Drug-Pricing

FTC Sues Big Three PBMs for Artificially Inflating Insulin Prices Through Rebate Schemes

| Importance: 9/10

The Federal Trade Commission filed an administrative antitrust complaint against the three largest pharmacy benefit managers—CVS Caremark, Express Scripts (Cigna), and OptumRx (UnitedHealth)—and their affiliated group purchasing organizations, charging them with anticompetitive and unfair practices …

Federal Trade Commission Lina Khan CVS Caremark Express Scripts OptumRx +3 more healthcare pbm pharmacy antitrust ftc +3 more
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Senate Hearing Exposes PBM Insulin Profiteering: 75% of Sales Go to Rebates and Fees

| Importance: 9/10

The Senate Health, Education, Labor, and Pensions (HELP) Committee held a historic hearing bringing together CEOs of major insulin manufacturers (Eli Lilly, Novo Nordisk, Sanofi) and executives from the three largest PBMs (CVS Caremark, Express Scripts, OptumRx) to examine soaring insulin prices. …

Bernie Sanders Senate HELP Committee Lars Fruergaard Jorgensen Paul Hudson Heather Cianfrocco +6 more healthcare pbm pharmacy insulin drug-pricing +2 more
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AbbVie Humira Patent Thicket Delays US Biosimilars Until 2023 Despite 2016 Patent Expiration and European Competition

| Importance: 9/10

AbbVie reached settlement agreements with eight biosimilar manufacturers that allowed immediate biosimilar competition in Europe starting October 16, 2018, but delayed all US market entry until 2023—seven years after Humira’s original patent expired in December 2016. The settlements ended …

AbbVie Amgen Samsung Bioepis Mylan Boehringer Ingelheim +3 more pharmaceutical-industry patent-abuse drug-pricing healthcare evergreening +2 more
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Johns Hopkins Study Exposes Orphan Drug Act Gaming - Seven of Top 10 Drugs Exploiting Tax Breaks for Rare Diseases

| Importance: 9/10

Johns Hopkins researchers published findings demonstrating that pharmaceutical companies were systematically gaming the 1983 Orphan Drug Act by obtaining orphan drug designations—intended for treatments of rare diseases affecting fewer than 200,000 Americans—for blockbuster drugs generating billions …

Johns Hopkins University FDA AbbVie Roche Johnson & Johnson +4 more pharmaceutical-industry regulatory-capture tax-avoidance drug-pricing healthcare +2 more
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Valeant Pharmaceuticals Scandal Exposes Systematic Price Gouging Strategy - 3000% Increase on Syprine, Philidor Fraud Network

| Importance: 9/10

Valeant Pharmaceuticals’ October 2015 disclosure of its relationship with specialty pharmacy Philidor Rx Services triggered the unraveling of a systematic drug price gouging scheme that had raised prices on dozens of medications by 50-3000% over two years. Under CEO Michael Pearson, Valeant …

Valeant Pharmaceuticals J. Michael Pearson Philidor Rx Services William Ackman Securities and Exchange Commission (SEC) +2 more pharmaceutical-industry drug-pricing healthcare corporate-fraud systematic-corruption +1 more
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Supreme Court Allows Antitrust Challenge to Pay-for-Delay Drug Settlements Costing Consumers $3.5 Billion Annually

| Importance: 10/10

The Supreme Court ruled 5-3 in FTC v. Actavis that the Federal Trade Commission could bring antitrust challenges against “pay-for-delay” agreements where brand-name drug manufacturers pay generic competitors to delay bringing cheaper alternatives to market. The decision reversed lower …

Supreme Court of the United States Federal Trade Commission Solvay Pharmaceuticals Actavis Watson Pharmaceuticals +1 more pharmaceutical-industry patent-abuse regulatory-capture antitrust supreme-court +2 more
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Questcor Raises Acthar Gel Price from $1,600 to $23,000 Overnight - Eventually Reaching 97,000% Increase Through Bribery Scheme

| Importance: 9/10

Questcor Pharmaceuticals implemented an overnight price increase for H.P. Acthar Gel from $1,600 to $23,000 per vial on August 27, 2007, launching a decade-long price gouging scheme that would eventually raise the drug’s price by 97,000% from its 2001 level. Questcor had acquired Acthar—a …

Questcor Pharmaceuticals Mallinckrodt Federal Trade Commission Humana Congress +1 more pharmaceutical-industry drug-pricing healthcare corporate-fraud bribery +2 more
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Insulin Prices Begin Tripling 2002-2013 as Three Manufacturers Control 99% of Market - From $231 to $762 Annually

| Importance: 9/10

The average price of insulin in the United States began a decade-long tripling from $231 per patient annually in 2002 to $762 in 2013, according to congressional hearing data—with some patients paying up to $900 per month for insulin products that cost $4.34 per milliliter in 2002 but reached $12.92 …

Eli Lilly Novo Nordisk Sanofi Congressional Diabetes Caucus Big Pharma pharmaceutical-industry drug-pricing healthcare monopoly insulin-crisis +1 more
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