0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editor's Correspondence |

Generic Competition in a Flawed System: Pill Them, Bill Them—Reply

Nicholas S. Downing, AB; Joseph S. Ross, MD, MHS; Harlan M. Krumholz, MD, SM
Arch Intern Med. 2012;172(19):1522-1523. doi:10.1001/2013.jamainternmed.806.
Text Size: A A A
Published online

Extract

In reply

Hay questions whether consumers were actually harmed by Abbott's branded reformulations of fenofibrate, suggesting that Abbott likely offered rebates and discounts to payers in an effort to improve formulary position. Our article included an analysis of wholesale prices for fenofibrate that showed that Abbott's branded reformulations were twice as costly as generics.1 Given this difference in price, generic fenofibrate almost certainly would be listed on a more favorable formulary tier than branded versions, even if Abbott was offering significant rebates or discounts. Thus, patients who continued to use branded fenofibrate likely faced higher copayments than those using generic formulations. In addition, the continued use of branded formulations likely increased overall health care costs, which impose indirect costs on patients through higher insurance premiums. Hay also draws attention to the findings of the Action to Control Cardiovascular Risk in Diabetes (ACCORD) trial, which showed that fenofibrate did not reduce cardiovascular risk when added to statin therapy.1 We agree that the broad use of fenofibrate, especially the more costly branded reformulations, should be re-evaluated in light of this study.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

October 22, 2012
Alain Braillon, MD, PhD
Arch Intern Med. 2012;172(19):1522-1523. doi:10.1001/archinternmed.2012.4389.
CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
Jobs
JAMAevidence.com

Users' Guides to the Medical Literature
Clinical Resolution

Users' Guides to the Medical Literature
Clinical Scenario

brightcove.createExperiences();