Colorado’s new Prescription Drug Affordability Board has identified five costly medications used to treat autoimmune diseases, HIV and cystic fibrosis that could receive state-mandated price ceilings — but it’s not clear how that will affect patients.
allowed it to set a maximum price for up to 12 drugs each year
• Cosentyx, used for psoriatic arthritis and other autoimmune diseases, with a list price of more than $6,900 per month at typical doses If the board were to set a price ceiling, that would apply to both the patient and any insurance provider. For example, if the limit was $1,000 per month, how much of that the patient paid would depend on whether they have insurance and what they have to pay out-of-pocket before coverage kicks in. The limit wouldn’t automatically apply to plans that aren’t state-regulated, though they could opt in, Cummings said.
“After spending roughly $2 million to get started, the is using flawed data and unelected bureaucrats to decide which medicines are available and how much they’ll cost patients,” it said.
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