The AMAC, which represents American citizens aged 50 years and above, has urged its members to lobby their state and federal lawmakers in order ‘to counter efforts in state legislatures across the country and in Congress to constrain generic versions of important biological drugs’. They believe that if Big Pharma succeeds in its efforts many important treatments could be ‘out of the reach of many seniors, particularly those on fixed incomes’.

Meanwhile, Mr Ralph G Neas, President and CEO of GPhA has stated that the efforts by Amgen and Genentech are ‘designed to choke the flow of safe and affordable life-saving biologic[al] medicines to patients even before these products have been approved by FDA’. He adds that the ‘two biotech Goliaths’ are putting ‘profits ahead of the patients who need these treatments but many times cannot get them because of their prohibitively high cost’.

According to an analysis by IMS Health published on 2 August 2012, generic medicines saved the US healthcare system more than US$1 trillion over the past decade, with US$192 billion in savings achieved in 2011 alone. GPhA is therefore confident that the use of safe and effective biosimilars will achieve similar savings.

GPhA also points to a report from Grant Thornton, which notes that by the end of 2016 brand-name biologicals with US$40 billion in US sales will come off patent. This, coupled with the US$20 billion in brand-name biologicals that are already off patent, represents more than US$60 billion in annual spending in the US. The report, even using the most conservative estimates, shows that biosimilars hold the potential to save US$20 billion annually.

According to GPhA, bills for biosimilar substitution are currently under consideration in thirteen states: Arizona, Arkansas, Colorado, Florida, Indiana, Maryland, Massachusetts, North Dakota, Oregon, Pennsylvania, Texas, Virginia and Washington.

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Physician perceptions of generics substitution

Reference

1.  GaBI Online - Generics and Biosimilars Initiative. Biotech firms try to limit biosimilar substitution in US [www.gabionline.net]. Mol, Belgium: Pro Pharma Communications International; [cited 2013 Feb 15]. Available from: www.gabionline.net/Biosimilars/News/Biotech-firms-try-to-limit-biosimilar-substitution-in-US

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