More Pharma Price Pressure


Fed-up MD Anderson oncologist jumps on social media to fight drug prices.

Flush with success in negotiating discounts for hepatitis C drugs, payers are promising to strong-arm drugmakers in other treatment classes, too–cholesterol and cancer, for instance. They’ll have more than one oncologist on their sides: A top doctor at the MD Anderson Cancer Center, fed up with cancer drug prices, plans a social media protest.

Dr. Hagop Katarjian

Dr. Hagop Kantarjian, who chairs the cancer center’s leukemia department, has some experience with fighting pharma, the Houston Chronicle reports. He rounded up 100 doctors to co-sign a commentary in the journal Blood, advocating lower drug prices. He’s racked up bylines on op-eds in a variety of news outlets and medical journals.

But that’s not working, so he’s going to enlist patients. Kantarjian tells the Chronicle that he wants to collect stories and signatures from 1 million leukemia patients, as part of a social media campaign-cum-lobbying effort. Ultimately, he wants Congress to allow the government to negotiate pricing.

There’s no denying the rise in oncology drug prices, and with a new round of cancer immunotherapies coming to market, prices aren’t likely to drop anytime soon. Bristol-Myers Squibb ($BMY) put a $150,000 price on its new PD-1 therapy, Opdivo, for instance, with Merck’s ($MRK) rival Keytruda about the same. Then there are the meds in the $140,000 neighborhood: Bristol-Myers’ Sprycel and Erbitux, and Celgene’s ($CELG) Pomalyst and Revlimid. All are among the most expensive drugs in the world.

Oncology meds targeted at very small patient populations can be even more expensive; think Pfizer’s ($PFE) Xalkori for a rare form of lung cancer, now priced at about $185,000, or Blincyto, Amgen’s ($AMGN) targeted leukemia med, at $178,000.

Besides some Part D rebates mandated by the Affordable Care Act, Medicare has no pricing power over drugmakers. Companies set their prices. Lawmakers have tried to give Medicare officials the power to wheel-and-deal with pharma, but those efforts have failed. President Barack Obama proposed the idea once again as part of his latest budget, but with a Republican-controlled Congress, that’s a non-starter.

So, private concerns have been leading the charge. Including doctors. Memorial Sloan Kettering Cancer Center in New York nixed Sanofi’s ($SNY) colon cancer drug Zaltrap after doctors deemed it too expensive for the benefits it offered–and those doctors wrote a New York Times op-ed about their move. One of those docs, Peter Bach, has been vocal on the subject ever since. The American Society for Clinical Oncology says it’s planning a cost-benefits scorecard to help docs navigate pricey meds.

Meanwhile, pharmacy benefits managers CVS Health and Express Scripts, along with a list of insurers and other PBMs, cut formulary deals with Gilead Sciences ($GILD) and AbbVie ($ABBV) in hepatitis C. Express Scripts has said its discounts will allow all its patients access to AbbVie’s newly approved cocktail. Next in line may be the forthcoming PCSK9 cholesterol meds–but cancer is also on the target list.

Can Kantarjian’s grassroots effort sway opinion enough to trigger bigger changes? Congress does tend to listen to squeaky wheels, if they squeak loudly enough. But Congress listens to money more, and Big BioPharma fields teams of expensive lobbyists–and uses its deep pockets for campaign contributions. The MD Anderson doc might have better luck with payers.

Source: FierceBiotechMarketing.


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John Macey

I was born, and principally educated, in the fields of biochemistry, and business management in the northeastern USA. However, my world-wide professional career has greatly expanded upon that US base to involve the many different segments of the Biotech / Life Science fields globally. – I have been dressed as a surgeon to view many, many surgical proceedures - The major players in the health care fields that I have worked for include: Johnson & Johnson, DuPont, Abbott Laboratories, and F. Hoffmann-La Roche. – Positions have included selling nuclear materials for both in-vivo & in-vitro (radio-pharmaceutical & radio-immunoassay) medical diagnostic purposes, in the four countries in Scandinavia, based south of Stockholm, to managing Ph. Ds at a global Swiss headquarters location. – At one time I held a position of Strategy Manager for Europe, Middle-East & Africa (EME&A) for a Chicago based company, but living in Germany. – I do speak fluent colloquial German. – In addition to having lived in multiple European countries, my professional career took me to Asia for well over a decade. There I had management control of Oceania, the Pacific Rim, Northern Asia, Japan, out to India. – Occasionally, management assignments have taken me to all of Latin America, and most of South America. – I am extremely culturally aware, a skilled negotiator, and a seasoned manager of men and science. – My one abiding passion has always been computing, data, and analysis. As such, my main computer operating system is Linux, and open-source computer applications. – I do also run Microsoft 7, and Mac OS X (all 3 operating systems on the same H-P Ultrabook). I hope you enjoy your time on the Blog, and should you have any comments / feedback please feel free to email me @, or visit my Linux Web Site @ (always evolving) – John J. Macey – AKA Adler, which in German means Eagle – Wildwood, New Jersey - Together, we can expand your global markets - with our partnerships. The partnerships are global utlizing multiple Law, Regulatory, Seasoned Management, Employment, M&A and buidlers of Business. Contact use.