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tucaman

11/20/20 8:02 AM

#310877 RE: massulo52 #310876

Sure you don't. But if it is insurers - they induce infringement; it it is state law, policy makers induce infringement. In the case of Vascepa it is pretty obvious that someone is to be held liable. At least in a constitutional state. Obviously not in a banana republic which the US have become.

Number sleven

11/20/20 8:03 AM

#310878 RE: massulo52 #310876

M, If you as a pharmacist do not have a choice, would it be safe to say that the system is forcing the pharmacy to cause direct infringment? Hikma knows this is how it works.
Sleven,

sts66

11/20/20 6:37 PM

#311061 RE: massulo52 #310876

Who makes that decision - the insurer, or as posted yesterday, a pharmacy chain like CVS that enacted a "GV only" rule in central CA? Any Medicare patient that is forced onto GV is going to pay a lot more money than if they got V, maybe as much as $2k-$3k if you take multiple drugs - brand names are required to provide large discounts while patients are in the donut hole, and those savings get applied to total drug costs that are added up to calculate when you leave the donut hole and enter catastrophic coverage - but generics do not have to provide discounts in the donut hole so you'll be paying full retail price for GV in the gap, which is almost as expensive as V, ~ $400/mo in 2021. If I am not forced to take GV I will "only" pay $120/mo while in the gap, but if forced to take it my costs stay near $400/mo - I cannot possibly afford that, out of the question, and I'm reasonably well off - this will kill V sales if it becomes widespread, the US market will.....erm....evaporate.....JT will be forced to go the authorized generic route to preserve market share, neglecting the infringement issues because nobody has figured out who actually gets sued to prevent swapping GV for V in the R-IT population.