Marin Independent Journal

Newsom unveils $50M contract for state insulin

- By Taryn Luna and Emily Alpert Reyes

>> California Gov. Gavin Newsom has announced a new $50 million contract with the nonprofit generic drugmaker Civica to produce insulin under the state's own label.

Newsom originally declared his intent to produce generic drugs three years ago in an attempt to lower the cost of pharmaceut­ical products for California­ns who struggle to afford often life-saving medication. The deal with Civica would provide the first pharmaceut­ical product made under the CalRX brand of generic drugs.

Under the deal, a 10-milliliter vial — normally costing $300 — would be made available for the same $30 price it cost the state to manufactur­e and distribute the drug, according to the governor's office. Newsom's office said that as a result of such sharply reduced prices, patients who pay out of pocket for insulin would save between $2,000 and $4,000 annually.

“This is a big deal, folks,” Newsom said during a news conference Saturday in Downey. “This is not happening anywhere else in the United States.”

The governor and other officials touted that doing so would lower costs across the board, not just for the consumer ultimately picking up the drug. That makes it different, Newsom said, than the recent announceme­nts by pharmaceut­ical companies about reducing their insulin prices.

“Do not be misled. These companies that all of a sudden are jumping over each other to rush in this direction — they're just providing discount cards,” he said. “Those costs are being borne by the plans. Those costs are being socialized and shifted to everybody else.”

“What this does,” he said, “is a game changer. This fundamenta­lly lowers the cost. Period. Full stop.”

California­ns could get the CalRx generic insulin at a local pharmacy or through mail-order pharmacies without a new prescripti­on, state officials said, and it would be available to everyone regardless of their insurance plan. The next step is for Civica to identify a California-based manufactur­ing facility, according to the governor's office.

California Health and Human Services Secretary Dr. Mark Ghaly said that under the deal, Civica would commit to delivering as much insulin as California needs under the CalRx label. Civica said it would be manufactur­ing the three insulins most commonly used by U.S. citizens.

The governor said the state will turn next to manufactur­ing its own naloxone — a medication that can save lives by reversing opioid overdoses. The state is exploring opportunit­ies to produce the drug as part of its plan to combat the deadly effects of fentanyl, an especially potent synthetic opioid, Newsom said.

Newsom said state officials are looking into producing injectable and nasally administer­ed naloxone, and he wants it to be available over the counter.

The governor promoted the contract with Civica on the third day of his State of the State policy tour around California.

Newsom, who dislikes reading off teleprompt­ers because of his dyslexia, ditched the typical speech outlining his agenda to lawmakers at the state Capitol in exchange for a road show with policy announceme­nts in Sacramento, the San Francisco Bay Area, Los Angeles and San Diego through Sunday.

He delivered his remarks Saturday in front of a bank of fridges stocked with white boxes of insulin, at an unfussy pharmacy facility in Downey that is part of the Kaiser Permanente system.

Newsom first unveiled his proposal for California to make its own line of generic drugs in 2020 to increase competitio­n in the generic drug market and lower prices for everyone.

The governor signed legislatio­n that year to require the state to seek contracts to produce or distribute generic prescripti­on drugs, including insulin.

In a video posted to Twitter last summer, Newsom hyped a $100-million budget allocation for the plan. He said “$50 million will go towards the developmen­t of low cost insulin products and an additional $50 million will go towards a California based insulin manufactur­ing facility.”

With approval by the U.S. Food and Drug Administra­tion, the contract announced Saturday is expected to deliver insulin to California in 2024, Newsom said. Civica will begin manufactur­ing the drug later this year under a 10-year agreement with the state, the provisions of which go into effect once the first delivery is made, Newsom said.

Ghaly said Saturday that the journey to produce insulin began with the question of how California could harness its power as the most populated state in the nation to disrupt the pharmaceut­ical market.

The process has taken time because “this has been something we sought to do right,” Ghaly said.

Anthony Wright, executive director of Health Access California, said one could argue California's effort has already made a significan­t impact.

Eli Lilly & Co. announced plans earlier this month to reduce the price of its insulin products as much as 70%. Novo Nordisk made a similar announceme­nt to cap outof-pocket costs this week and Sanofi followed suit Thursday.

Last year Congress also passed the Inflation Reduction Act, which capped insulin copays at $35 per month for patients covered by Medicare as of Jan. 1.

“I don't want to overstate that this would be the only factor, but California and other efforts to manufactur­e competing insulin products was a contributi­ng factor to that decision for the incumbent insulin manufactur­ers to lower their prices,” Wright said.

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