Cornyn on Drug Price Transparency

Senator Cornyn questions expert witnesses during Finance Committee hearing on the sky-rocketing costs of prescription drugs

Texas Insider Report: WASHINGTON D.C. During a Senate Finance Committee hearing U.S. Senator John Cornyn (R-TX) today questioned a panel of expert witnesses on drug pricing in America. Excerpts of Sen. Cornyns line of questioning are below and video can be found here.

SENATOR JOHN CORNYN: Can anybody on the panel explain to me why we have a general prohibition against kickbacks call them rebates under the Social Security Act but we nevertheless allow it for prescription drug pricing? Whats the sound public policy reason for excluding prescription drug pricing from the anti-kickback rule under federal law?"

SEN. CORNYN: I thought I was the only one who didnt understand the wisdom of that. Well its obviously not a transparent arrangement and it does produce upward pressure on drug prices and obviously the negotiation between the PBM and pharma in terms of actually what the net cost is is not transparent nor does it deliver to the consumer is it? Dr. Miller? Dr. Bach?"

SEN. CORNYN: Well explain this to me. I thought the reason why we granted patents in this country to develop new drugs and new things the reason why we gave people exclusivity when it comes to selling it is based on the sunk costs they put in research and development so they could recoup that back in the generic drug space. Once that patent expires then the benefit flows to where its no longer exclusive and then that means that for example the blood pressure medication I take I think I pay $9 for a three month supply. Its very inexpensive. But those same benefits do not flow in the case of biosimilars like insulin. But it strikes me as bizarre that after 100 years after insulin started to be used to treat diabetes that we still have a system which guarantees an inflated price even though the cost of the research and development which I thought was the rationale in the first place is inapplicable. So what am I missing Dr. Bach Dr. Miller?"

Senator John Cornyn a Republican from Texas is a member of the Senate Finance Intelligence and Judiciary Committees.

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