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Representative Jake Auchincloss asks CVS Caremark, $CVS, CEO how much he’s charging for a $16 drug for multiple sclerosis. The answer: $6,229. A 38,000% markup.

1,065,507 views • 2 years ago •via X (Twitter)

10 Comments

Brad Utah 🏄‍♂️'s profile picture
Brad Utah 🏄‍♂️2 years ago

My mother has MS. She sent emails & called the drug maker every single day for the medication because it was to expensive to afford. I believe it was like 10k a month. The drug manufacturer was soo annoyed by her constant emails/calls, they gave it to her for free for life

thyme's profile picture
thyme2 years ago

That should be illegal!!!!

Steven Hasty's profile picture
Steven Hasty2 years ago

Then how is it a $16 drug? How would they know costs and overhead? Not saying the price is justified, however, question everything…

SteveTheSuit's profile picture
SteveTheSuit2 years ago

@mcuban please consider helping drive down the cost of Multiple Sclerosis medications and treatments. This is a major issue many families are facing. M.S. medications and treatments carry some of the highest costs in the nation, and many have been around for decades. Sad.

Sergey Golubev's profile picture
Sergey Golubev2 years ago

The "markup" is the difference between what CVS Caremark pays for the drug and what they charge the insurance plan. This can include various fees for services like distribution, patient support programs, and risk management.

Jesse Norwalt's profile picture
Jesse Norwalt2 years ago

Cvs has a net profit margin of 2% they aren’t ripping people off.

Voluntaryist Minister's profile picture
Voluntaryist Minister2 years ago

Government patent protection causes this. End the monopoly.

Kim von Däniken's profile picture
Kim von Däniken2 years ago

That's crazy! I'm wondering if there are any other middle men or if they actually buy it for $16 and mark it up to 6k. Anyway, that's insane.

Matt Gambone's profile picture
Matt Gambone2 years ago

@MartinShkreli spent 4 years in prison for raising the price of Daraprim from $13.50 to $750. How long will Karen Lynch spend behind bars?

Bao Huynh's profile picture
Bao Huynh2 years ago

I don't care how much complex it take to distribute the drugs on top of true cost, but with that mark up, it due to either inefficiency or greed

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Forest Park Pharmacy

15,927 views • 6 months ago

Tennessee just did what Congress can't. They passed a law to break up the health insurance giants. Specifically, they made it illegal for pharmacy benefit managers — the companies in charge of pharmacy insurance — and pharmacies to be owned by the same company. That makes perfect sense. For example: CVS Caremark is the PBM, and CVS is the pharmacy. So if you have Aetna insurance, you have CVS Caremark as your PBM, and they're going to do everything they can to make sure you use CVS as your pharmacy. Aetna, Caremark, CVS — all the same company. That causes all kinds of incredibly obvious problems that this law hopes to fix. If your insurance company is in charge of approving your medication, deciding how much to pay for it, AND deciding who gets that money — while also being the pharmacy that gets paid at the end — guess what happens to prices? They go up. Governor Lee signed the law last week. CVS immediately filed a federal lawsuit because they said it will force them to close all 136 stores they have in Tennessee. Let that sink in. I'm not sure most people realize what that says about CVS and health insurance in general. They had to choose between owning the middleman (the PBM) or the healthcare provider (the pharmacy). Without hesitation, they chose the middleman. The biggest pharmacy chain in the country — with a store on every corner — would drop all 136 of their Tennessee locations in a second if it means keeping their middleman business. It is more profitable for them to be a health insurance middleman getting between you and your healthcare than it is to actually provide the healthcare. That is the problem with healthcare in America. We have made the middleman so powerful that they've taken complete control of the entire system. Three PBMs — Caremark, Express Scripts, and OptumRx — handle around 80% of all prescriptions in this country. How on earth can we expect healthcare to work well and remain affordable if that's where the money is? We all auto-pay our insurance straight out of our paycheck before we even see the money. And not surprisingly, they're keeping a ton of it. That's why we fired them. And they can't file a lawsuit to stop us. That lets us offer fair, transparent prices. No PBMs. No insurance games. No hidden markups. You see the cost, you pay the cost.

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33,253 views • 3 months ago