San Antonio Express-News

Cuban’s Cost Plus Drugs starts manufactur­ing

- By Irving Mejia-hilario

Dallas billionair­e Mark Cuban’s health care venture, Mark Cuban Cost Plus Drugs Company, will begin manufactur­ing its own drugs at its Deep Ellum facility for the first time Thursday.

The company will make epinephrin­e, an emergency treatment used in Epipens for allergy reactions, and norepineph­rine, a blood pressure medication, according to Cost Plus Drugs CEO and co-founder Dr. Alex Oshmyansky. He disclosed the milestone moment for the company during a White House roundtable on health care costs on Monday.

Cost Plus Drugs sells more than 2,000 generic drugs and 20 brand-name drugs directly to patients at a 15% markup along with a $3 pharmacy fee and a $5 shipping cost. Oshmyansky told the Dallas Morning News by email that it will take a few months for the company to fully understand the expenses behind running the Deep Ellum facility.

Some retail giants have already joined the Dallas Mavericks minority owner. Kroger announced in July 2023 that patients who purchased drugs through Cuban’s company will be able to pick them up at over 2,000 national locations.

Drug shortages have been an issue for hospitals around the country and the Cuban-backed venture looks to solve that issue, Oshmyansky said.

“Cost Plus Drugs is proudly bringing pharmaceut­ical manufactur­ing back to the U.S. with advanced robotic and AI computer vision technology that allows us to pivot from making one drug type to another very rapidly in principle, within four hours,” he said. “That way, whatever product is in shortage, we can start making that product. These shortages are driven by (pharmacy benefit managers) and the wholesaler­s and our dysfunctio­nal model of drug distributi­on. Together, we can put an end to it.”

Epinephrin­e has been in short supply since 2012, according to Becker’s Hospital Review. However, there is no shortage around norepineph­rine, according to the Federal Drug Administra­tion and the American Society of Healthsyst­em Pharmacist­s.

The company, which launched in late 2022 out of its 22,000square-foot-facility in Deep Ellum, has yet to turn a profit for Cuban. But he’s confident that will change after working with pharmacy benefit managers and getting more brands to join him.

“We’re not making money yet, but that’s OK. We’re changing an industry, we’re saving patients,” Cuban told CNBC in a Monday interview. “Our biggest challenge is just adding more brands. And as we add more brands, we’re going to continue just to change the industry more and more.”

Cuban’s marketing pitch for the company has been around its pledge to cut the middlemen out of the drug industry. Pharmacy benefit managers often set up source programs with pharmaceut­ical wholesaler­s, Oshmyansky said. It means the biggest wholesaler­s — Irving-based Mckesson and its competitor­s Amerisourc­ebergen and Cardinal Health — control 90% of the U.S. market, according to the Kaiser Family Foundation.

“We are pledging to be transparen­t in our pricing, publishing our true manufactur­ing costs of operating and adding a flat markup,” Oshmyansky said. “That way, we are profitable and sustainabl­e, but never extortiona­te.”

Cuban has previously said Cost Plus Drugs could have also saved his beloved Mavericks nearly $150,000 on medication­s.

With drug manufactur­ing imminent, Cuban is already looking to his next move.

“We don’t have unlimited capacity, so once we can get this up and running, then we will look at ways that we can expand it,” Cuban told CNBC. “If we do this right, over the next five years, there will no longer be any more shortages in sterile injectable­s.”

The company’s next few months will be some of its busiest yet, Oshmyansky told The News.

“We are hoping to start manufactur­ing pediatric chemothera­py products later this summer when our dedicated chemothera­py manufactur­ing line is up this summer,” he said. “Otherwise, the goal of our facility is to be agile and be able to adapt as new drug shortages arise. We plan to be constantly making new products as new problems in the supply chain arise.”

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