Warafin is a real pain to take and is not as affective for stroke prevention.
There is a generic for it. BUTT:
"When will generic Eliquis be available?
It’s not clear. The FDA has approved applications from drug makers Micro Labs Limited and Mylan Pharmaceuticals Inc. to produce generic Eliquis. But the maker of brand-name Eliquis, Bristol-Myers Squibb, and its partner, Pfizer, are fighting to prevent generic versions from getting to market for several more years. As the original manufacturers, they own a patent that prevents generics from being introduced until the patent expires. That patent was extended from February 2023 to November 2026. Both drug makers say that’s when generics can be made available." This is from a Goodrx Website.

Anyway, Eliquis is just an example I am familiar with. I am certain there are many other drugs that are
ridiculously priced, like Humira for RA.

jayjayson 09-12-2021 04:27 PM

Since big pharma makes money selling overpriced products. Since they are profit motivated do you really believe they will stop selling to Medicare providers since they will make less money, spoiler alter they won't.

OrangeBlossomBaby 09-12-2021 06:31 PM

Quote:

Originally Posted by heims01 (Post 2002927)
Getting the help requires you have few assets.
Warafin is a real pain to take and is not as affective for stroke prevention.
There is a generic for it. BUTT:
"When will generic Eliquis be available?
It’s not clear. The FDA has approved applications from drug makers Micro Labs Limited and Mylan Pharmaceuticals Inc. to produce generic Eliquis. But the maker of brand-name Eliquis, Bristol-Myers Squibb, and its partner, Pfizer, are fighting to prevent generic versions from getting to market for several more years. As the original manufacturers, they own a patent that prevents generics from being introduced until the patent expires. That patent was extended from February 2023 to November 2026. Both drug makers say that’s when generics can be made available." This is from a Goodrx Website.

Anyway, Eliquis is just an example I am familiar with. I am certain there are many other drugs that are
ridiculously priced, like Humira for RA.

Your assets or lack thereof has nothing to do with getting a $10 co-pay card from Bristol-Meyers for Eloquis. Anyone whose Rx coverage doesn't already cover the full amount, is not receiving Medicare Part D, is over 18, can get the card. You just have to fill out the form online.

As I said - many pharmaceutical companies will discount their expensive meds with a request. I got my Chantix for something like $10 when I decided to quit smoking back when I was 40, and Chantix was still new to the market. My first week's worth was free, as a "starter sample" from the doctor.

All I had to do was submit the request. I -did- have health coverage and prescription coverage at the time but because there was no generic and it was BRAND NEW to the market, my cost would've been around $90 per month for a 3-month Rx. I got 2 months worth for $12, quit smoking my second week, and tossed the rest away.

My beef with Medicare or any other singular program negotiating prices, is that everyone who isn't eligible for those programs ends up paying more to make up for it. And - MOST people aren't on Medicare. So MOST people will end up paying more, just so people over age 65 get a break. The cost for people who have no insurance at all would be astronomical, if you think $600/month is expensive. Imagine how much they'll have to pay if your cost is reduced, just because of your age.

Age discrimination goes both ways. I, who am not yet eligible for Medicare, should not have to pay more just so you can pay less. The negotiated prices should cover ALL citizens in this country who need the meds. Not just one demographic to the exclusion of all else.

TSO/ISPF 09-12-2021 06:53 PM

Quote:

Originally Posted by OrangeBlossomBaby (Post 2003055)
Your assets or lack thereof has nothing to do with getting a $10 co-pay card from Bristol-Meyers for Eloquis. Anyone whose Rx coverage doesn't already cover the full amount, is not receiving Medicare Part D, is over 18, can get the card. You just have to fill out the form online.

As I said - many pharmaceutical companies will discount their expensive meds with a request. I got my Chantix for something like $10 when I decided to quit smoking back when I was 40, and Chantix was still new to the market. My first week's worth was free, as a "starter sample" from the doctor.

All I had to do was submit the request. I -did- have health coverage and prescription coverage at the time but because there was no generic and it was BRAND NEW to the market, my cost would've been around $90 per month for a 3-month Rx. I got 2 months worth for $12, quit smoking my second week, and tossed the rest away.

My beef with Medicare or any other singular program negotiating prices, is that everyone who isn't eligible for those programs ends up paying more to make up for it. And - MOST people aren't on Medicare. So MOST people will end up paying more, just so people over age 65 get a break. The cost for people who have no insurance at all would be astronomical, if you think $600/month is expensive. Imagine how much they'll have to pay if your cost is reduced, just because of your age.

Age discrimination goes both ways. I, who am not yet eligible for Medicare, should not have to pay more just so you can pay less. The negotiated prices should cover ALL citizens in this country who need the meds. Not just one demographic to the exclusion of all else.

So we should just continue to subsidize the rest of the world so big Pharma companies can rake in millions of profits every day, week, month, quarter, year??? This post was about Medicare and the costs we pay. What these companies are making on these drugs is another question but also one that would be good to have real answers to. Corporate America is great at making those answers hard to find.

TSO/ISPF 09-12-2021 06:58 PM

Quote:

Originally Posted by OrangeBlossomBaby (Post 2003055)
Your assets or lack thereof has nothing to do with getting a $10 co-pay card from Bristol-Meyers for Eloquis. Anyone whose Rx coverage doesn't already cover the full amount, is not receiving Medicare Part D, is over 18, can get the card. You just have to fill out the form online.

As I said - many pharmaceutical companies will discount their expensive meds with a request. I got my Chantix for something like $10 when I decided to quit smoking back when I was 40, and Chantix was still new to the market. My first week's worth was free, as a "starter sample" from the doctor.

All I had to do was submit the request. I -did- have health coverage and prescription coverage at the time but because there was no generic and it was BRAND NEW to the market, my cost would've been around $90 per month for a 3-month Rx. I got 2 months worth for $12, quit smoking my second week, and tossed the rest away.

My beef with Medicare or any other singular program negotiating prices, is that everyone who isn't eligible for those programs ends up paying more to make up for it. And - MOST people aren't on Medicare. So MOST people will end up paying more, just so people over age 65 get a break. The cost for people who have no insurance at all would be astronomical, if you think $600/month is expensive. Imagine how much they'll have to pay if your cost is reduced, just because of your age.

Age discrimination goes both ways. I, who am not yet eligible for Medicare, should not have to pay more just so you can pay less. The negotiated prices should cover ALL citizens in this country who need the meds. Not just one demographic to the exclusion of all else.

When I had commercial insurance my copay was 30 dollars. I can't recall what the insurance company actually paid but it wasn't 1800 for a 90 day supply. Volume discounts are a normal course for businesses and Medicare is one big business. Let them negotiate better prices from Big Pharma. Don't let them advertise to the general public and they'll save a lot of the "cost" of these drugs for them.

Cindyd 09-12-2021 07:45 PM

I think it’s a really complex issue. I believe the negation would include prices for VA, military, Medicare, Medicaid, all fed healthcare programs, and if The US is the drugs only market, highly unlikely, prices would have to go up for Americans not on any of above program.

What Trump was trying to do was get US on same pricing scale as other developed countries. For example I’m prescribed a ointment that cost $360 per tube if I go through my Medicare RX program. If I buy online from a Canadian pharmacy it costs me $40.

In the past Big Pharma has said that lowering prices would impact new product development, which makes sense. But, if all countries were put on same price, all contributed based on per capita to award research grants through org such as WHO or NIH, it would work…the grant part obviously needs lots of controls.

I also think we need to get drug mfg out of China, which depending on where mfg occurs, would impact costs.

Now, having said that, It will never happen as big pharma equals big political donors

TSO/ISPF 09-12-2021 08:03 PM

[QUOTE=Cindyd;2003077]I think it’s a really complex issue. I believe the negation would include prices for VA, military, Medicare, Medicaid, all fed healthcare programs, and if The US is the drugs only market, highly unlikely, prices would have to go up for Americans not on any of above program.

The VA already has better prices for the veterans they insure. Not all vets qualify for that insurance though. United Health Care should be able to reduce costs for people who have their Part D supplemental coverage but when you reach the donut hole which is 4130 for total cost of your prescriptions, your copays go up substantially(25% of the total cost) until you reach 6550 in total costs for your prescriptions. I pay
82 a month premium for my part D supplemental and my out of pocket this year will be over 2k. I guess the fact that I am on Medicare means even UHC can't get a better price than "retail".

OrangeBlossomBaby 09-12-2021 08:33 PM

Quote:

Originally Posted by heims01 (Post 2003065)
So we should just continue to subsidize the rest of the world so big Pharma companies can rake in millions of profits every day, week, month, quarter, year??? This post was about Medicare and the costs we pay. What these companies are making on these drugs is another question but also one that would be good to have real answers to. Corporate America is great at making those answers hard to find.

Why are you talking about subsidizing the world when my response to you had nothing to do with subsidizing the rest of the world? Why do you keep changing the topic in response to my responses to your posts?

The thread is about whether or not people feel Medicare should negotiate for better drug prices. My response to that question is no. My response to that question is:

Medicare is a government program. The government should not be negotiating prices for ONE segment of the population based on their age. ONLY people age 65 or older are eligible for Medicare, therefore ONLY people 65 or older would be eligible for better prices if the government only negotiated better prices for people with Medicare coverage.

If the government is going to negotiate for better prices, they should negotiate for better prices for the entire country - not JUST people age 65 or older who have chosen Medicare coverage for prescriptions.

stadry 09-13-2021 06:33 AM

[QUOTE=jdulej;2002046]I'm hoping we'll finally see an administration with the balls to stand up to the pressure and fulfill their promises. keep hoping this administration will do anything but help themselves & their family 1st.

1 action taken during the pandemic pausinge federal student loan payments, &moving to extending the moratorium until January 31, 2022. the administration has rejected proposals from Senators to cancel up to $50,000 per person from our country's $1.6 trillion in student debt,,, i student loans are non-coerced contracts. why should taxpayers bail out the obligees / borrowers ?

TSO/ISPF 09-13-2021 06:56 AM

Quote:

Originally Posted by OrangeBlossomBaby (Post 2003094)
Why are you talking about subsidizing the world when my response to you had nothing to do with subsidizing the rest of the world? Why do you keep changing the topic in response to my responses to your posts?

The thread is about whether or not people feel Medicare should negotiate for better drug prices. My response to that question is no. My response to that question is:

Medicare is a government program. The government should not be negotiating prices for ONE segment of the population based on their age. ONLY people age 65 or older are eligible for Medicare, therefore ONLY people 65 or older would be eligible for better prices if the government only negotiated better prices for people with Medicare coverage.

If the government is going to negotiate for better prices, they should negotiate for better prices for the entire country - not JUST people age 65 or older who have chosen Medicare coverage for prescriptions.

Strictly speaking more than 65 year old people are eligible for Medicare.
Are you ? The VA does negotiate for better prices for vets. Foreign governments negotiate lower prices. Why do you think you can buy drugs from Canada for less than your Medicare copays?
Insurance companies negotiate lower prices. The only people paying retail are on Medicare. Thanks for your opinion but your facts aren't correct.

OhioBuckeye 09-13-2021 07:56 AM

Ohiobuckeye
 
Quote:

Originally Posted by jdulej (Post 2002695)
Makes perfect sense to me. Prior admins (all of them) rolled over to pressure from industry vs pressure from the general population - big talk, no action, then "gee, I tried" is the usual pattern. We (the people) need to keep a closer eye on this attempt and make sure the politicians know that big pharma is not their client, we are. I am modestly hopeful this time, but not holding my breath.

You’re right, don’t hold your breath!

jdulej 09-13-2021 08:01 AM

Quote:

Originally Posted by OrangeBlossomBaby (Post 2003094)
Why are you talking about subsidizing the world when my response to you had nothing to do with subsidizing the rest of the world? Why do you keep changing the topic in response to my responses to your posts?

The thread is about whether or not people feel Medicare should negotiate for better drug prices. My response to that question is no. My response to that question is:

Medicare is a government program. The government should not be negotiating prices for ONE segment of the population based on their age. ONLY people age 65 or older are eligible for Medicare, therefore ONLY people 65 or older would be eligible for better prices if the government only negotiated better prices for people with Medicare coverage.

If the government is going to negotiate for better prices, they should negotiate for better prices for the entire country - not JUST people age 65 or older who have chosen Medicare coverage for prescriptions.

We could get the same effect with Medicare For All. You pay into Medicare as now, but are covered cradle to grave and F.. big pharma.

Stu from NYC 09-13-2021 08:34 AM

Quote:

Originally Posted by jdulej (Post 2003256)
We could get the same effect with Medicare For All. You pay into Medicare as now, but are covered cradle to grave and F.. big pharma.

Nice idea in theory but our govt is owned by special interests.

I can see a scenario where the govt pays the same high price that medicare does but for all of us.

Govt does not have to worry about this just raise taxes to pay the higher prices.

TSO/ISPF 09-13-2021 09:17 AM

Quote:

Originally Posted by Stu from NYC (Post 2003288)
Nice idea in theory but our govt is owned by special interests.

I can see a scenario where the govt pays the same high price that medicare does but for all of us.

Govt does not have to worry about this just raise taxes to pay the higher prices.

As an aside, the highest paid exec at PFIZER made close to 20 million in 2020. If drug companies are worried about profits stop paying there executives so much! The horse is out of the barn now and it's running faster every year. I realize that is off topic but I think we should be fair to big pharma. They have a lot of expenses. I know government has made it hard for them to bribe physicians though.


Compensation Information for A. Bourla, Chairman and Chief Executive Officer of PFIZER INC | Salary.com

TSO/ISPF 09-13-2021 03:53 PM

Quote:

Originally Posted by Stu from NYC (Post 2002038)
For $ 50,000 we can buy our own Congressional rep for one 2 year term and for 100,000 for life. What can we expect when the people who supposedly work for us are bought and paid for by lobbyists.

And we stupidly keep reelecting the same people.

All we can do is make certain the people we vote for, if you vote in Florida are supporting the issue as you see it. The AARP is advocating for Medicare to negotiate drug prices. The issue of health care costs
is bigger than this but it's a start.

Ben Franklin 09-13-2021 04:24 PM

Other countries negotiate prices and so the same drugs cost much less. The Pharms are trying to recoup their negotiated lower prices by making us pay more, and sadly, in this country, the Oligarchy rules.

OrangeBlossomBaby 09-13-2021 05:04 PM

Quote:

Originally Posted by jdulej (Post 2003256)
We could get the same effect with Medicare For All. You pay into Medicare as now, but are covered cradle to grave and F.. big pharma.

I'd be fine with that.

Stu from NYC 09-13-2021 06:00 PM

Quote:

Originally Posted by Ben Franklin (Post 2003545)
Other countries negotiate prices and so the same drugs cost much less. The Pharms are trying to recoup their negotiated lower prices by making us pay more, and sadly, in this country, the Oligarchy rules.

If they were forced to be competitive they would have no choice but to operate as a business pricing to the market. Perhaps we would see less useless drugs ads.

If I have to suggest a medication to our physician we are dealing with the wrong doctor.

retiredguy123 09-13-2021 07:41 PM

The only way to control medical costs is to require patients to pay a copay based on the cost of the service. That would create a market where medical providers would have to compete with each other for business.

Stu from NYC 09-13-2021 09:04 PM

Quote:

Originally Posted by retiredguy123 (Post 2003596)
The only way to control medical costs is to require patients to pay a copay based on the cost of the service. That would create a market where medical providers would have to compete with each other for business.

Very true. These days when going to a Dr for particular reason nobody even asks the price as insurance will pay.


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