A bill capping the out-of-pocket cost of EpiPens in Colorado could allow drugmakers to substitute their own programs under certain circumstances, a move some advocates say could reduce access to the life-saving medication
, with drugmakers directed to reimburse pharmacies for the difference between the capped amount and the cost of replacing the product.would allow manufacturers to instead offer their own affordability program, provided it limited out-of-pocket costs to $60 and was available to anyone who isn’t covered by a government insurance program.. A generic alternative costs $110 for a two-pack.
Sen. Kyle Mullica, an Adams County Democrat who proposed the amendment, said the Colorado Division of Insurance would have to verify that a manufacturer’s program provided the same level of financial protection as the state program and wasn’t more restrictive. Sam Gilman, president of the nonprofit Community Economic Defense Project, said he’s concerned the drugmakers are trying to get around offering epinephrine at an affordable price and would put up hurdles to using their programs after getting state approval.
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