Amlodipine and benazepril cost, a new class of expensive heart drugs is just under the counter. But cost is still lower than most drugstore alternatives, said Dr. Mark H. Burch, a cardiologist at Stanford Medical School in Palo Alto who is a consultant for Amgen.
"Most drugs come in three categories: the high-cost, low-cost, and average-cost," Dr. Burch said. "This is a good category to be in, because it's going to be the category that everybody looks at."
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He said was not surprised by the new costs, which would push patients to seek high-quality generic medications. drugs in the United States currently account for 17 percent of prescriptions, but that share is expected to double 31 percent by 2021, he said.
The new Medicare plan, result of the 2009 health care overhaul, will also make it more difficult for companies to obtain federal contracts for developing drugs. The Congressional Budget Office has predicted that the new law will reduce spending by $500 amlodipine besylate cost million over 10 years, but Dr. Burch said he expected that money would go to generics anyway.
Dr. Burch said the high-priced drugs made sense for patients with high cholesterol and other serious conditions that he could not imagine why anyone would use an inexpensive drug to manage pain.
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The companies that make most of the high-priced drugs said price increases went too far.
"The price for most drugs continues to be driven by clinical trials, quality improvements and innovations in manufacturing," said Michael J. Carmines, the head of a large division Pfizer, in written statement. "Innovation is driving the market price up."
Pfizer has also been trying to persuade physicians switch from expensive statins to less but still effective statins called ezetimibe and atorvastatin. It has spent $300 million promoting these drugs and, as part of a Medicare plan announced in 2011, is paying $50 million a year for six years to cover physicians' time.
But Dr. Carmines said ezetimibe was no longer available in the United States, and he argued that atorvastatin was not more effective than a lower cost, cheaper statin.
The changes were welcomed by patients' groups and advocacy groups, including.
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