Rebates or Patent Abuse? Eli Lilly, Novo Nordisk, and Sanofi CEOs Cross Swords with PBMs in Senate Hearing


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CEOs of Eli Lilly And Company (NYSE:LLY), Novo Nordisk A/S (NYSE:NVO), Sanofi SA (NASDAQ:SNY), and PBM executives from Cigna Group's (NYSE:CIExpress Scripts, and UnitedHealth Group Inc's (NYSE:UNHOptum RX testified at a U.S. Senate committee hearing on making it more affordable.

Eli Lilly, Novo Nordisk, and Sanofi control 90% of the U.S. insulin market, and Express Scripts and Optum RX control 80% of the prescription drug market.

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Related: Three Is Company - Sanofi Follows Lilly, Novo Nordisk, Slashes Insulin Product Price By 78%.

"Why, in the richest country on Earth, do 1.3 million Americans ration insulin because of the cost? Why are 1 out of 4 Americans not able to afford the prescription drugs their doctors prescribe?" asked Senator Bernie Sanders, chairman of the Senate Health, Education, Labor, and Pensions (HELP) Committee.

The drugmaker CEOs said, in the Reuters report, that the companies pay rebates to lower costs but that PBMs and insurers are incentivized to choose drugs with higher prices because they lead to larger rebates.

"Higher list prices allow for higher fees and rebates, which can increase patients out of pocket costs while benefiting employers, insurance companies and people who don't use medicines," Eli Lilly CEO David Ricks said.

PBM executives said manufacturers alone set the drug prices and abuse patent protections to stifle competition. Drug costs would be even higher without the rebates that PBMs negotiate for their customers, Optum Rx CEO Heather Cianfrocco said.

Photo by towfiqu-barbhuiya via Unsplash


27% profit every 20 days?

This is what Nic Chahine averages with his option buys. Not selling covered calls or spreads… BUYING options. Most traders don’t even have a winning percentage of 27% buying options. He has an 83% win rate. Here’s how he does it.


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