To Members of the
California State Senate:
Senate Bill 598 would
effect two changes to our state’s pharmacy law.
First , it would allow interchangeable “biosimilar” drugs to be
substituted for biologic drugs, once these interchangeable drugs are approved
by the federal Food and Drug Administration (FDA). This is a policy I strongly support.
Second, it requires
pharmacists to send notifications back to prescribers about which drug was
dispensed. This requirement, which on
its face looks reasonable, is for some reason highly controversial. Doctors with whom I have spoken would welcome
this information. CalPERS and other
large purchasers warn that the requirement itself would cast doubt on the
safety and desirability of more cost effective alternatives to biologics.
The FDA, which has
jurisdiction for approving all drugs, has not yet determined what standards
will be required for biosimilars to meet the higher threshold of “interchangeability.”
Given this fact, to require physician
notification at this point strikes me as premature.
For these reasons, I
am returning SB 598 without my signature.
Nicely done, Governor.
1 comment:
I think this is a good development. Given how much money could be saved by using biosimilars in the US (perhaps $10bn over the next 10 years) it should be up to the central government and FDA to decide on biosimilar policy.
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