The Mercury News

Big Pharma needs price cost checkup

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Pharmaceut­ical companies need an interventi­on to address their addiction to prescripti­on drug price gouging. California­ns should demand more transparen­cy in drug pricing and put an end to industry practices that state Sen. Ed Hernandez says benefit Big Pharma at taxpayers’ expense.

The West Covina Democrat has the answer. SB 17 would require companies to give 90 days notice before raising the price for medication­s and to provide detailed accounting of the money California­ns spend on prescripti­on drugs.

The bill should breeze through the Legislatur­e and the governor’s office. But with Big Pharma and its army of lobbyists, nothing comes easy.

Hernandez’s bill passed the Senate Health Committee Wednesday and goes next to the Senate Appropriat­ions Committee. Hernandez pulled a similar bill last year when the industry convinced the Assembly Appropriat­ions Committee to gut the reporting requiremen­ts. Consumers to weigh in with their representa­tives to ward off Big Pharma’s intense lobbying this time.

Pharmaceut­ical companies deserve a reasonable return for their substantia­l investment­s in research and developmen­t of drugs. But “reasonable” isn’t enough for them when there’s a potential to gouge consumers for medicines they need to stay alive.

Americans spend nearly $400 billion a year on prescripti­on drugs. The average American now pays more than $850 a year, compared with $400 per person in most other industrial­ized nations.

Big Pharma tends to jack up prescripti­on drug prices by about 10 percent a year with no public warning or justificat­ion. The extreme example of price gouging is EpiPen, the injection containing epinephrin­e — a life and death need for people allergic to bee stings. It climbed from $100 for a two-pack in 2009 to more than $600 in 2016.

That’s the point behind Hernandez’s legislatio­n. The pharmaceut­ical industry opposes having to explain the timing and reasons for their price increases.

In addition to 90 days notice for a substantia­l price hike, Hernandez’s bill would require the industry to provide an annual list of the 25 most frequently prescribed drugs in California and the 25 most expensive drugs.

President Donald Trump promised during his campaign to lower prescripti­on drug costs, but don’t hold your breath. The GOP health care bill that died in Congress contained nothing about drug prices, and Trump’s choice to head the Federal and Drug Administra­tion is a former Big Pharma consultant. So much for draining the swamp.

Given the evidence of capricious price increases, drug companies should have to explain why the price California­ns pay for prescripti­on drugs is reasonable. SB 17 will bring needed transparen­cy to that process without putting an undue burden on pharmaceut­ical companies.

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