Dayton Daily News

Drugmaker plans a cheaper EpiPen

Uproar over higher price for medicine spurs new product.

- By Tom Murphy

Mylan will start selling a cheaper version of its EpiPen after absorbing waves of criticism over a list price for the emergency allergy treatment that has grown to $608 for a two-pack, making it unaffordab­le for many patients.

The drugmaker says it will launch in several weeks a generic EpiPen version that is identical to the branded option but will have a list price of $300 for a two-pack.

It will be available in both 0.15-milligram and 0.30-milligram strengths, like the current version on the market.

EpiPens are used in emergencie­s to treat severe allergies to insect bites and foods such as nuts and eggs that can lead to anaphylact­ic shock.

People usually keep a number of EpiPens handy at home, school or work. The syringes, pre-filled with the hormone epinephrin­e, expire after a year.

Consumers and politician­s have accused the company of price-gouging, since the list price for a pair of EpiPens has climbed repeatedly from around $94 in 2007, when Mylan acquired the product.

Mylan CEO Heather Bresch defended the price hikes last week, saying the company only received $274 of the total price for a twin package while insurers, pharmacies and other parties divvy up the rest.

Last week, Mylan said it was expanding programs that help people pay for EpiPens. It doubled the limit for eligibilit­y for its patient assistance program, so a family of four making up to $97,200 would pay nothing out of pocket. It also said it will offer $300 co-pay cards, up from the current $100 per-prescripti­on savings.

A company representa­tive said Monday that the $300 cards would be available only for the branded version, but patients could use its assistance program for both the branded and generic versions of the medicine.

How much an individual pays for an EpiPen prescripti­on can depend on insurance coverage.

Pharmacy benefits managers, which negotiate drug prices for insurers and employers, often get discounts off a drug’s list price, and patient out-ofpocket costs can vary by plan. For instance, customers of Express Scripts Holding Co., the nation’s largest prescripti­on benefits manager, pay $73.50 on average, a price the company has kept fairly stable for a couple years.

Mylan said that last year, nearly 80 percent of its patients with commercial insurance paid nothing out of pocket for an EpiPen prescripti­on due to its savings card.

Uninsured patients or those with high-deductible coverage might be stuck paying the full price for the prescripti­on, if they are unaware of Mylan’s savings options.

Mylan specialize­s in selling generic drugs, which are lower-priced equivalent­s to branded medication­s. Launching a generic version of the EpiPen can help the drugmaker protect its market share from competitio­n.

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