AMP is WAC (and other thoughts)

Latest posts and updates

ABOUT AMP is WAC

Average Manufacturer Price (AMP) is not equal to Wholesale Acquisition Cost (WAC), but it is close. And since the whole world of health policy and reimbursement is a bit WAC-y, that’s what we’re calling this update/blog part of the site. All of the opinions and thoughts presented here are our own and not the views of clients or affiliates.

  • Caught my eye — 9/22/23
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    Caught my eye — 9/22/23

    Leave the gun, take the cannoli. House Energy and Commerce hearing on Medicare price negotiation gets feisty. Not often that the mafia comes up on the House floor but an interesting comparison of price negotiation and an offer they can’t refuse. I doubt Congressman Griffith (R-VA) and I agree on much politically but on this,…

    Read more: Caught my eye — 9/22/23
  • Contract(ing) 340B

    Contract(ing) 340B

    Last week we covered 340B basics. If you missed it, here is a quick summary: There are hospitals, clinics, etc. that serve uninsured individuals. To help care for these patients, the 340B program requires pharmaceutical manufacturers (that wish to participate in the Medicaid program) to sell their products at a massive discount that the entities…

    Read more: Contract(ing) 340B
  • Caught my eye — 9/15/23
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    Caught my eye — 9/15/23

    Suited up: The Department of Justice responded to Merck’s Medicare negotiation suit. It leaned into the argument that this is a negotiation. “Manufacturers that do not wish to make their drugs available at negotiated prices can avoid doing so by forgoing sales of the relevant drugs to Medicare beneficiaries— including by withdrawing from the Medicare…

    Read more: Caught my eye — 9/15/23
  • 340B and all that jazz

    340B and all that jazz

    This week Jazz Pharmaceuticals announced that they would no longer be doing bill to/ship to orders on EPIDIOLEX® to contract pharmacies. They became the 25th pharmaceutical manufacturer to place restrictions on 340B sales. By itself this is not huge news (24 companies did it before Jazz) but I also don’t think it should fall into…

    Read more: 340B and all that jazz
  • Caught my eye — 9/8/23
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    Caught my eye — 9/8/23

    Weight list: The rush for access to weight loss drugs is not just in the United States. 20,000 people were interested in Wegovy in Britain and the wait list (weight-list?) is long. Ozempic is in shortage there. Another story highlighted shortages for weight loss drugs in United Arab Emirates. Interestingly, each area in the UAE…

    Read more: Caught my eye — 9/8/23
  • Costs and Consequences
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    Costs and Consequences

    The Inflation Reduction Act (IRA) is a sneaky piece of legislation. It sounds so promising with a cap on out-of-pocket (OOP) spending in Part D and really sticking it to Big Pharma. But does the legislation get us to the stated goal of lower drug prices and have outcomes (or consequences) that are worth the…

    Read more: Costs and Consequences
  • Caught my eye — 9/1/23

    Caught my eye — 9/1/23

    Caught my eye… a weekly catch-all of stuff that I found important. Obviously big news this week was the release of the Medicare drug negotiation lists for 2026. I wrote about it and, I also appreciated Scott Gottlieb’s tweets (Xs?) on it If not this, then what? GOP plans for healthcare: AstraZeneca’s suit against the…

    Read more: Caught my eye — 9/1/23
  • Huh, Insulin?
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    Huh, Insulin?

    Yesterday the Centers for Medicare & Medicaid Services (CMS) released the list of drugs that they have selected as part of the initial year of Medicare drug price negotiation under the Inflation Reduction Act (IRA). These drugs will be negotiated over the next year with implementation of the prices to begin in 2026. And there…

    Read more: Huh, Insulin?
  • Quick take: Fun with numbers

    Quick take: Fun with numbers

    The 2026 list of Medicare negotiated drugs came out this morning and it’s a mad dash to dig in and get some sense of where this program might go. I imagine some companies (hi Astellas) are breathing a sigh of relief and others are glad they didn’t get hit worse. I found the information released…

    Read more: Quick take: Fun with numbers
  • Let the games (almost) begin

    Let the games (almost) begin

    On Tuesday we are expecting to learn what are the first drugs that will be negotiated as part of the Inflation Reduction Act’s (IRA’s) 2026 Medicare negotiation program. I use the word negotiated loosely. Last fall I did a lot of work looking at Part D spending files and patent expiration dates and expectations for…

    Read more: Let the games (almost) begin

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