Generic cardiology drug prices: the potential benefits of the Marc Cuban cost plus drug company model

Introduction: Generic pharmaceuticals account for the majority of the $359 billion US pharmaceutical market, including for cardiology drugs. Amidst a lack of price transparency and administrative inefficiencies, generic drug prices are high, causing an undue burden on patients.Methods: We identified...

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Main Authors: Aparna Narendrula, Jacob Lang, Elias Mossialos
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2023.1179253/full
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author Aparna Narendrula
Jacob Lang
Elias Mossialos
author_facet Aparna Narendrula
Jacob Lang
Elias Mossialos
author_sort Aparna Narendrula
collection DOAJ
description Introduction: Generic pharmaceuticals account for the majority of the $359 billion US pharmaceutical market, including for cardiology drugs. Amidst a lack of price transparency and administrative inefficiencies, generic drug prices are high, causing an undue burden on patients.Methods: We identified the 50 most used generic cardiology drugs by volume per the 2020 Medicare Part D spending data. We extracted cost per dose of each drug from the Marc Cuban Cost Plus Drug Company (MCCPDC) website and estimated the aggregate cost savings if MCCPDC were employed on a national scale by calculating the difference between this cost and Medicare spending.Results: Medicare spent $7.7 billion on the 50 most used generic cardiology drugs by volume in 2020 according to Medicare Part D data. Pharmacy and shipping costs accounted for a substantial portion of expenditures. Per our most conservative estimate, $1.3 billion (17% of total) savings were available on 16 of 50 drugs. A slightly less conservative estimate suggested $2.9 billion (38%) savings for 35 of 50 drugs.Discussion: There is enormous potential for cost savings in the US market for generic cardiology drugs. By encouraging increased competition, decreasing administrative costs, and advocating for our patients to compare prices between the MCCPDC and other generic pharmaceutical dispensers, we have the potential to improve access to care and corresponding outcomes for cardiology patients.
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spelling doaj.art-91356934c6cc49efb5dc3be858cd44b52023-08-31T20:14:45ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122023-08-011410.3389/fphar.2023.11792531179253Generic cardiology drug prices: the potential benefits of the Marc Cuban cost plus drug company modelAparna Narendrula0Jacob Lang1Elias Mossialos2Department of Medicine, NYU Grossman School of Medicine, New York City, NY, United StatesNewYork-Presbyterian/Weill Cornell Medicine, New York, NY, United StatesDepartment of Health Policy, London School of Economics and Political Science, London, United KingdomIntroduction: Generic pharmaceuticals account for the majority of the $359 billion US pharmaceutical market, including for cardiology drugs. Amidst a lack of price transparency and administrative inefficiencies, generic drug prices are high, causing an undue burden on patients.Methods: We identified the 50 most used generic cardiology drugs by volume per the 2020 Medicare Part D spending data. We extracted cost per dose of each drug from the Marc Cuban Cost Plus Drug Company (MCCPDC) website and estimated the aggregate cost savings if MCCPDC were employed on a national scale by calculating the difference between this cost and Medicare spending.Results: Medicare spent $7.7 billion on the 50 most used generic cardiology drugs by volume in 2020 according to Medicare Part D data. Pharmacy and shipping costs accounted for a substantial portion of expenditures. Per our most conservative estimate, $1.3 billion (17% of total) savings were available on 16 of 50 drugs. A slightly less conservative estimate suggested $2.9 billion (38%) savings for 35 of 50 drugs.Discussion: There is enormous potential for cost savings in the US market for generic cardiology drugs. By encouraging increased competition, decreasing administrative costs, and advocating for our patients to compare prices between the MCCPDC and other generic pharmaceutical dispensers, we have the potential to improve access to care and corresponding outcomes for cardiology patients.https://www.frontiersin.org/articles/10.3389/fphar.2023.1179253/fullcardiologygeneric pharmaceuticalsdrug priceshealth policyUnited States
spellingShingle Aparna Narendrula
Jacob Lang
Elias Mossialos
Generic cardiology drug prices: the potential benefits of the Marc Cuban cost plus drug company model
Frontiers in Pharmacology
cardiology
generic pharmaceuticals
drug prices
health policy
United States
title Generic cardiology drug prices: the potential benefits of the Marc Cuban cost plus drug company model
title_full Generic cardiology drug prices: the potential benefits of the Marc Cuban cost plus drug company model
title_fullStr Generic cardiology drug prices: the potential benefits of the Marc Cuban cost plus drug company model
title_full_unstemmed Generic cardiology drug prices: the potential benefits of the Marc Cuban cost plus drug company model
title_short Generic cardiology drug prices: the potential benefits of the Marc Cuban cost plus drug company model
title_sort generic cardiology drug prices the potential benefits of the marc cuban cost plus drug company model
topic cardiology
generic pharmaceuticals
drug prices
health policy
United States
url https://www.frontiersin.org/articles/10.3389/fphar.2023.1179253/full
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