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For USA Members Only: Please Consider Supporting the Prescription Drug Pricing Act, now in the Senate

Darryl profile image
DarrylPartner
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Please click here to ask your Senators to support the Prescription Drug Pricing Act actionnetwork.org/letters/p...

Here's some more information about it, from the advocacy webpage we set up.

Please ask your Senators to support the Prescription Drug Pricing Reduction Act (PDPRA), a bipartisan bill that will lower your out of pocket Medicare and Medicaid costs, protect cancer research and insure that Americans with prostate cancer will have affordable access to new and otherwise highly expensive medicine.

I've written out a summary of the PDPRA's highlights, below.

Over one million Medicare beneficiaries face financial toxicity and disincentives to maintain life-saving medication compliance. The PDPRA will reduce Medicare reinsurance payments from 80% to 20% over three years, while simultaneously increasing insurers’ share of cost responsibility from 15% to 60%. The bill also requires that drug manufacturers pay a 20% rebate in the catastrophic phase.

The PDPRA proposes establishing a maximum add-on payment of $1,000 per drug, biologic, or biosimilar that is administered on a calendar date beginning on January 1, 2021, reducing doctor incentive to prescribe higher-priced Part D drugs that often have minimal health value for patients.

The PDPRA requires drug manufacturers to exclude the value of patient assistance co-payment coupons from the calculation of average sales price (ASP). When the value of co-payment coupons is high, ASP tends to overstate the amount drug manufacturers are receiving for their product, which results in de facto higher Medicare Part B payments.

The PDPRA establishes a new $3,100 out-of-pocket cap for patients on drug spending. The PDPRA also includes various provisions intended to lower drug prices. These provisions include requiring price concessions (rebates) from manufacturers payable to the government if drug prices (specifically, list prices in Part D and average sales prices in Part B) grow faster than inflation, and modifications to Medicaid drug rebates.

The PDPRA is a common-sense repair to a health care system in need of help. It is a life-saver for prostate cancer patients who can not afford medications.

Please ask your Senators to support the PDPRA by sending a letter by clicking here: actionnetwork.org/letters/p...

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Darryl
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