Drug Pricing & The Election – The Need For Transparency

CEO Cary Breese’s comments from NowRx, a tech-enabled pharmacy providing same-day and same-hour delivery of prescription medications, regarding the high stakes in this election around drug pricing as sky-high prescription drug costs remains one of the most hotly contested issues in healthcare today.

Get Our Activist Investing Case Study!

Get the entire 10-part series on our in-depth study on activist investing in PDF. Save it to your desktop, read it on your tablet, or print it out to read anywhere! Sign up below!

Q3 2020 hedge fund letters, conferences and more

High Stakes In This Election Around Drug Pricing

Amid a global pandemic, there may be few issues that ignite Americans more than their concerns about healthcare -- and in particlar the cost of prescription medications.

Michael Zimmerman’s Prentice Capital is having a strong year

business manPrentice Capital was up 15.3% net last month, bringing its year-to-date gain to 49.4% net. Prentice touted its ability to preserve capital during market downturns like the first quarter of this year and the fourth quarter of 2018. Q3 2020 hedge fund letters, conferences and more Background of Prentice Capital The fund utilizes a low Read More

According to a recent survey from Gallup and the nonprofit West Health, a clear majority — 75% — of respondents said the cost of prescription medicines would be among the factors likely to influence their votes this year. Both candidates have expressed the need to address the issue. On September 13th, Trump issued an executive order that directed federal agencies to take action on his plans, which did not change any policies and will be difficult to implement, according to experts.

NowRx CEO Cary Breese, sees an opportunity to change the way the industry handles price transparency which is central to the issue of cost. He believes the current political climate could be conducive in forcing change around the way pharma addresses pricing.

No Price Transparency In The Industry

Breese (an insurance and pharmacy industry expert) says: "Currently, there is no price transparency in the industry, and while companies like GoodRx and other discount cards have emerged because of how convoluted drug pricing is, it remains an area with enormous potential for change and for new momentum to occur. Healthcare is one of the only industries where the consumer has no idea how much something is going to cost them when they order it. It's simply better for all parties – physicians and consumers – to understand in advance how much a prescribed drug is going to cost."

Breese believes the following healthcare industry issues are at stake with this year's election and need to be addressed, including:

  • better education around Pharmacy Benefits Managers (PBMs) and how their role as the middlemen, along with the insurance companies, set the prices of drugs, further exacerbating the lack of drug pricing transparency.
  • increased regulations that facilitate telehealth;
  • new regulatory proposals around licensed pharmacists issuing prescriptions without a doctor.