Prices fell for 11 of the 20 drugs for which Medicare Part B spent the most—the type of drugs that would be subject to price controls under the Senate’s proposal—says a report released yesterday by Congress’s own Medicare Payment Advisory Commission (MedPAC).
The key finding: Between the first quarters of 2021 and 2022, more drugs in the top 20 (11) experienced a price decrease than a price increase (9).
Even price increases were small: “Between the first quarters of 2021 and 2022,” the report says, “none of the nine products with price increases experienced increases greater than inflation.”
Why we’re talking about it: Under the Senate’s latest drug pricing proposal, the government could set the prices of drugs on which Medicare spends the most, starting with the top 10 drugs in 2026 and increasing to the top 20 drugs in 2029.
Some of the prices that fell were “among biologics facing biosimilar competition,”MedPAC reports—but the Senate’s plan discourages biosimilars by eliminating incentives to invest the $100-$200 million needed to bring one to market, says a fact sheet released yesterday by Senate HELP Committee Ranking Member Sen. Richard Burr (R-NC).
Drug development is already risky, says the fact sheet:
- On average, it takes 10.5 years from research to approval for investors to realize a return.
- Manufactures pay $474 million in pre-clinical expenses per approval.
- Nine of ten drugs going to clinical trial ultimately fail.
- Drug development costs average nearly $1.4 billion.
The bottom line: “Government price-setting would curb investments in drug development—leading to fewer novel medicines reaching patients,” the fact sheet says.
BIO agrees: “The legislation…would dismantle our innovation engine and our global competitiveness, leaving Americans dependent on overseas innovators,” said BIO President and CEO Dr. Michelle McMurry-Heath.
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