Discover and read the best of Twitter Threads about #drugpricing

Most recents (16)

"Throughout our history we’ve learned this lesson – when dictators do not pay a price for their aggression, they cause more chaos. They keep moving. And, the costs & threats to America & the world keep rising.

Excerpt from @POTUS @JoeBiden #SOTU address.

#Ukraine #Russia #Putin
"American diplomacy matters."

Excerpt from @POTUS @JoeBiden #SOTU address.

#Ukraine #Russia #Putin
"#Putin’s war was premeditated & unprovoked. He rejected efforts at diplomacy. He thought the West & @NATO wouldn’t respond. And, he thought he could divide us here at home.
Putin was wrong. We were ready."

Excerpt from @POTUS @JoeBiden's #SOTU address.

#Ukraine #Russia
Read 78 tweets
As promised, a 🧡 on GoodRx.

Starting off with the basics…

What is it?
GoodRx is a prescription drug price tracking and discount company. It’s essentially another middle man in the messy landscape that is #drugpricing in the US.

But it’s more complicated than that… #TwitteRx
GoodRx is best known for their coupons. They track prescription drug prices and offer patients a discounted price, which varies a bit based on which pharmacy you select.

Here’s an example of what a search for enalapril looks like…
2/17
GoodRx coupons CANNOT be combined with insurance. ❌

Now, this *might* be helpful for a patient who is completely uninsured, or someone on relatively few inexpensive meds who never hits their deductible anyway, but even then, if you ask your pharmacist for a cash price instead…
Read 17 tweets
#CDC has scheduled an emergency meeting of #ACIP for Dec. 1 to vote on which groups of Americans should receive the limited initial doses of the #COVID19 #vaccines once those products are cleared for the U.S. market.
On Dec. 1, #CDC's #ACIP is expected to vote on whether the 21 million U.S. healthcare personnel & 1.3 million residents of long-term care facilities should be first in line for the #COVID19 shots β€” phase 1a of the vaccination program.
If both the $PFE - $BNTX and $MRNA-NIAID #COVID19 #vaccines are granted EUAs in December, there are expected to be only enough doses by the end of 2020 to vaccinate about 20 million people in the U.S., with more doses not coming for the other 310 million Americans until later.
Read 9 tweets
BREAKING: Promoting Effectiveness And Equity As COVID-19 Vaccines And Treatment Emerge.
Today, we focus on #COVID19 #vaccines & treatment. Amidst recent news of successful vaccine trials & new treatments, we highlight key policy + regulatory issues: bit.ly/2UJBxlg (1/9)
This set of fast-track ahead-of-print journal articles kicks off with @AKesselheim of @BrighamWomens et al's paper, which explores #vaccine development, approval, and regulation as well as tradeoffs in balancing safety, efficacy, and speed: bit.ly/3pJySGM (2/9)
How successful will new #vaccines be? While more effective vaccines always lead to better outcomes, the story gets complex when you start to vary the parameters. @jasonlschwartz & @ADPaltiel from @YaleSPH w/ coauthors from @harvardmed investigate: bit.ly/33gugyj
Read 11 tweets
THREAD: Are we using ACEIs & ARBs properly? A TI Tweetorial

1/6: British Columbia doctors give 4.5m scripts/year for ACE inhibitors (ACEIs) & angiotensin receptor blockers (ARBs) to control bp. Goal is to β†˜οΈ mortality & morbidity, not simply to β†˜οΈ bp.

#MedEd #hypertension
2/6 BEST EVIDENCE on ARBs & ACEI for #hypertension

3⃣@CochraneHTN systematic reviews:

ACEs v ARBs for htn bit.ly/34vS0hu

BP lowering efficacy of ACEIs for htn bit.ly/30YNIOX

BP lowering efficacy of ACEIs for htn https://t.co/u8dN378QAe

#MedEd Image
3/6 ACEIs over ARBS when considering HARMS πŸ€”

Both ACEIs & ARBs β†˜οΈ blood pressure to similar extents.... BUT only ACEIs have evidence for a reduction in risk of morbidity & mortality. So they’d be your first choice πŸ₯‡

#MedEd #medsafety #ptsafety
Read 7 tweets
THREAD: Are we using ACEIs & ARBs properly? A TI Tweetorial

1/6: British Columbia doctors give 4.5m scripts/year for ACE inhibitors (ACEIs) & angiotensin receptor blockers (ARBs) to control bp. Goal is to β†˜οΈ mortality & morbidity, not simply to β†˜οΈ bp.

#MedEd #hypertension
2/6 BEST EVIDENCE on ARBs & ACEI for #hypertension

3⃣@CochraneHTN systematic reviews:

ACEs v ARBs for htn bit.ly/34vS0hu

BP lowering efficacy of ACEIs for htn bit.ly/30YNIOX

BP lowering efficacy of ACEIs for htn https://t.co/NCl1dfCCAO

#MedEd Image
3/6 ACEIs over ARBS when considering HARMS πŸ€”

Both ACEIs & ARBs β†˜οΈ blood pressure to similar extents.... BUT only ACEIs have evidence for a reduction in risk of morbidity & mortality. So they’d be your first choice πŸ₯‡

#MedEd #medsafety #ptsafety
Read 7 tweets
So #drugpricing twitter is going to be all abuzz about SCOTUS discussing PBMs. But let's be clear - this case isn't about drug prices and PBMs in the way we usually think about them. 1/7
statnews.com/pharmalot/2020…
Instead, it's about whether the state can mandate higher payments for less competitive pharmacies. The community pharmacy lobby complained that they weren't getting paid enough, and the state put in a law to protect them. 2/7
Community pharmacies can't purchase generic drugs at the same extreme discounts as larger purchasers. When PBMs use the average acquisition cost of drugs to reimburse pharmacies, that average can be below what community pharmacies paid to buy the drugs. 3/7
Read 7 tweets
Day one today of @OversightDems #drugprices hearing at 10amET: $BMY & its Celgene unit & $TEVA.
oversight.house.gov/legislation/he…

Also, at 11:30amET, @EnergyCommerce #COVID19 #vaccines hearing: energycommerce.house.gov/committee-acti…
.@RepMaloney notes that anyone in the @OversightDems room not wearing #masks will not be recognized at today's #drugpricing hearing.

#drugprices $BMY $TEVA
.@RepMaloney starts out playing clip of @RepCummings, who died last year before he could convene today's #drugpricing hearing.

He notes #pharma one of most powerful/profitable industries in the world.

#DrugPrices #pharma #biotech
Read 51 tweets
More allegations emerged that political appointees in the Trump administration have been attempting to interfere with and impose influence on the scientific work of federal agencies to downplay the severity of #COVID19, which has killed nearly 200,000 Americans.

#CDC #FDA #NIH
Meanwhile, after waiting seven weeks for Trump to reveal the text of his so-called most favored nations executive order for the Medicare Part B program, he revoked the July 24 order on Sept. 13 and replaced it with an amended version, seeking to include the Part D program.
Executive orders simply instruct federal agencies to take certain actions. But the orders have limited authority, can be difficult to enforce without legislation, take months, if not years, to implement and can easily be challenged in court.

#drugprices #drugpricing #pharma
Read 4 tweets
The U.S. House Oversight Committee to subpoena drugmaker, AbbVie, after it refused to cooperate with the Congressional investigation into their #drugpricing practices surrounding Humira and Imbruvica. 1/3
AbbVie filed a 165 patent applications to protect Imbruvica from generic competition. Additional patent protections led to nine additional years of monopoly and $41 billion in spending on this drug. i-mak.org/imbruvica/ 2/3
For its blockbuster Humira, AbbVie filed 247 patent applications blocking generic competition for nearly 40 years. Since its launch, Humira's price has increased substantially with no justification: i-mak.org/humira/ 3/3
Read 3 tweets
.@PhRMA spox to me just now: "We are not aware of any meeting."'

So, what was that Trump was saying today ...

#DrugPrices #DrugPricing #pharma #biotech
Recall when all those industry executives exited Trump's advisory committees after #Charlottesville, with CEO one of the last to exit.

Since then, many CEOs, including J&J, have returned to White House, attended Trump events.

Given his recent remarks, are they still eager?
.@PhRMA @steveubl recently was in #JacksonHole with Ivanka & Jared fundraising for Republicans in midst of #COVID19 #pandemic.

What are the optics risks now for #pharma when any Trump event is a wildcard?

What do CEOs think about Trump's recent remarks about #KyleRittenhouse?
Read 3 tweets
And still sitting today.
reginfo.gov/public/do/eoDe…

And still no text of Trump's "favored nations" #drugpricing executive order.
federalregister.gov/presidential-d…

EOs have limited authority, are difficult to enforce, take months/years to implement & can easily be challenged in court.
And International Pricing Index Model For Medicare Part B Drugs proposed rule still pending.
reginfo.gov/public/do/eoDe…

Still no sight of Trump's favored nations EO text
federalregister.gov/presidential-d…

And @PhRMA said no #drugprices meetings it's aware of this week, despite Trump's claim
Oh, and that health care plan Trump has promised since 2016 - four years ago - still no sight of it yet, either.

So Americans with #PreExistingConditions will just have to keep relying on #Obamacare / #ACA, the law that granted them those protections.
Read 8 tweets
The White House on that health care plan & EO copying #Obamacare's #PreExistingConditions protections due today: πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—
Reminder: Trump has promised a health care / #Obamacare replacement plan since 2016.

That was four years ago and he's still not revealed it.

Four years ago ... and still nothing.

πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—πŸ¦—
Remember "favored nations" #drugpricing EO Trump was threatening #pharma #biotech with? He said he would put it into effect Aug. 25. Still no sign of it.

EOs have limited authority, can be difficult to enforce, take months/years to implement & can easily be challenged in court.
Read 3 tweets
.@SecAzar on all the morning network shows making the same false claim that "We have & always have had the capacity to test anybody who's suspected of novel coronavirus."

And @GStephanopoulos doesn't challenge him on that.

#COVID19 #coronavirus
'It's Just Everywhere Already': How Delays in Testing Set Back the U.S. Coronavirus Response
nytimes.com/2020/03/10/us/… #coronavirus #COVID19 @nytimes
How the Biogen leadership conference in Boston spread the coronavirus bostonglobe.com/2020/03/11/nat… @BostonGlobe

#COVID19 #coronavirus
Today, a number of #COVID19 hearings on Capitol Hill, including @OversightDems w/ #NIH/ #NIAID Fauci, @CDCDirector @PHEgov Kadlec @DeptofDefense Rauch & @USGAO Currie oversight.house.gov/legislation/he…
#coronavirus #CDC
Read 71 tweets
Daniel Best, who worked for HHS, and helped lead the effor to lower prescription drug prices, was found dead around an apt complex garage. He died of β€œmultiple blunt force injuries” but it was ruled a suicide. WTF?!?!

#DrugPricing

cleveland.com/metro/index.ss…
So, I looked up "suicide by multiple blunt force injuries" & came upon this medical article of an example. It's rare.

This guy (in link) had head injury, cuts, & abrasions all over his body,but also paranoid schizophrenic w/ previous suicide attempt.

ncbi.nlm.nih.gov/pubmed/12464812
There's another brief example in here, and that person also had a history of schizophrenia.

ncbi.nlm.nih.gov/pubmed/23910842
Read 5 tweets

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