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Life Extension Magazine

Life Extension Magazine August 2009
AS We See It

The Generic Drug Rip Off

By William Faloon

Double-digit Drug Price Increases So Far in 2009

Despite inflation remaining at near zero this year, pharmaceutical companies are jacking up the prices they charge for patented drugs to even more exorbitant levels.

Double-digit Drug Price Increases So Far in 2009

Since the Medicare Prescrip-tion Drug Act7 requires the federal government to pay full retail price, pharmaceutical companies can literally name their price and receive guaranteed payment courtesy of taxpayers. Drug companies receive a substantial percentage of the retail price from private health insurers also, so the more they raise the prices, the more money they make.

Consumers are the ultimate victims. They face higher Medicare premiums and taxes, higher private insurance premiums, more exclusions and higher co-pays, and higher taxes to cover the $600 billion Medicare Prescription Drug Act.

Proposed legislation calls for the FDA to get more funding, so taxpayers may also be contributing to the bureaucracy that serves to protect drug companies against lower-priced competition.

The growing number of Americans without medical insurance and who don’t qualify for government aid are priced out of the market for patented medications unless they are economically well-endowed. The federal government recognizes this problem and is proposing that even more tax dollars now be used to subsidize prescription drugs, though not at full retail price.

The Secret About Compounding Pharmacies the FDA Does Not Want You to Know!

If you’re like most people, you think prescription drugs are only made by pharmaceutical companies. This myth causes Americans to pay outrageous prices for drugs that can be bought for a fraction of the price from compounding pharmacies.

For example, the price of a particular drug made by a major pharmaceutical company is $245 a month. You can obtain the identical quantity of this natural substance from a compounding pharmacy for as low as $29 a month! Since many insurance companies do not reimburse for this item, you would save over $2,592 a year by purchasing the compounded version of this drug as opposed one made by a pharmaceutical company. By law, I am not even allowed to mention the name of this drug. How’s that for press freedom!

Pharmaceutical companies would prefer that you don’t find out how to obtain your prescription drugs for 92% less than what you may now pay. That’s why pharmaceutical giants lobby the FDA to incite the agency to censor compounding pharmacy advertising.

In a landmark legal case, the US Supreme Court ruled that the FDA violates the First Amendment’s free speech provisions when it seeks to restrict advertising or promotion of compounded drugs. As a result of this Constitutional victory, you are now allowed to at least find out that there are compounded prescription medications available at a fraction of the price you have been paying. In fact, the cost for some compounded drugs is lower than co-pays for pharmaceutical company-manufactured ones.

In fact, one reason pharmaceutical companies are increasing prices is that they fear the federal government will soon require they “discount” their patented medications. So the more they jack up the prices now, the greater amount they will receive after they are forced to lower them via government-mandated “discounts.”

The chart below "Rising Drug Costs" shows the double-digit price increases that have already occurred on popular drugs in 2009.

How Consumers Will be Protected

We are proposing that the law be amended to allow GMP-certified manufacturing facilities to produce generic prescription drugs that do not undergo the excessive regulatory hurdles that force consumers to pay egregiously inflated prices.

To alert consumers when they are getting a generic whose manufacturing is not as heavily regulated as it is currently, the law should mandate that the label of these less-regulated generic drugs clearly states:

“This is not an FDA-approved manufactured generic drug and may be ineffective and potentially dangerous. This drug is NOT manufactured under the same standards required for an FDA-approved generic drug. Purchase this drug at your own risk.”

By allowing the sale of these less costly generics, consumers will have a choice as to what companies they choose to trust.

Rising Drug Costs

Drug companies are hiking prices as health-care reform looms. Price of selected drugs and change from previous year.

Drug

Disease Treated

Dosage

Price (1Q 2009)

% change

Sprycel®

Leukemia

60 20-mg pills

$ 3,763.98

32.7%

Viagra®

Erectile dysfunction

30 25-mg pills

$ 519.46

20.7%

Strattera®

ADHD

30 10-mg pills

$ 159.28

15.6%

Sutent®

Kidney cancer

28 25-mg pills

$ 4,997.81

14.3%

Cialis®

Erectile dysfunction

30 20-mg pills

$ 551.17

14.2%

Source: Credit Suisse analysis based on Wolters, Kluwer, Price, Rx Pricing Database. This chart is reproduced from the Wall Street Journal, April 15, 2009. Reprinted with permission.

The inevitable concern raised by this free market solution is safety. Who will protect consumers from poorly made generic drugs?

First of all, there will be the same regulation of these drugs as there are with GMP-certified supplement makers. FDA inspectors will visit facilities, take sample products, and assay to ensure potency of active ingredient, dissolution, etc. Laboratories that fail to make products that meet label claims would face civil and criminal penalties from the government.

Mollifying the Cynics

Secondly, there is no incentive not to provide the full potency of active ingredient in these less-regulated generic drugs. The price of the active ingredients makes up such a small percentage of the overall cost that a manufacturer would be idiotic to scrimp on potency.

Companies that foolishly make inferior generics will be viciously exposed by the media, along with the FDA, consumer protection groups, and even prescribing physicians who will be suspicious if a drug was not working as it is supposed to.

Companies producing inferior products will be quickly driven from the marketplace as consumers who choose to purchase these lower-cost generics will seek out laboratories that have reputations for making flawless products.

These substandard companies would not only be castigated in the public’s eye, but face civil litigation from customers who bought the defective generics. When one considers that GMP-certified manufacturing plants can cost hundreds of millions to set up, a company would be committing suicide if it failed to consistently produce generic drugs that at least met minimum standards.

Mollifying the Cynics

No matter how many facts I list showing that these free market drugs will be safe, there are alarmists who believe that even if one person suffers a serious adverse event because of a defective generic drug, then the law should not be amended to allow the sale of these less-regulated products.

What few understand is that enabling lower-cost drugs to be sold might reduce the number of poorly made drugs. The reason is that prescription drug counterfeiting is a major issue today. Drugs are counterfeited because they are so expensive. With a month’s supply of free market simvastatin selling for only $3.20, it is difficult to imagine anyone profiting by counterfeiting it. So amending the law to enable these super-low-cost drugs to be sold might reduce the counterfeiting that exists right now.

Another reason these less-regulated generics will do far more good than harm is that people who need them to live will be able to afford them. The media has reported on heart-wrenching stories of destitute people who cannot afford even generic prescription drugs. They either do without, or take a less-than-optimal dose. The availability of these free market generics will enable virtually anyone to be able to afford their medications.

Preserving Our Country’s Financial Future

The cost of prescription drugs is a significant factor in today’s health care cost crisis, a problem that threatens to bankrupt consumers and this nation’s medical system. Passage of common-sense legislation would quickly slash the cost of generic drugs so low that consumers could obtain them for less than what their co-pays currently are. Enormous amounts of money would be saved by public and private insurance programs, and ultimately consumers.

According to the Government Accountability Office (GAO), all federal revenue will be eaten up by government outlays for Medicare, Medicaid, Social Security, and public debt interest by 20258,9—just 16 years from now!

We as a nation can no longer afford to be bound by today’s inefficient regulatory system that artificially inflates the cost of our prescription medications. The money is no longer there to support this bureaucratic morass.

Fight Back Against This Institutional Corruption

The United States of America faces a health care cost crisis that will render Medicare and many private insurance plans insolvent. Next month I will reveal shocking details about how bad Medicare’s finances really are.

When terrorists attacked the United States in 2001, there were patriotic Americans who enlisted in the armed services. Many lost their limbs, their vision, and their lives.

No one has to engage in physical combat to save this country from the institutionalized inefficiencies and corruption that plague today’s disease-care system. All you have to do is type-in www.lef.org/lac on to your computer and easily send a copy of this article to your Representative and two Senators (along with the letter that appears at the end of this article "Letter to Washington").

Just punch in your name and address, and our Legislative Action Center (www.lef.org/lac) locates your Representative and Senators. It is that simple to take affirmative action to help save our country from the insolvency so many countries chronically suffer with.

This article will be read by over 300,000 Americans. In previous legislative initiatives, fewer than 6,000 people bothered to spend a few minutes logging on to our convenient Legislative Action Website. This kind of citizen apathy is why the federal government continues to trample our liberties and empty our pocketbooks.

The form letter below "Letter to Washington" can be printed (along with this entire article), and mailed to your members of Congress. To find out where to mail these letters, call 202-224-3121. It is of course much more convenient to log on to www.lef.org/lac

I sincerely hope that after reading this article, not one Life Extension® member will fail to take this simple action to help protect this nation’s economic future.

For longer life,

For Longer Life

William Faloon

Letter to Washington

References

1. www.wikipedia.org/wiki/Argentina.

2. www.hdrstats.undp.org/en/2008/countries/country_fact_sheets/cty_fs_ARG.html.

3. Rev Urol. 2003;5(Suppl 5):S12-21.

4. Urology. 2009 May;73(5):935-9; discussion 939.

5. Prostate. 2009 Jun 1;69(8):895-907.

6. www.lef.org/magazine/mag2001/may2001_cover_pearson2_1.html.

7. www.citizen.org/congress/reform/rx_benefits/drug_benefit/.

8. www.money.cnn.com/2009/05/06/news/economy/obama_budget_cuts/index.htm.

9. www.house.gov/budget_republicans/entitlement/roadmap_detailed_entirereport.pdf.