[Ip-health] Xtandi prices

James Love james.love at keionline.org
Thu May 24 09:12:27 PDT 2018


Following up on Ruth's note, on a related topic, I am wondering how one
gets the US 340B prices for specific products?  I should know the answer,
but I don't.

Jamie



On Wed, May 23, 2018 at 3:56 PM, Ma Gagnon <
MarcAndreGagnon at cunet.carleton.ca> wrote:

> Hi James,
> In case it can be useful, we did a comparison 3 years ago between average
> prices for Medicare Part D / Medicaid / Veterans Health Administration. We
> explain how the price is fixed (negotiated) for each program. We also
> compared with other OECD countries.
> Here's the study:
> https://carleton.ca/sppa/medicarepartd_report/
> All the best,
> Marc-André
>
> -----------------------------------------
> Marc-André Gagnon, PhD
> School of Public Policy and Administration
> Carleton University
> tel: 613-520-2600 x1690
> e-mail: ma_gagnon at carleton.ca
> Twitter: @MA_Gagnon
>
> School of Public Policy and Administration
> 1125 Colonel By Drive (RB-5224)
> Ottawa, ON (Canada)
> K1S 5B6
>
>
>
>
>
> -----Original Message-----
> From: Ip-health [mailto:ip-health-bounces at lists.keionline.org] On Behalf
> Of James Love
> Sent: 23 mai 2018 04:51
> To: Ruth Lopert
> Cc: Ip-health
> Subject: Re: [Ip-health] Xtandi prices
>
> Thank you Ruth.
>
> I don't think everyone understands the different ways prices are done in
> the US, between different federal program and the private sector.   Since
> Medicare is a big reimbursement entity for prostate cancer, people in the
> US looking at the Bayh-Dole issues should know the US prices for medicare
> are about twice the highest prices we find in other high income countries,
> and more than that for several countries.
>
> We have been adding the prices for this and about a dozen other drugs
> here.  Unfortunately the medicare prices we have are from 2016, so not as
> up to date as the redbook, pharmacy, or FSS prices for the US.
>
> http://drugdatabase.info/drug-prices/
>
>
>
> On Wed, May 23, 2018 at 10:41 AM, Ruth Lopert <ruth.lopert at gmail.com>
> wrote:
>
> > I dont believe I said that it was. You asked for price points, this is
> > a price point.
> >
> > On Wed, May 23, 2018 at 10:32 AM, James Love
> > <james.love at keionline.org>
> > wrote:
> >
> >> The FSS price is not the Medicare price.
> >>
> >> On Wed, May 23, 2018, 10:28 Ruth Lopert <ruth.lopert at gmail.com> wrote:
> >>
> >>> By the way the US FSS price is $43.96/tab, so the government is
> >>> paying around a third of the retail price
> >>>
> >>> On Thu, May 17, 2018 at 6:50 PM, James Love
> >>> <james.love at keionline.org>
> >>> wrote:
> >>>
> >>>> I've been asked for some price comparisons for Xtandi, which is
> >>>> sold in 40mg tabs, of which a patient normally takes 4 per day.
> >>>>
> >>>>
> >>>> These are four prices, but I would be grateful or any additional
> >>>> data points, including the US WAC price, and any foreign prices.
> >>>>
> >>>>
> >>>> We will put the data we collect here as we get it.
> >>>>
> >>>>
> >>>> http://drugdatabase.info/databases/
> >>>>
> >>>>
> >>>>
> >>>> ---------------------------
> >>>>
> >>>> Prices for Xtandi (INN:Enzalutamide)
> >>>>
> >>>> May 16, 2018
> >>>>
> >>>> The drug is sold in 40mg tabs.  The dose is 4 tabs per day.
> >>>>
> >>>> Australia
> >>>>
> >>>> Australia PBS, 40 mg x 112, for AUD 3702.82
> >>>>
> >>>> At exchange rate .7516,  USD $2,738, or $24.85 per pill.
> >>>>
> >>>> Source: http://www.pbs.gov.au/medicine/item/10174L
> >>>>
> >>>>
> >>>> UK
> >>>>
> >>>> The 2016 NICE review (will be updated in 2019)
> >>>>
> >>>> In 2016, list price of  £2734.67 for a 112-capsule pack of 40 mg
> >>>> enzalutamide.
> >>>>
> >>>> This is $3,699 USD, at today’s exchange rate (1.35), or $33 per pill.
> >>>> However, the drug is selling at a discount. According to NICE: “The
> >>>> company has agreed a patient access scheme with the Department of
> >>>> Health. This is a simple discount to the list price of
> >>>> enzalutamide. The level of the discount is commercial in
> >>>> confidence”
> >>>>
> >>>> Source:
> >>>> https://www.nice.org.uk/guidance/ta377/chapter/1-Recommendat
> >>>> ions
> >>>>
> >>>> Canada
> >>>>
> >>>> Ontario Canada, Exceptional Access Program
> >>>>
> >>>> CAD 29.1954 per 40 mg tab.  At current exchange rate of .78, this
> >>>> is
> >>>> $22.77
> >>>> USD
> >>>>
> >>>> http://www.health.gov.on.ca/en/pro/programs/drugs/odbf/odbf_
> >>>> except_access.aspx
> >>>>
> >>>>
> >>>> USA
> >>>>
> >>>> Goodrx coupon price, is $12,139.42 for 120 40mg tabs.  Equal to
> >>>> $101.16 per tab.
> >>>>
> >>>>
> >>>>
> >>>>
> >>>>
> >>>>
> >>>> --
> >>>> James Love.  Knowledge Ecology International
> >>>> http://www.keionline.org/donate.html
> >>>> KEI DC tel: +1.202.332.2670, US Mobile: +1.202.361.3040, Geneva
> Mobile:
> >>>> +41.76.413.6584, twitter.com/jamie_love
> >>>> _______________________________________________
> >>>> Ip-health mailing list
> >>>> Ip-health at lists.keionline.org
> >>>> http://lists.keionline.org/mailman/listinfo/ip-health_lists.
> >>>> keionline.org
> >>>>
> >>>
> >>>
> >
>
>
> --
> James Love.  Knowledge Ecology International http://www.keionline.org/
> donate.html
> KEI DC tel: +1.202.332.2670, US Mobile: +1.202.361.3040, Geneva Mobile:
> +41.76.413.6584, twitter.com/jamie_love
> _______________________________________________
> Ip-health mailing list
> Ip-health at lists.keionline.org
> http://lists.keionline.org/mailman/listinfo/ip-health_lists.keionline.org
>



-- 
James Love.  Knowledge Ecology International
http://www.keionline.org/donate.html
KEI DC tel: +1.202.332.2670, US Mobile: +1.202.361.3040, Geneva Mobile:
+41.76.413.6584, twitter.com/jamie_love


More information about the Ip-health mailing list