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“We don’t have a good model for pricing pharmaceuticals in this country and, as a result, we keep spending a lot more money,” Price said.
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In 2015 alone, 300 generic drugs - off-patent medications, which are typically cheap to make - saw price increases of more than 100 percent, according to a 2016 Government Accountability Office report. But there’s no generic equivalent in the United States.Įven with generic-drug competition, costs don’t always drop. “A for-profit entity is going to raise the price.”īranded drugs like Daraprim are more likely to be priced high without a clear justification, noted David Howard, a health economist and professor at Emory University.ĭaraprim was first approved by the Food and Drug Administration more than 50 years ago, and the patent has long since expired for both the drug and its active ingredient. “The market sort of sets it up where, if you need it, you have to pay for it,” he said. Joey Mattingly, an assistant professor at the University of Maryland School of Pharmacy, uses Daraprim as a case study in a university course he teaches on pharmaceutical business strategy, highlighting how the industry functions under current incentives.
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Subscribe to KHN's free Morning Briefing. That means less profit incentive for other companies to develop a competitor that could drive down prices. That’s especially the case with a product like Daraprim, which benefits a relatively small group of people - about 2,000 Americans per year.
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“The mystery isn’t, ‘Why don’t drug prices go down?’ It’s more, ‘Why don’t they go up more?’” The continued high price of the drug is a cautionary tale to those who hope that public shaming of a few “bad actors” can curb escalating drug prices, because the problem is rooted in the market’s underlying financial incentives.ĭrug prices are “easy to raise and harder to lower, particularly if there’s no competition,” said Nicholson Price, an assistant professor at the University of Michigan Law School. Vyera did not respond to multiple requests for comment. Turing has renamed itself Vyera Pharmaceuticals.īut Daraprim, which costs pennies to make and is used to treat the parasitic infection toxoplasmosis - which is rare in the United States - still retails for more than $750 per pill, according to drug website. Shkreli, 35, is now serving a seven-year prison term for securities fraud (unrelated to Daraprim). The Pharmaceutical Research and Manufacturers of America (PhRMA), the powerful trade group for branded drugs, distanced itself, saying Turing “does not represent the values of and kicked off a campaign it described as “more lab coat, less hoodie.” Congress hauled Shkreli in for questioning on television.
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The move drew criticism from all corners. Overnight, its price tag skyrocketed from $13.50 a pill to $750.
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It was 2015 when Martin Shkreli, then CEO of Turing Pharmaceuticals and the notorious “pharma bro,” jacked up the cost of the lifesaving drug Daraprim by 5,000 percent.
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