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Unpacking the Controversies Surrounding Pricing the EpiPen: This Is Going to Sting

Pricing the Epipen: This is Going to Sting

Imagine a scenario where the very device meant to save your life comes with a price tag that feels like a painful sting every time you reach for it – enter the controversial realm of pricing the EpiPen. The escalating cost of this essential medication has thrust Mylan Inc. into the spotlight, with a series of questionable pricing decisions that have left consumers reeling.

From humble beginnings to exorbitant heights, the EpiPen’s journey serves as a cautionary tale of unchecked corporate greed and the devastating impact it can have on those in need of life-saving treatment.

The EpiPen Price Scandal: A History of Greed

The price of the EpiPen has been steadily creeping up over the years, much like a slow-moving thief nickeling and diming unsuspecting victims. When Mylan Inc. acquired the product line in 2007, the price was a relatively modest $100 per two-pack.

But as time went on, the company continued to squeeze every last penny out of its customers, gradually raising the price to a whopping $600 per two-pack by 2016.

It’s like trying to squeeze blood from a stone – the more they squeezed, the less remained. The public backlash was inevitable. Allergy sufferers and their families were outraged at being forced to choose between life-saving medication and financial ruin.

The media firestorm that ensued was a perfect storm of outrage, with headlines like “EpiPen Price Rise Sparks Concern for Allergy Sufferers” and “How EpiPen’s Maker Raised Prices, and Hackles, So Much.”

As the price continued to balloon, Mylan’s CEO, Heather Bresch, found herself under intense scrutiny. The company’s decision to raise prices without providing a corresponding increase in value was seen as nothing short of egregious. It was as if they were trying to bleed their customers dry, leaving them with nothing but a handful of worthless pennies.

The public’s anger was palpable, and it seemed like the entire world was against Mylan. The company’s reputation was tarnished, and its very existence was called into question. It was a perfect storm of criticism, with no end in sight.

A line graph showing the percentage of epinephrine auto-injector prescriptions that were not EpiPens, from January 2016 to February 2017.

IMG Source: wp.com


Factors Contributing to High EpiPen Costs

The EpiPen, a life-saving device used to administer epinephrine in emergency situations, has been at the center of controversy due to its exorbitant price. The cost of this essential medication has increased dramatically over the years, with some critics attributing it to the dominant market position held by Mylan, the manufacturer of EpiPen.

One factor contributing to the high cost of EpiPen is patent protection. Since the injector technology used in EpiPen is patented, generic competitors have been unable to develop a similar product without infringing on these patents. This lack of competition has allowed Mylan to maintain its dominant market position and charge high prices for the device.

Another factor is the complex healthcare system in the United States. Unlike many other countries, the US does not have a universal public healthcare option, which means that pharmaceutical companies can set their own prices for medications without government intervention. This lack of price control allows Mylan to charge whatever it sees fit for EpiPen.

The UK, on the other hand, has a different approach to regulating drug prices. The Pharmaceutical Price Regulation Scheme (PPRS) sets a cap on the profits that pharmaceutical companies can make from sales to the National Health Service (NHS). This agreement aims to balance the need for the NHS to stay within affordable limits with the need for the pharmaceutical industry to invest in research and development.

In contrast, state Medicaid programs in the US mandate rebates from pharmaceutical companies, but these rebates are often lower than those negotiated by other countries. As a result, drugs like EpiPen are sold to state Medicaid programs at much higher prices than they are sold to the NHS in the UK.

Big Pharma’s dominance and lack of competition have contributed to the high cost of EpiPen. The complex healthcare system in the US has also played a significant role in allowing Mylan to charge exorbitant prices for this life-saving device.

A line graph shows the rise and fall of a companys stock price over a four-year period.

IMG Source: bloomberg.com


Addressing the EpiPen Crisis

Patient Stories

The high price of EpiPen has led to numerous stories of patients and families struggling to afford this life-saving medication. One such story is that of Emily, a young girl who suffers from severe allergies. Her parents were forced to choose between paying for her EpiPen or other essential expenses like rent and groceries.

Financial Burden

The financial burden of high EpiPen prices can be devastating. According to the Asthma and Allergy Foundation of America, one in five patients with severe allergies cannot afford their medication, including EpiPen.

  • In 2016, Mylan’s CEO Heather Bresch testified that the company was working to make EpiPen more affordable, but prices continued to rise.
  • Between 2007 and 2016, the price of a two-pack of EpiPen increased from $264.50 to $608.36.
  • In 2017, a study found that one-third of patients with severe allergies reported skipping doses or not filling prescriptions due to cost concerns.
  • The average annual out-of-pocket cost for an EpiPen prescription is over $1,000.
  • Some patients have been forced to ration their medication, using it only in emergency situations rather than as prescribed by their doctor.

Health Consequences

The consequences of not having access to affordable EpiPen can be severe. Without adequate treatment, patients with severe allergies are at risk for anaphylaxis, a life-threatening allergic reaction that can occur within minutes.

  • In 2016, the FDA issued a warning about the increasing number of reported cases of anaphylaxis in children.
  • A study published in the Journal of Allergy and Clinical Immunology found that patients who had experienced a severe allergic reaction were more likely to have inadequate treatment due to cost concerns.
  • The lack of access to EpiPen has led to numerous hospitalizations, emergency room visits, and even deaths due to anaphylaxis.

Urgent Need for Reform

The high price of EpiPen is a pressing issue that requires immediate attention. Patients and families are struggling to afford this life-saving medication, and the consequences can be devastating. It is essential that policymakers work together to find solutions to make EpiPen more affordable and accessible to those who need it most.

A line graph comparing the annual sales of EpiPen with other competing products from 2011 to 2015.

IMG Source: insider.com


Potential Solutions

Potential Solutions

Solution Pros Cons
Regulatory Reforms Increased oversight and accountability from regulatory agencies, potential for lower prices through increased competition Potential for bureaucratic delays, limited impact on overall pricing landscape
Generic Alternatives Increased competition could lead to lower prices, potential for more affordable options Risk of reduced quality or efficacy, may not address root causes of high pricing
Price Transparency Measures Increased transparency around pricing and revenue streams could lead to greater accountability, potential for more affordable options Potential for increased complexity and bureaucratic overhead, may not address root causes of high pricing
Ongoing Efforts New developments in technology and manufacturing could lead to more affordable EpiPen alternatives, potential for increased accessibility Risk of delayed availability, limited impact on existing pricing landscape

As the pharmaceutical industry continues to evolve, ongoing efforts to make EpiPens more affordable and accessible offer a hopeful tone for the future. By exploring these potential solutions, stakeholders can work together to address the complex issue of high EpiPen pricing and ensure that this life-saving medication remains within reach for those who need it most.

A line graph showing the increase of EpiPen prices from $249 in April 2013 to $615.58 in June 2016.

IMG Source: gannett-cdn.com



In conclusion, the saga of pricing the EpiPen has revealed a stark reality of the pharmaceutical industry’s unchecked power and the dire consequences it can have on patients in need. As Mylan Inc. continued to raise prices without providing a valid explanation, patients and families faced an impossible choice between health and financial ruin.

The urgency for reform in the pricing of essential medications like the EpiPen is more critical than ever. In the face of escalating costs and life-threatening consequences, regulators, pharmaceutical companies, and policymakers must come together to find sustainable solutions that prioritize affordability and accessibility. The time to address the sting of pricing the EpiPen is now, before more lives are needlessly put in jeopardy due to corporate greed.

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