Theyre pushing towards baghdad and the pentagon is sending rockets for defense. But fox news reports theres no review on the way on how to defeat isis. So that is where we stand on this thursday morning trouble at home and abroad. Varney company is about to begin. Ill be honest with you with it is beginning to look like a. M. Not going to get the tonights show. Ill tell you Something Else im sick and tired maybe paul you get a little of this. What are you going to do now that you retired what are you going to do now that youre retired . Well, okay. All right you want to know what im going to do now that im retired by god i hope to become the new face of scientology. [laughter] i wasnt expecting that. David letterman says goodbye after 33 years more than 6,000 shows. All right hes the funny guy, great career, dont like his politics much. I think he was almost forced to retire because he doesnt have a grip on social media. Social media also the demographic of the audience are changing ex
Caps or spreading of maximums throughout the year a person who wouldnt spend 0 more than a certain amount in one year or shift the burden there are two bills pending before the state legislation ab 39 prevents the copies from a tier and assemblyman bill requires the companies to report medications that costs more 10,000 just to conclude it is clear it matters in San Francisco but that helps to put a finer point on this is a chart showing element san franciscans living with hiv we dont have good numbers for multiply scleras and other disease but necessary need access to treatment that is why it is an important issue here in San Francisco thank you very much priscilla so mr. Chairman id like to ask as mentioned our assemblyman david chiu is sponsored legislation around this and aarons office is here i want to ask him to come up and speak on the assembly mans behalf. Thank you very much as the supervisor said im here im aaron on behalf of dude for the most part thank you, supervisor wiene
Because of the lack of understanding of the speciality drugs i put speciality drug in quotations this may be based on costs the important point i want to make awhile making progress in california if we enact all the things in our tool dheft well not make a difference until the pharmaceutical Companies Come to the table theyre not there yet and extremely highpriced drugs make it difficult for Insurance Companies to make them affordable and the reason for that the plans are negotiators would the companies about the cost of those drugs so they need to have a type of mechanism like a tiering mechanism in order to bring the companies to the table to lower their prices this is unfortunate because the consumer losses so when we had extreme expensive drugs there shs cost sharing because of the necessity to negotiate and that at least a lot of assess and discrimination against people the first effort i want to talk about the cover california that is a groundbreaking effort and they brought toge
To have a dedicated Pharmacy Service line that advocates and consumers can call to answer their questions and in addition colorado lien said standardized the tier definition so we know what drugs are in what tier i want to point out not all plans use the tier blue shield as a 1,200 threshold im not certain but it is definitely higher in california recommendations also is that if there are 3 or more Treatment Options for treatment at least one drug in that drug category has to be an tier 13 and this is specifically 5i78d and rheumatoid 5th reiterates and lupus for us it didnt go far enough only one drug is there people need different drugs to treat hiv and aids the board is asking to access the implementation of caps on the speciality tier the issue is that when Insurance Companies putting put caps on the speciality tier cost sharing that means a substantial increases for drugs so it is important for california to keep the formulas reasonable so i want to see the actuary process before
Thats out paigdz our efforts as mentioned in the presentation before me those costs of drugs are set by manufacturers upon drugs launched to the market once drugs o are on the market those prices set the prices for payers and manufacturers increase the price annually. Prices increases for and speciality drugs on the market are seen at 11 to 13 percent annually compared to the cost of living index of 1230 percent speciality drugs as mentioned are increasing at 20 to thirty percent announcing and more than 50 percent of the drugs are speciality drugs many of the drugs require long term and it is okay to place lower drugs. Could you speak directly into the microphone. Towards you. One example of the newer drug used to treat high cholesterol is a drug inhibit our their expended to cost 150 billion a year and to be the highest drugs in history estimated 270 billion in drugs expected to spend on drug in 2015 the cost per patient is 10 and 15,000 and it is not a onetime drug a drug youll take