National Reports-As major brand drugs such as Zocor (Merck) and Zoloft (Pfizer) lose patent protection and become available as generics, health plans, employers and patients alike can expect to realize significant savings in the long run, experts say.
NATIONAL REPORTS-As major brand drugs such as Zocor (Merck) and Zoloft (Pfizer) lose patent protection and become available as generics, health plans, employers and patients alike can expect to realize significant savings in the long run, experts say.
"However, in the short term, many of these generic products will first hit the market with a six-month exclusivity period during which time generic products are typically priced about 30% below the branded product," says Ruth Ann C. Opdycke, PharmD, MS, senior consultant with The Pharmacy Group LLC. "Depending on the brand and generic copayment differential, health plans and employers might end up picking up a larger share of the cost of the generic product during the exclusivity period," Opdycke says.
However, generic prices will fall rapidly once the six-month exclusivity expires and other generic manufacturers are permitted to manufacture the generic product, she says. "With market competition of multiple generic manufacturers, the price of a generic product typically can be priced at a 60% discount to the branded generics," Opdycke adds.
Elise Anderson, a spokesperson for Blue Shield of California, told Managed Healthcare Executive that Blue Shield confirms the WSJ report and that "Blue Shield considers the contract arrangements that it maintains with other companies to be confidential, which is the reason that we are unable to respond to...additional questions."
Papazian says that it is its standing policy not to discuss specifics of any of Merck's commercial relationships. "And for proprietary reasons, we cannot discuss our pricing strategy," she says.
Says Opdycke: "This is a 'first-of-its-kind' design and is contrary to the broad push to increase generic utilization in general throughout the managed care industry."
David Calabrese of OptumRx Talks New Role, Market Insulin Prices and Other Topics 'On His Mind'
April 13th 2023In this month’s episode of the "What's On Your Mind podcast," Peter Wehrwein, managing editor of MHE connects with the now Chief Clinical Officer of OptumRx Integrated Pharmacies, David Calabrese. In this conversation, David touches on his transition in January as OptumRx’s former chief pharmacy officer and market president of health plans and PBMs to his new role as Chief Clinical Officer where he now focuses more on things such as specialty pharmacy to home delivery — with an overall goal of creating whole-patient care. Throughout the conversation, Calabrese also touched on the market’s hot topic of insulin prices and behavioral health services within the OptumRx community, among other topics.
Listen
Upended: Can PBM Transparency Succeed?
March 6th 2024Simmering tensions in the pharmacy benefit management (PBM) industry have turned into fault lines. The PBMs challenging the "big three" have formed a trade association. Purchaser coalitions want change. The head of the industry's trade group says inherent marketplace friction has spilled over into political friction.
Read More
Briana Contreras, editor of Managed Healthcare Executive, spoke with Nancy Lurker, CEO and president of EyePoint Pharmaceuticals. Nancy shared a bit about EyePoint and how the organization’s innovative therapies are addressing patient needs through eye care, and most importantly, she addressed C-Suite positions like the CEO role. Nancy shared advice for those seeking to reach the CEO level, especially toward women in healthcare and other roles, and what it takes to run a biopharma company.
Listen
The deliberate disconnection of Change Healthcare to ring fence a cyberattack entered its seventh day today. Prescribers are finding ways to get pharmacy claims processed, and UnitedHealth Group says disruption to the dispensing of prescriptions has been minimal. But independent pharmacies want more information and protection from financial consequences from pharmacy benefit managers.
Read More