The Leukemia & Lymphoma Society Blog
Currently Being Moderated

Recently I’ve been reading some articles online about the costs of cancer medications like Avastin* and Gleevec. When insurance companies up the cost of co-pays for these medications (our very own Hildy Dillon, Senior Vice President, Patient Services responded to this NYTimes article in a letter to the editor), it can cost the patient many thousands of dollars, and even doctors and medical practices can be hard hit by the rising cost of drugs. For the patients interviewed in these articles, the benefits outweigh the costs because the drugs mean living longer, but many patients do not have the adequate monetary resources to cover the costs of their medications. It’s not even fully clear to the medical industry if the extended length of life for some patients is because of drugs like Avastin.

 

Our Public Policy team here at The Leukemia & Lymphoma Society (LLS) has also been learning about these issues of higher co-pays vs. the benefits of the cancer drugs, and they are interested in hearing if you are experiencing some of this from your insurance companies.

 

Please consider sharing your answers to the following questions.

 

Do you have to pay more for blood cancer medications than you used to?

 

Do you rely on Gleevec or any other high priced medicine? Do the benefits outweigh the cost?

 

Would you be interested in LLS fighting for lower drug co-pays?

 

Leave your answers and comments here or you can contact the Office of Public Policy by filling out our online contact form.

 

Learn more about how you can get involved with the Office of Public Policy as an advocacy volunteer.

 

*We understand that blood cancer patients do not use Avastin, but we believe that issues like this that may affect other cancer patients may ultimately affect the blood cancer patients we seek to serve.



Aug 7, 2008 9:27 AM tom jones    says:

"Do you rely on Gleevec or any other high priced medicine? Do the benefits outweigh the cost?"

 

This seems like a very peculiar question to ask an individual.  Gleevec is responsible for extending the life of cancer patients.   Would you expect anyone to say that they would rather have their life shortened than have spent the money it cost to purchase the Gleevec?  I may be wrong but that seems like an unlikely situation - maybe someone will say they would have rather left a larger inheritance than they can now, but that seems like that would be a terribly small universe of individuals. 

 

Alternatively a social science researcher could likely monetize the value of Gleevec and other life-saving drugs in the aggregate.  It doesn't seem too complicated to determine that on average Gleevec extends life by X months.  And during those months of life the average patient contributes $Y to the economy.  The development and cost of Gleevec was $Z.  Obviously this is a gross oversimplification, but this is exactly the kind of work actuaries and economists perform every day.

 

That is a vastly different question than asking Bob whether the benefits (living longer and/or with higher quality) outweighs the cost of the medicine.  Assuming the medication is effective, I can't imagine someone would in effect say "in hindsight, I shouldn't have taken those drugs - those extra months/years weren't worth it."

Aug 8, 2008 12:02 PM Samantha Mills Samantha Mills    says in response to tom jones:

The following is a response from the Office of Public Policy at LLS:

 

Hillstfr – Thank you for your response. We want to apologize if it sounds like LLS is meaning to answer the question “do the benefits of a drug outweigh the cost?” for a patient. We believe that patients and their doctors need to come to these answers on an individual basis. We also do not mean to slight the significant advances that Gleevec has made in survival rates, length of survival and quality of life for the patients taking it. Gleevec is a breakthrough in the treatment of cancer and LLS is very proud to have funded Dr. Druker in his research.

 

Unfortunately, we also know that drug co-payments are skyrocketing and sadly not all treatments are as effective as Gleevec. The example we used was Avastin, which can cost nearly $100,000 a year for individual patients. Studies have shown that the drug prolongs life by a few months, but unfortunately those studies have also been inconclusive on whether the drug was even the cause of that increase. We want to make sure that patients are truly experiencing an increase in quality of life when paying so much for a drug that claims it will do that.

 

The original intent of the blog post was to find out if blood cancer patients are being affected by these increasing co-payment costs so that we can use those examples when we are talking to both the cancer community and legislators. Another reason is to find a way to reform the health care industry, a hot topic this election season. We welcome the chance for patients and staff to have an open dialogue on topics like this, and we appreciate you taking the time to share your thoughts on the subject here on our blog.

Sep 16, 2008 10:11 AM Ingrid Klesh Ingrid Klesh    says:

My co-pay has increased 3 times in the past 2 years.  I first paid a $30 copay for a 3 month supply for 400mg/day for Gleevec, then the insurance decided to name it a "specialty drug" and had my physician complete monthly prescriptions forcing me to pay co-pays monthly, or $50/month.  My employer will now change prescription providers and I have been informed that I will be forced to pay up to $100/month for the specialty drug.  In addition, convenience of obtaining the medication has become complicated since it is not delivered through a neighborhood pharmacy. The provider decided that it is delivered through UPS to my home and requires a signature because of the high cost, which is difficult since I work full-time and am not home during established delivery times. It's ironic that Gleevec has made me well enough to work full-time with insurance coverage, but the high cost (not CML) makes normal life difficult

Sep 26, 2008 11:35 AM Samantha Mills Samantha Mills    says in response to Ingrid Klesh:

The following is a response from Patient Services at LLS:

 

winmo - Thanks for your response. It's challenging enough dealing with cancer, let alone having to deal with the financial costs that go along with it. In case you are not aware, our Co-Pay Assistance Program is now covering up to $5,000/year in healthcare costs for patients with CML who qualify. You can learn more about how it works by going to www.lls.org/copay.

Oct 14, 2008 9:43 AM Luke Webb Luke Webb    says:

I'm 28 and was just recently diagnoised with CML on September 3rd 2008.  I'm on Gleevec now and have so far had a good respose to it and it seems to be working to stop the the Ph chromosome.  Both my doctor and the tranplant center say I should continue treatment with Gleevec and do not recommend anything else at this time.  I have major medical coverage and no prescription coveage with a large insurance company, but they do not cover the $4000 per month for the drug to keep the cancer at bay, and because my wife and I make more than $40,000 per year, we do not qualify for the Novatis Patient Assitance Program.  I find it absolutely absurd that there is no help for a family who makes over $40,000 per year to afford a medication that costs $48,000 per year (while the generic costs 90% less).  I also read in my research that Novartis only covered 10% of the orignial developmental cost of Imatinib Mesylate (Gleevec)with 90% coming from federal, state and local grants, yet they receive 100% of the profits from the sale of the drug. 

 

Norvartis also filed a large lawsuit in India to prohibit generic manufacturers there from making generic Gleevec.  There was a large outcry from the international community and the Indian government denied their request for protection under their patent laws.  If they had won, this would have set a precident for other money hungry drug companies to charge whatever they wanted while people who really need the drug and cannot afford it, would die.

 

All in all, I must do everything that I can to pay for the drug to stay alive.  It's worth it for me to be here with my wife and family that I love.