Drug price hikes cost US billions, report finds

Drug price hikes cost US billions, report finds
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Drug companies raised prices on seven popular drugs during 2017 and 2018 without clinical evidence that the drugs had been improved in any way, according to a new report.  

The increases cost patients and insurers more than $5 billion, the Institute for Clinical and Economic Review (ICER) found in its report.

The report looked at the seven top-selling drugs by sales revenue that had price increases of more than two times inflation, as measured by the medical consumer price index.

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According to ICER, a Boston-based research group, new evidence must “provide information different from what was previously believed in order to support a price increase.” None of the drugs examined showed evidence of improved safety or effectiveness, the analysis found.

ICER’s report was the first on either the state or national level to examine whether certain price increases are justified by new clinical evidence or other factors. 

Reducing the cost of prescription drugs is a bipartisan issue, but it can be difficult to tell just how much patients pay. Drug companies argue a drug’s list price — which doesn't reflect the discounts negotiated with insurers or through patient assistance programs — is often higher than what the patient actually pays.

However, the ICER report focused on total U.S. drug spending rather than per-unit costs. 

President TrumpDonald John TrumpTrump faces high stakes in meeting with Erdoğan amid impeachment drama Democrats worry they don't have right candidate to beat Trump Trump threatening to fire Mulvaney: report MORE has made lowering drug prices a top priority of his presidency, and there are currently two competing drug pricing plans in Congress: a bipartisan Senate plan and a more sweeping plan from House Speaker Nancy PelosiNancy PelosiGiuliani pens op-ed slamming 'unprecedented' impeachment inquiry Brindisi, Lamb recommended for Armed Services, Transportation Committees Overnight Health Care: Top health official defends contract payments to Trump allies | Vaping advocates confident Trump will turn from flavor ban | Sanders gets endorsement from nurses union MORE (D-Calif.).

The top drugs on the list included the arthritis drug Humira, nerve pain medication Lyrica, the HIV drug Truvada and the erectile dysfunction drug Cialis. 

Humira topped the list with an increase that added $1.8 billion in spending. Cancer drug Rituxan was second on the list, with an increase that added $806 million from 2017 to 2018. 

In an appendix published with the report, the manufacturers rebutted ICER’s findings. Many claimed the analysis did not reflect the value and benefit that the drugs have demonstrated. Others took issue with the methodology of the report.