• Home
  • Latest
  • Fortune 500
  • Finance
  • Tech
  • Leadership
  • Lifestyle
  • Rankings
  • Multimedia

Trendingnow

1

Bars, bowling alleys, and movie theaters cost too much to run and visit. Americans have run out of places to hang out and we're paying with our health

2

The labor market could become so backward that the economy will have to shed jobs to keep unemployment steady

3

Sam Altman says a 'cool use case' for ChatGPT is a daily AI podcast about your kids. The replies were brutal

1

Bars, bowling alleys, and movie theaters cost too much to run and visit. Americans have run out of places to hang out and we're paying with our health

2

The labor market could become so backward that the economy will have to shed jobs to keep unemployment steady

3

Sam Altman says a 'cool use case' for ChatGPT is a daily AI podcast about your kids. The replies were brutal
Healthcardiovascular

The Cost of This Drug Is High Enough to Question Its Value

Lucinda Shen
By
Lucinda Shen
Lucinda Shen
Down Arrow Button Icon
Lucinda Shen
By
Lucinda Shen
Lucinda Shen
Down Arrow Button Icon
August 17, 2016, 4:05 PM ET
Photograph by Ullstein Bild via Getty Images
Add Fortune on Google for similar content.

This story has been updated to include responses from Amgen, Regeneron, and Sanofi.

A new cholesterol-lowering drug is so expensive, it isn’t worth its potential benefits, according to new research.

PCSK9 inhibitors, the main ingredients in Amgen’s Repatha and Sanofi and Regeneron’s Praluent treatments, were first approved by the Food and Drug Administration in July 2015 for use by patients with a family history of high cholesterol or those who suffered high-cholesterol-induced heart attacks.

The treatment is said to potentially decrease the risk of heart attack and stroke. It’s more effective than fellow cholesterol-lowering medications, ezetimibe and statin. But according to research published in the Journal of the American Medical Association Tuesday, at an average of $14,350 per patient in 2015, its price exceeds the savings from averting cardiovascular events.

If all eligible U.S. citizens between the ages of 35 and 74 years old used the drug, it would increase annual prescription spending by 38% to $125 billion, and health care expenditures by 4% to about $120 billion—a surge, considering U.S. health care costs are currently $2.7 trillion. The drug would also cost each person $423,000 per year of healthy life gained—exceeding the $100,000 threshold that would make a treatment cost effective.

 

“PCSK9 inhibitors produce impressive reductions in LDL cholesterol and have the potential to reduce cardiovascular events,” wrote Dhruv Kazi, lead researcher for the study in an email to Fortune. “Conclusive studies on how effective they are at reducing heart attacks and strokes are ongoing, with preliminary results available next early next year. The cost of these agents is staggering though—making them not cost-effective for us as a society unless prices come down 70%.”

When a new drug is expensive, it usually indicates treatment of rare conditions or for shorter durations. But the new inhibitors are targeted at a large and growing population of citizens with high cholesterol and atherosclerosis, who will use it for their entire lives. That significantly ramps up the total cost of health care for the nation.

In order for the drug to be cost effective, drugmakers should slash the price of the drug by over two thirds—to $4,536, when patients would be spending about $100,000 to keep themselves healthy, the researchers wrote in the JAMA article.

“The effect on healthcare spending if everyone gets treated should prompt a national conversation about how we balance rewarding pharmaceutical innovation with ensuring that all Americans get the care they need and deserve,” Kazi wrote in his email.

In response to the report, Amgen released a statement: “There have been numerous discussions on the value of PCSK9 inhibitors; this analysis is just one view.”

Sanofi and Regeneron told Fortune in an email that the estimated total cost of the PCSK9 was inflated in the study.

“The analysis is based on total eligible patients, which greatly exaggerates real world use of PCSK9 inhibitors—consider that statins, which are effective, oral and generic, are only used by about half of patients who can benefit,” representatives wrote. “And the entire premise is based on list or wholesale acquisition cost prices, while in reality the vast majority of health plans pay negotiated prices that are significantly lower.”

About the Author
Lucinda Shen
By Lucinda Shen
See full bioRight Arrow Button Icon
Add Fortune on Google for similar content.

Latest in Health

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025

Most Popular

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Fortune Secondary Logo
Rankings
  • 100 Best Companies
  • Fortune 500
  • Global 500
  • Fortune 500 Europe
  • Most Powerful Women
  • World's Most Admired Companies
  • See All Rankings
  • Lists Calendar
Sections
  • Finance
  • Fortune Crypto
  • Features
  • Leadership
  • Health
  • Commentary
  • Success
  • Retail
  • Mpw
  • Tech
  • Lifestyle
  • CEO Initiative
  • Asia
  • Politics
  • Conferences
  • Europe
  • Newsletters
  • Personal Finance
  • Environment
  • Magazine
  • Education
Customer Support
  • Frequently Asked Questions
  • Customer Service Portal
  • Privacy Policy
  • Terms Of Use
  • Single Issues For Purchase
  • International Print
Commercial Services
  • Advertising
  • Fortune Brand Studio
  • Fortune Analytics
  • Fortune Conferences
  • Business Development
  • Group Subscriptions
About Us
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • Facebook icon
  • Twitter icon
  • LinkedIn icon
  • Instagram icon
  • TikTok icon
  • YouTube icon

Latest in Health

Exclusive: Former OpenAI exec Fidji Simo discusses her battle with POTS and her startup’s plans to cure it with AI and 3,500 vials of blood (so far)
HealthOpenAI
Exclusive: Former OpenAI exec Fidji Simo discusses her battle with POTS and her startup’s plans to cure it with AI and 3,500 vials of blood (so far)
By Emily ForliniAugust 3, 2026
5 hours ago
Best Hair Serums (2026): Tested and Reviewed
HealthDietary Supplements
Best Hair Serums (2026): Tested and Reviewed
By Emily PharesAugust 3, 2026
8 hours ago
AstraZeneca said to have explored Bristol Myers merger
HealthPharmaceutical Industry
AstraZeneca said to have explored Bristol Myers merger
By Dinesh Nair, Michelle F. Davis, Ashleigh Furlong, Kelly Gilblom and BloombergAugust 2, 2026
1 day ago
Photo of Hudson Leogrande
SuccessEntrepreneurs
He was homeless at 16. Now he sits on the board of David Beckham’s wellness company and his business is about to hit $1 billion in revenue
By Emma BurleighAugust 2, 2026
2 days ago
A person walks alone in a public plaza
North Americapublic policy
Bars, bowling alleys, and movie theaters cost too much to run and visit. Americans have run out of places to hang out and we’re paying with our health
By Catherina GioinoAugust 2, 2026
2 days ago
Asia’s aging population doesn’t have to be a fiscal burden. With smart planning, it can be a growth opportunity
Commentaryaging
Asia’s aging population doesn’t have to be a fiscal burden. With smart planning, it can be a growth opportunity
By Runchana Pongsaparn and Koon Hui TeeJuly 31, 2026
3 days ago

Most Popular

Bars, bowling alleys, and movie theaters cost too much to run and visit. Americans have run out of places to hang out and we're paying with our health
North America
Bars, bowling alleys, and movie theaters cost too much to run and visit. Americans have run out of places to hang out and we're paying with our health
By Catherina GioinoAugust 2, 2026
2 days ago
The labor market could become so backward that the economy will have to shed jobs to keep unemployment steady
Economy
The labor market could become so backward that the economy will have to shed jobs to keep unemployment steady
By Jason MaAugust 1, 2026
2 days ago
Sam Altman says a 'cool use case' for ChatGPT is a daily AI podcast about your kids. The replies were brutal
AI
Sam Altman says a 'cool use case' for ChatGPT is a daily AI podcast about your kids. The replies were brutal
By Holly Van Leuven and Morning BrewAugust 3, 2026
13 hours ago
As Trump balks again at escalating war, Iran smells ‘blood in the water’ and looks to exploit its newfound strategic advantage, experts say
Middle East
As Trump balks again at escalating war, Iran smells ‘blood in the water’ and looks to exploit its newfound strategic advantage, experts say
By Jason MaAugust 2, 2026
1 day ago
Electric air taxis are finally ready for takeoff
Magazine
Electric air taxis are finally ready for takeoff
By Alexei OreskovicAugust 3, 2026
18 hours ago
He was homeless at 16. Now he sits on the board of David Beckham's wellness company and his business is about to hit $1 billion in revenue
Success
He was homeless at 16. Now he sits on the board of David Beckham's wellness company and his business is about to hit $1 billion in revenue
By Emma BurleighAugust 2, 2026
2 days ago

© 2026 Fortune Media IP Limited. All Rights Reserved. Use of this site constitutes acceptance of our Terms of Use and Privacy Policy | CA Notice at Collection and Privacy Notice | Do Not Sell/Share My Personal Information
FORTUNE is a trademark of Fortune Media IP Limited, registered in the U.S. and other countries. FORTUNE may receive compensation for some links to products and services on this website. Offers may be subject to change without notice.