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Push is on for affordable imports of prescription drugs


Canada drugs


May 9th , 2004

 

WASHINGTON - Congress is exploring ways to loosen the rules on importing drugs from Canada and other countries amid growing political pressure for the federal government to reduce the cost of prescription drugs. For years elderly and uninsured Mainers have traveled across the border to Canada to buy drugs at prices that in some cases are less than half of what they'd pay in the United States. But the travelers can shuttle back only enough for six months of personal use.

Congress has twice approved importation so long as the U.S. Food and Drug Administration certifies the foreign drugs are safe. But U.S. health officials warn that they can't protect against irregular doses or counterfeit drugs in a system they don't oversee. Drugmakers and their allies in Congress contend that forcing down prices would curb innovative research into new medication.

Now a bill by Sen. Olympia Snowe, R-Maine, would make it easier for U.S. drug wholesalers to import drugs from other countries. It's one of several measures aimed at regulating drug importation that the Senate Health Committee will hear on May 20.

Snowe's bill would basically regulate wholesalers in the United States importing from other countries. A rival bill from Sen. Charles Grassley, R-Iowa, aims to regulate the manufacturers who would export directly to Americans from foreign countries. And the committee chairman, Sen. Judd Gregg, R-N.H., is drafting another version modeled on regulating foreign drugs the same way as food arriving from overseas.

"I don't know if we will get that done this year, but there's going to be a lot of discussion. It's a huge political issue, an issue that has huge ramifications in terms of research and development of individual drugs," said Senate Majority Leader Bill Frist, R-Tenn. and himself a doctor.

"The door will be opened if the safety concerns can be addressed," Frist said.

The Congressional Budget Office said Canadian prices for patented drugs are 35 percent to 55 percent less than domestic rates. But the office raised the specter that, in order to thwart importation, drug makers would shift production or ship only enough to Canada to supply their customers.

"Permitting importation only from Canada would produce a negligible reduction in drug spending," the office reported April 29.

But because Snowe's bill would allow importation from any country where a manufacturer has been inspected by the Food and Drug Administration, she contends savings could be much greater. Because CBO estimated 15 percent of drugs could be imported at the savings projected, Snowe argued that savings would provide a considerable benefit to customers.

"CBO reaffirms my long-standing belief that safe and affordable prescription drugs can be legally achieved with the correct legislation in place," she said.

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