‘Rigged’ system blocks use of lower cost drugs, FDA Chief says

Bloomberg

7 March 2018 - FDA has approved nine biosimilars, only three for sale in U.S.

A “rigged payment scheme” between drug plans, insurers and pharmaceutical companies has blocked access to less-expensive versions of some of the most costly drugs in the U.S., the head of the FDA said Wednesday.

FDA Commissioner Scott Gottlieb aimed particular criticism at giant pharmacy benefit managers that contract with health plans to administer coverage of drugs, saying the industry’s tactics have stymied cheaper copies of expensive biotechnology drugs. Known as PBMs, the companies include Express Scripts Holding Co., CVS Health Corp. and UnitedHealth Group Inc.’s OptumRx unit.

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Michael Wonder

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Michael Wonder

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Medicine , US , Regulation , Pricing , Biosimilar