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As Factories Close, Health Care is ‘Employer of Last Resort’

FDA to Open China Office This Year
April 15, 2008, 8:44 AM ET

AstraZeneca Blunts Generic Nexium Threat
========================================
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By Jacob Goldstein

AstraZeneca just got some breathing room for its blockbuster heartburn
drug Nexium.
The company said today that it will give Ranbaxy, the Indian generics
manufacturer, exclusive rights to sell a generic version of
AstraZeneca’s best-selling drug — but not until 2014, six months
before the main patent on Nexium expires.

There had been some concern that Ranbaxy could bring a generic version
of the blockbuster to market as early as this year, which would have
caused some serious trouble for AstraZeneca. Sales of the drug topped
$5.22 billion last year.
While a bit of legal saber-rattling to that effect continues from Teva
and Dr. Reddy’s, the market clearly thinks the deal with Ranbaxy is a
very good sign — shares were up more than 10% at one point today in
U.K. trading, Bloomberg reports.

Analysts were also pleased. Citi’s Kevin Wilson called the deal
“better than expected,” noting that he’d expected a settlement that
would have allowed Ranbaxy to bring a generic to market in 2012.
Credit Suisse’s Steve Plag called the deal “unremittingly good news.”
But, in a mention characteristic of the troubles facing the industry
these days, Plag added that AstraZeneca still faces patent challenges
to its antipsychotic Seroquel, the company’s second-best-selling drug.

Photo: PR Newswire
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Comments (5 of 15)
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8:28 am March 9, 2010
Linda wrote:

Even with Insurance, Nexium costs $150.00 for one month. This
is outrageous. I have been using the generic Prilosec, but it
definitely is not as good. I am in misery all the time! There
has to be a better way!!!
 

 
4:17 pm January 8, 2010

Bob wrote:
Lost my company health insurance last month because the owner
decided he wanted to do this. Already had a hefty copayment
for Nexium to begin with ($40 for 30 capsules). Without
insurance, or with the much poorer and pricier insurance you
get when you’re self insured, Nexium will become unaffordable.
Last I looked, the price was over $250 for 30 capsules.
Pharmacists refer to this drug (and before it, Prilosec) as
“purple gold”.

When I was off Nexium once before, after losing a job for a
company going out of business, I scaled back use, and
developed the lung cancer cough discussed by others here, and
also ulcers in the esophagus. The reflux also burned my vocal
cords, and thickened the esophagus lining, which is not a good
thing. Woke up many times from acid shooting up and then down
my windpipe.
My reflux is caused in large part, by a hiatal hernia, and
doctors rarely prescribe surgery to correct the problem, when
Nexium works so well. Have tried all the other acid pump
inhibitors, and except for Prilosec, none worked at all. I
hate being dependent on this drug for the rest of my life, and
know that AstaZeneca is taking advantage of their drug’s
success. It amounts to 1/5th of their income. If it were
priced fairly, it would probably amount to 1/50th of their
income.

AstaZeneca’s patents prohibit generics, and they have gone
after companies who have tried to make generics for this
product. Having such patents which prohibits generics from
coming on line for such a long period of time (no generic
until 2014) is immoral — how long would that be, 15 years
without a generic?
The government should step in here and do something with
AstaZeneca. If they pulled something like this with AIDs
drugs, I’m sure the government would have stepped in.

Regardless, my plan is to double up on over the counter
Prilosec. From reading articles in forums, it seems that
Prilosec contains just about half of the drug that controls
reflux in Nexium. Hopefully, I won’t redevelop esophageal
ulcers using over the counter Prilosec. Tried OTC Prilosec
once before, and it seemed weaker than the prescription, and
it was very expensive for an over the counter drug.
 

 
10:54 pm February 8, 2009

doug wrote:
Have been using acid reducers since Zantac, Pepcid etc.
Prilosec is the worst of the PPI’s, Nexium really does work
better. Used to have to have espohagus dilated every 2 years,
not with Nexium. Prevacid 2nd best maybe for me.

 
 

9:36 am January 25, 2009
sherry wrote:

I also have tried all of the others and all the generics. When
I go off nexium I develop a cough that sounds like I have lung
cancer. Finally after a long struggle my insurance lets me pay
a enormous copay but I guess it is still better than if I paid
without. Keep fighting. There is a process but you have to
prove the others don’t work. I had lots of tests, so I think
it ends up cheaper for them this way.
 

 
9:50 pm January 4, 2009

Ryan wrote:
I’m gonna have to try the Canada generic. Insurance companies
just won’t cover nexium and going into 09 I have to find a way
to shrink the budget. I hope it works, nexium is just to
expensive to keep taking.

About Health Blog
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Health Blog offers news and analysis on health and the business of
health. The blog is written by Katherine Hobson and includes
contributions from staffers at The Wall Street Journal, WSJ.com
and Dow Jones Newswires. Write to us at healthblog@wsj.com.
Katherine Hobson has been writing about health and business for
more than 15 years, including stints covering cancer, nutrition,
exercise science, the U.S. economy and the U.K. beer industry.

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