this post was submitted on 29 Aug 2023
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The Biden admin unveiled the first 10 drugs that will be subject to Medicare price negotiations -- a milestone for Democrats in their push to lower health care costs.

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[โ€“] [email protected] 5 points 1 year ago (1 children)

Eliquis - blood thinner that lowers the risk of stroke, clot, or bleeding

Jardiance - control blood sugar for type 2 diabetes

Xarelto - prevent blood clots

Januvia - control blood sugar

Farxiga - control blood sugar

Entresto - blood pressure

Enbrel - lowers immune response for autoimmune disorders

Imbruvica - treat blood cancer

Stelara - immunosuppressant that treats autoimmune conditions

Fiasp/NovoLog - increases speed of absorption of insulin

[โ€“] [email protected] 4 points 1 year ago

Let me correct a few of these, as well as add why some of these are some really fantastic choices. These are all fairly expensive medications, but many of them are common first line and best choices for the relatively common things they treat. And while this is only for medicare directly, almost everything to do with medicare rolls downhill to private insurance. This will save many many many people a lot of money, or allow people to have the right medicines that would not otherwise be able to afford them.

Eliquis/Xarelto: Blood thinners. Tons of people on these, and they are safer and more convenient to take than the warfarin they replaced.

Jardiance/farxiga: Blood sugar medicines, but not just for diabetes type 2, also usable in type 1 as an adjunct to insulin. Also showing a lot of value in both subclasses of heart failure, even in people without diabetes. The data is so good that these are being prescribed for pretty much all heart failure patients as long as they can afford them.

Entresto: Not for blood pressure, although it does lower blood pressure. Another heart failure drug, far superior to the ACE inhibitors and Angiotensin receptor blockers it replaces as far as heart failure outcomes. Again, prescribed for pretty much all CHF patients that can afford it (and can tolerate the blood pressure lowering effect).

Fiasp/Novolog: Does not affect speed of insulin, is actually insulin. Short acting formulation, some of the more common ones. Not sure why Humalog/Admelog didn't also make the cut. Probably next round. I'm sure you've all heard on here and reddit the cost of insulin being a major problem for diabetics.

Januvia: Blood sugar control, but only for type 2, not indicated for type 1. No other benefits. There's other drugs I think we'd benefit from having on this list over januvia, but I wont' complain too much.

Stelara/enbrel I have less familiarity with, not terrible choices from what I know. Quite expensive as all monoclonal antibodies are, and those who benefit from them, REALLY benefit from them.

Imbruvica I can't speak to much too.

Overall this is a list of some of the most useful medicines in general adult medicine the use of which are frequently limited by cost.