Generic Prices Are Falling But Patient Costs Rise

Generic medicine prices have been falling for three years but some patients are experiencing higher out-of-pocket costs. That doesn’t add up. When patients are burdened with higher Rx costs than ever, it makes no sense that there are forces keeping safe, effective and affordable generic and biosimilar medicines from getting approved, and being accessible to patients.

GENERICS NOT AVAILABLE

Generics Not Available Or Covered

Fewer than half of the new generics (the first to compete with brand-name drugs) approved by FDA since 2016 are commercially available to patients. Of those that are commercially available, only half are included on formularies of Medicare Part D plans.That doesn’t add up.

SENIORS PAYING BILLIONS MORE

Seniors Paying Billions More Than Necessary

Since 2015, seniors have paid nearly $22 billion in needless out-of-pocket costs for their prescription drugs in Medicare Part D because health plans are placing them on higher formulary tiers. That doesn’t add up. If plans automatically put generic drugs on generic tiers with lower out-of-pocket costs, seniors will see immediate benefits.

BIOSIMILAR PROMISE NOT REALIZED

Biosimilar Promise Not Realized

Biologic medicines are among the costliest and fastest growing category of drug spending. Biosimilars hold great promise to be more affordable alternatives to expensive biologics, but only 11 of 24* biosimilars that have been approved by FDA are available to U.S. patients. That doesn’t add up.

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Resources

Report: New Generics Are Less Available in Medicare Than Commercial Plans

READ THE REPORT

Resources

Report: Sidelined: How Seniors Miss Out On Savings Available Through Generic Substitution

READ THE REPORT

Resources

Report: Seniors Denied Access to New, Lower-Priced Generic Drugs Due to Medicare Coverage Delays

READ THE REPORT

Resources

Report Part 2: Failure to Launch: Barriers to Biosimilar Market Adoption

READ THE REPORT

Resources

2019 Generic Drug and Biosimilars Access and Savings in the U.S.

READ THE SAVINGS REPORT

Resources


Report: Medicare and Commercial Plans Fail to Get New Generics to Patients.

READ THE REPORT

Resources


Generic costs have been going down but many patients are paying more for these medicines. That doesn’t add up.

Generic Cost Vs. Brand Cost.

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Seniors Paying Billions More Than They Should — #DoesntAddUp

First Generics Not Available Or Covered — #DoesntAddUp