WASHINGTON, Sept 24 (Reuters) - U.S. Senator Bernie
Sanders said on Tuesday he had received commitments from all
major pharmacy benefit managers they would expand coverage of
Novo Nordisk's popular diabetes and weight-loss
medicines if the company lowered their list prices.
Sanders said he received the commitments in writing
during his opening remarks at a hearing of the Senate Committee
on Health, Education, Labor and Pensions (HELP), which he
chairs, on why the company charges Americans more for the
lifesaving drugs than any other country.
"I am delighted to announce today that I have received
commitments in writing from all of the major PBMs that if Novo
Nordisk substantially reduced the list price for Ozempic and
Wegovy, they would not limit coverage. In fact, all of them told
me they would be able to expand coverage for these drugs if the
list price was reduced," Sanders said.
The announcement counters one of the most common talking
points pharmaceutical companies cite when they argue against
reducing list prices of their drugs, which is that cuts would
lead to narrower coverage because pharmacy middlemen known as
PBMs are incentivized to include expensive drugs on formularies
because they lead to larger rebates.
Sanders strongly criticized Novo Nordisk CEO
Lars Jorgensen, the sole witness at the hearing, over the high
prices of Ozempic and Wegovy which can cost Americans more than
$1,000 a month.
Semaglutide, a drug in the GLP-1 class that is marketed as
Wegovy for weight loss and Ozempic for type-2 diabetes, has been
shown to help patients lose an average of 15% of their weight.
Ozempic and Wegovy carry U.S list prices of $935.77 and
$1,349.02, respectively, for a month's supply, which Sanders has
previously argued is far higher than the respective $59 and $92
price tags they carry in some European countries.
Jorgensen said that type-2 diabetes costs the United States
around $413 billion every year, while obesity costs $1.7
trillion annually, according to prepared remarks seen by
Reuters.
He also said patients often struggle to navigate the U.S.
healthcare system, and that Novo will work with HELP "to address
structural issues that harm patients and drive up costs".