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Apocalypse
03-10-2011, 08:38 PM
Preemie birth preventive spikes from $10 to $1,500

AP Medical Writer Mike Stobbe – Mar 10 2011
ATLANTA –

A drug for high-risk pregnant women has cost about $10 to $20 per injection. Next week, the price shoots up to $1,500 a dose, meaning the total cost during a pregnancy could be as much as $30,000.

But recently, KV Pharmaceutical of suburban St.Louis won government approval to exclusively sell the drug, known as Makena (Mah-KEE’-Nah).

“That’s a huge increase for something that can’t be costing them that much to make. For crying out loud, this is about making money,” said Dr. Roger Snow, deputy medical director for Massachusetts’ Medicaid program.

“I’ve never seen anything as outrageous as this,” said Dr. Arnold Cohen, an obstetrician at Albert Einstein Medical Center in Philadelphia.

Doctors say the price hike may deter low-income women from getting the drug, leading to more premature births. And it will certainly be a huge financial burden for health insurance companies and government programs that have been paying for it.

The cost of care for a preemie is estimated at $51,000 in the first year alone.

Aetna will continue to pay for the drug, Armstrong said, but it will be an expensive pill to swallow. Aetna currently covers it for about 1,000 women a year, so the new federal endorsement is likely to cost an estimated $30 million more annually.

Ther-Rx and its parent company became involved about three years ago and acquired rights to the drug from a Massachusetts company named Hologic Inc., said Divis, who is also Ther-Rx’s president.

… That designation ensures Ther-Rx will be the sole source of the drug for seven years.

Some doctors said they were happy getting the cheaper version from compounding pharmacies, and Aetna’s Armstrong said she was unaware of any quality concerns.

Not that they have a choice: Last month, KV sent cease-and-desist letters to compounding pharmacies, …

http://news.yahoo.com/s/ap/20110310/ap_on_he_me/us_med_premature_birth_drug;_ylt=ApC6zuc1NRHyGHqjW fg290wUewgF;_ylu=X3oDMTNmcW9rOXRkBGFzc2V0A2FwLzIwM TEwMzEwL3VzX21lZF9wcmVtYXR1cmVfYmlydGhfZHJ1ZwRjY29 kZQNtcF9lY184XzEwBGNwb3MDNQRwb3MDNQRzZWMDeW5fdG9wX 3N0b3JpZXMEc2xrA3ByZWVtaWViaXJ0aA--

Obamacare working as intended....:mad:

fettpett
03-10-2011, 09:05 PM
wow...I feel for them. My oldest daughter was a preemie, fortunately for us she didn't have any problems, but she was in the hospital for 10 days after she was born and she needed special formula for the first year and was on a heart monitor for her first 6 months.

Novaheart
03-10-2011, 09:27 PM
I don't see this lasting very long given that it would seem to be a strike at the heart of poor and/or black* reproduction.

But it really does bring home the point that many critical drugs are paid for by the American taxpayer and then essentially given to private pharmaceutical firms to "develop".



* Why Are African-American Women Twice As Likely to Have a Premature Baby?
March of Dimes Says Research is the Answer

NEW YORK CITY, OCT. 22, 2004 – No one knows why African-American women go into labor three or more weeks early, more often than babies of any other race or ethnicity, according to the March of Dimes.

"This is not only a socio-economic problem; a woman can do everything right and still have a premature child,'' said Dr. Diane Ashton, associate medical director, March of Dimes. "We need to find out why this happens and what we can do to ensure that African-American babies are carried full-term and born healthy.

http://www.marchofdimes.com/aboutus/10651_13893.asp

Apocalypse
03-10-2011, 10:07 PM
Nova, the Feds are enforcing this, and the agreement is 7 years they are the only provider of this drug, and as such, they can charge what every the hell they feel like and there is no one else to compete with them on it.

Say thank-you Obama for this.

Novaheart
03-10-2011, 10:17 PM
Nova, the Feds are enforcing this, and the agreement is 7 years they are the only provider of this drug, and as such, they can charge what every the hell they feel like and there is no one else to compete with them on it.

Say thank-you Obama for this.

This would appear to actually be in the works before Obama.

http://www.drugs.com/history/makena.html

Why would you say something like that without checking first?

Apocalypse
03-10-2011, 10:25 PM
This would appear to actually be in the works before Obama.

http://www.drugs.com/history/makena.html

Why would you say something like that without checking first?
No one is talking about the approval of the Drug, its limiting it to only one manufacturer because of "quality concerns" regarding generics.

djones520
03-10-2011, 10:27 PM
I'm not 100% on this, but I doubt the Obama administration is the first one to give exclusive rights to a drug company, with a result such as this.

Novaheart
03-10-2011, 10:41 PM
No one is talking about the approval of the Drug, its limiting it to only one manufacturer because of "quality concerns" regarding generics.


This is a 50 year old generic drug that the previous company, and now KV have been in the process of getting exclusive rights to under the "orphan drug act". The Orphan Drug Act was signed into law by Ronald Reagan.

The "in the works" I was referring to was not formula approval but application for exclusive manufacturing under Orphan Drug Act.

Gingersnap
03-10-2011, 10:41 PM
I don't see this lasting very long given that it would seem to be a strike at the heart of poor and/or black* reproduction.

But it really does bring home the point that many critical drugs are paid for by the American taxpayer and then essentially given to private pharmaceutical firms to "develop".



* Why Are African-American Women Twice As Likely to Have a Premature Baby?
March of Dimes Says Research is the Answer

NEW YORK CITY, OCT. 22, 2004 – No one knows why African-American women go into labor three or more weeks early, more often than babies of any other race or ethnicity, according to the March of Dimes.

"This is not only a socio-economic problem; a woman can do everything right and still have a premature child,'' said Dr. Diane Ashton, associate medical director, March of Dimes. "We need to find out why this happens and what we can do to ensure that African-American babies are carried full-term and born healthy.

http://www.marchofdimes.com/aboutus/10651_13893.asp

I know a lot of public health nurses. One problem is that blacks women without college degrees are more likely to avoid prenatal care until the end of pregnancy. It's a cultural idea among some of these women that there's no need for prenatal care.

Novaheart
03-10-2011, 10:44 PM
I'm not 100% on this, but I doubt the Obama administration is the first one to give exclusive rights to a drug company, with a result such as this.

I can't recall another case of something so cheap becoming so outrageously expensive. I'm guessing that mules are being loaded in Mexico and Thailand as we speak.

Novaheart
03-10-2011, 10:48 PM
I know a lot of public health nurses. One problem is that blacks women without college degrees are more likely to avoid prenatal care until the end of pregnancy. It's a cultural idea among some of these women that there's no need for prenatal care.


As much as people like to pretend there are no physical differences between people who have different skin, hair, body types, etc... there is always the possibility that black women simply don't have as long a pregnancy as white women.

Is it black women giving birth earlier, or is it black babies being born earlier? Do white women carrying mulatto babies give birth early? How about black women carrying mulatto babies?

Gingersnap
03-10-2011, 11:18 PM
As much as people like to pretend there are no physical differences between people who have different skin, hair, body types, etc... there is always the possibility that black women simply don't have as long a pregnancy as white women.

Is it black women giving birth earlier, or is it black babies being born earlier? Do white women carrying mulatto babies give birth early? How about black women carrying mulatto babies?

Who knows? One of my friends has a daughter who always seems to have children that grow to full term size a month out. She's always early but the kids are always big and healthy. The problems happen when the kids are physically underdeveloped and have trouble breathing and feeding.

Black children also have a much higher incidence of asthma. For a while they were blaming it on insect "dust" in inner city environments but non-black children in the same environments didn't have the same incidence. Who knows what causes it? :(

fettpett
03-11-2011, 10:40 AM
The problem comes when the baby is early because the lungs don't open till about 26th-28th week at which point they almost always need steroids to open up their lungs.