(Reuters)—As U.S. consumer outrage grows over prescription drug prices, state authorities and patient advocates in Maryland are preparing to enforce the nation’s first law designed to punish drugmaker price-gouging.
The Maryland Attorney General’s office said it will field complaints and investigate “unconscionable increases” in essential generic medicines when the closely watched law takes effect Oct. 1.
Drugmakers fear the Maryland law will embolden other states and are seeking a court injunction.
Both sides made their arguments on Thursday before a U.S. District Court judge in Baltimore, who could decide on an injunction in the coming days.
Anticipating the law will survive the legal challenge, the Attorney General’s office said it is working with health economists at Johns Hopkins University to identify price spikes, which are not made public by drugmakers. Patient advocacy groups are urging consumers to report increased costs for their medicines. Maryland Citizens’ Health Initiative will add an option to report price gouging to its website.
Pharmaceutical companies have so far dodged stricter federal oversight despite growing outrage over price hikes. Valeant Pharmaceuticals International Inc. raised the price of heart medications Isuprel by about 720% and Nitropress by 310%, after acquiring them in 2015. Mylan NV raised the price of its life-saving EpiPen six-fold between 2008 and 2016.
But states, struggling to cover rising healthcare costs, are taking up the fight. At least 176 bills on pharmaceutical pricing and payment have been introduced this year in 36 states, according to the National Conference of State Legislatures.
Maryland’s law is the most aggressive legislation to be passed so far, and allows the state to levy fines and order a reversal of price increases.
The Association for Accessible Medicines, a generic industry trade group that filed the lawsuit, argues that the law is unconstitutional because it does not define price-gouging and amounts to intervention by an individual state in interstate commerce.
“The issue of drug pricing is a national issue … not something that should be handled piecemeal in 50 different ways,” says Jeff Francer, general counsel for the trade group which represents companies like Teva Pharmaceutical Industries Ltd. and Novartis AG’s Sandoz unit.
Maryland Attorney General Brian Frosh said that states have a well-defined role to play in policing “unconscionable” business activity against consumers, especially when they have no other recourse. He cited consumer contracts for telephone service, which are non-negotiable.
The measure applies only to older, off-patent drugs. Generic copies of branded products, usually much cheaper than the originals, account for around 89% of U.S. prescription volume, but only 26% of total drug spending, according to Quintiles IMS Holdings Inc.