Los Angeles Times

Getting stuck

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Re “Getting stuck by the EpiPen,” Editorial, Aug. 28

I have been a pharmacist for more than 45 years and I think you got it right by placing the blame for such outrageous drug prices on the pharmaceut­ical manufactur­er.

However, I don’t think that the pharmaceut­ical benefit managers (PBMs) are worthy of a pass.

PBMs are likewise culpable in the cascade of events leading to the overall increase in the amount of money that our healthcare system spends for prescripti­on drugs.

What we need is transparen­cy. Why do we need manufactur­er’s rebates or discount cards if the prices are equitable? This is another vehicle to line the pockets of the PBMs. Ira Erenberg

Pacific Palisades

Mylan’s greed is only the latest example of the recurring scandals by Big, and not so big, Pharma.

This model emerged after government stopped enforcing the antitrust laws and allowed mergers to go unhindered. Now with little, if any, competitio­n we have the expected massive increases to be borne by the sick as well as the taxpayers. The latter are from the fake discounts and from the pressure on Medicare.

Your editorial cautioned against extreme measures to prevent this laissez-faire corporate exploitati­on, but something extreme seems to be called for. Emil Lawton

Sherman Oaks

I have a veritable EpiPen library that has accumulate­d over the last couple of decades. I am allergic to Hymenopter­a stings (bees, wasps, etc.) and have pens at home, in the car and I even pack one for travel.

Being alert to the risk I have never used a pen, but can’t leave home without them. Mylan ought to take my old ones back and provide new ones for a nominal fee. Just saying. David Eckhous

Long Beach

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