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Study Finds Drug Costs Are Soaring for Elderly

 

By REED ABELSON
New York Times, July 10, 2003

 

As Congress tries to come up with a bill providing a Medicare drug benefit that it can send to President Bush, a new study says prices for the 50 drugs most prescribed for the elderly rose last year at more than three times the rate of inflation.

 

The study, which was issued yesterday by Families USA, a consumer group, shows "how important it is to offer significant subsidies to the lowest-income seniors," Ron Pollack, the group's executive director, said in a telephone interview.

 

As many as half of the elderly do not have insurance for drugs for some part of the year, he said, because they either lack coverage or have exceeded the limits on their policies, which frequently cap the amount the insurer must pay.

 

Prices for the 50 drugs increased an average of 6 percent, compared with a rise of 1.8 percent in the Consumer Price Index, excluding energy prices, the study said. More than half of the drugs increased by three or more times the inflation rate, while a quarter stayed the same.

 

Over the years, drug prices have consistently outpaced inflation, said Mr. Pollack, who noted that these increases are particularly hard on the elderly, who are often on fixed incomes.

 

An elderly person without coverage buying Lipitor, Vioxx, Synthroid and Fosamax would pay nearly $3,000 a year for all four drugs, Families USA said.

 

The study met with sharp criticism from the pharmaceutical industry, which argued that many elderly people were able to buy drugs at discounted prices. "Regrettably, Families USA has decided to continue complaining about prescription medicines, rather than to pitch in and help seniors get the medicines they need," the Pharmaceutical Research and Manufacturers of America, a trade association, said in a statement. "Instead of misleading seniors by referencing only undiscounted prices, it should be helping them gain access to the life-saving, cost-effective medicines they need."

 

Many drug companies also offer programs that help seniors get free or discounted drugs, the association said.

 

Claritin, the popular allergy drug made by Schering-Plough, was among the drugs that have gone up in price the most in the last year, the study said, with its price rising nearly 12 times the rate of inflation.

 

The drug, which is now available without a prescription, has since fallen steeply in price and could fall further as more generic manufacturers offer cheaper versions.

 

While Schering-Plough would not comment on its pricing for individual drugs, a spokesman said the company was committed to offering free or discounted medicine to help people who could not afford its drugs.

 

With Congress now trying to reach a compromise between the Senate and House bills, some proponents of the Senate version, which calls for more aid to low-income elderly people, used yesterday's study to bolster their position. Under the Senate bill, a low-income person would pay $74 out-of-pocket for those four drugs, compared with $1,084 under the House bill, according to Families USA.

 

Senator Edward M. Kennedy of Massachusetts, who was among the Senate Democrats who recently sent a letter to President Bush calling for certain provisions in the final legislation, cited the report in a statement yesterday. Medicare beneficiaries "need a bill that provides prescription drug coverage for all seniors, but with extra help for lower income retirees, with low premiums and low co-payments," he said.


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