Generic Drugmakers Say 'No' to Health Overhaul Tab

Generic drugmakers, which have saved Americans hundreds of billions of dollars in the past decade with their low-cost, copycat medicines, don't think they should join other health industries to finance a health care overhaul.

Under the Senate Finance Committee bill approved Tuesday, the generic drug industry would pay $460 million over a decade through additional rebates to the state-federal Medicaid program for the poor.

"That would be very harmful to our industry and our consumers," said Kathleen Jaeger, the president and CEO of the Generic Pharmaceutical Industry Association. She said the higher discounts would result in fewer companies making generics, which could push prices higher.

Brand-name drugmakers, which would pay $80 billion as part of the proposed health overhaul and support the Finance Committee bill, scoff at their rivals' complaints. "Generics are getting off pretty light while everyone else gets whacked," said Joe Kelley, a lobbyist for Eli Lilly, the nation's fourth-largest brand-name drugmaker.

Over the next decade, the hospital industry would pay $155 billion, health insurers nearly $120 billion and device makers $40 billion to fund the $829 billion bill.

The bill would subsidize health insurance for millions more Americans, who as a result would be able to buy more medicine, benefiting all drugmakers, experts said. But it contains other provisions affecting the generic and brand-name industries, making it hard to tell which would fare better under the legislation.

For generic drugmakers, the long-term trend seems favorable regardless of what Congress does: The number of generic prescriptions in the U.S. rose 5.4 percent last year, three times faster than prescriptions for branded drugs did. The dollar value of sales fell 2.7 percent because of falling prices, according to IMS Health, a market data firm.

Nearly three of four prescriptions written today are for generics, though because of their low prices they comprise only about 21 percent of the money spent on medicines. Israel-based Teva Pharmaceutical Industries, the largest generic drug company, made a $2.3 billion profit last year on $11 billion in sales.

The industry also would gain from a "generic first fill" provision in the Finance Committee bill that clarifies the legality of pharmacists offering to switch consumers' prescriptions to generics and not charging a co-payment. The Congressional Budget Office said increased used of generics in Medicaid and Medicare, the federal program for the elderly and disabled, would reduce the federal deficit by $3 billion over a decade.

However, increases in demand for generics could be at least partly offset by two other provisions in the health legislation in Senate and House of Representatives bills.

Brand-name drugmakers would get 12 years of patent exclusivity in selling biologic drugs, and they'd sell their drugs at half price to Medicare beneficiaries when they reach the gap, or so-called doughnut hole, in their drug coverage.