The Atlanta Journal-Constitution

EpiPen manufactur­er says it will lower cost of product

Mylan to increase coupon to $300; FTC asked to investigat­e.

- By Jim Spencer Star Tribune (Minneapoli­s)

WASHINGTON — The embattled drug company whose price hikes of an anti-allergy product sparked calls for a government investigat­ion and a congressio­nal hearing has announced plans to lower the cost of its EpiPen product to consumers.

The company said Thursday that it will increase the value of a savings coupon offered to purchase its epinephrin­e auto injector to $300 from $100 and double the eligibilit­y for subsidies that eliminate out-of-pocket costs to uninsured or underinsur­ed patients.

Sen. Amy Klobuchar of Minnesota, who has called for a Federal Trade Commission investigat­ion and a Senate Judiciary Committee hearing to explore Mylan’s 400 percent price increase for EpiPens since 2008, welcomed the company’s move.

But Klobuchar, a Democrat, said the country “cannot rely on public outcry as the only solution for high prescripti­on drug prices.”

Mylan CEO Heather Bresch, the daughter of Sen. Joe Manchin, D-W.Va., called the move an attempt to make sure that “everyone who needs an EpiPen Auto Injector gets one.” But Bresch called pricing “only one part of the problem.” She pointed to “a significan­t burden on patients from continued, rising insurance premiums and (patients) being forced increasing­ly to pay the full list price for medicines at the pharmacy counter.”

The Center for Medicine in the Public Interest warned that focusing on a single company and a single product was “a perfect storm of stupidity.” The center, a free market think tank, said the U.S. Food and Drug Administra­tion must approve all drugs faster to get alternativ­e treatments on the market that increase competitio­n and drive down prices. The center also blamed health insurers and pharmacy benefit managers for “pocketing” savings negotiated with drugmakers instead of passing them on to consumers.

In an interview, Klobuchar said the issue of drug pricing is “much broader” than EpiPens.

“If it just stops here, it is a failure,” she explained.

But Klobuchar believes that calling out Mylan for raising EpiPen prices from $100 to upward of $600 a pair was necessary to “capture people’s attention” in order to move to a general discussion. The senator still thinks there needs to be a Federal Trade Commission investigat­ion that determines if Mylan violated anti-

trust laws.

“Otherwise,” she said, “history will repeat itself ” with price gouging in other drugs.

With drug price hikes on the front burner, Klobuchar has looked to pass a series of bills aimed at increasing competitio­n in the drug market. The pharmaceut­ical industry has heretofore opposed all of those laws.

At the University of Minnesota medical school, Dr. Doug McMahon carries an epinephrin­e injector of his own design to guard against reactions to his food allergies.

McMahon says Mylan would never have dropped its EpiPen cost without the specific attention the prod- uct drew from members of congress in the past week. “It’s opening people’s eyes,” he said.

What he would like them to see in addition is the time and cost it takes to offer alternativ­e products.

McMahon is on an FDA “fast track” to make his AllergySto­p product available. But it will still take “at least two years and $3 million to take our product to market.”

Meanwhile, Mylan’s control of the epinephrin­e auto injector market continues. It arose when a French company that offered an alternativ­e had to recall its product because of dosage measuremen­t problems. Also, the FDA delayed approval of an Israeli’s company generic version of EpiPen because regulators cited deficienci­es.

 ?? RICH PEDRONCELL­I / ASSOCIATED PRESS FILE ?? Mylan said Thursday it will increase the value of a coupon for EpiPen to $300 from $100 and subsidies that cut out-of-pocket costs to uninsured or underinsur­ed patients.
RICH PEDRONCELL­I / ASSOCIATED PRESS FILE Mylan said Thursday it will increase the value of a coupon for EpiPen to $300 from $100 and subsidies that cut out-of-pocket costs to uninsured or underinsur­ed patients.

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