Evening Standard

NHS is ‘charged £100m too much by drugs firm’

- Ross Lydall Health Editor

A DRUGS firm was today accused of overchargi­ng the NHS more than £100 million by increasing the price of an essential thyroid pill by almost 6,000 per cent.

Concordia was found, in a preliminar­y ruling by the competitio­n watchdog, to have upped the cost of a packet of liothyroni­ne tablets from £4.46 in 2007 to £258.19 by July last year.

The NHS spent more than £34 million on the drug last year, rising from £600,000 in 2006 — even though production costs had remained “broadly stable”, according to the Competitio­n and Markets Authority.

The Standard was told that there were more than 50 price rises over the decade since it moved “off patent” in 2007 — with the total alleged “overcharge” to the NHS exceeding £100 million.

The hormone replacemen­t therapy is used by about 13,000 UK patients to treat an underactiv­e thyroid, a condition suffered by two in 100 people.

It is not the primary treatment for the condition, which can lead to depression, fatigue and weight gain, but is used when the standard treatment fails. Some commission­ing groups have considered advising GPs and endocrinol­ogists to stop prescribin­g liothyroni­ne routinely because of the cost.

Andrea Coscelli, of the CMA, said: “Pharmaceut­ical companies which abuse their position and overcharge for drugs are forcing the NHS — and the UK taxpayer — to pay over the odds.

“We allege that Concordia used its market dominance in the supply of liothyroni­ne tablets to do exactly that. At this stage, our findings are provisiona­l and there has been no definitive decision that there has been a breach of competitio­n law.”

The case is the latest CMA action against alleged unfair costs, with seven other inquiries now under way. Firms Pfizer and Flynn Pharma are appealing against fines of almost £90 million.

The CMA “statement of objections” has been sent to Concordia and the London private equity firms Cinven and HgCapital, which previously owned firms now part of Concordia.

Concordia said: “We do not believe that c o mp e t i t i o n l aw h a s b e e n infringed. We continue to work cooperativ­ely with the CMA as it proceeds with its investigat­ion.”

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