Posted on 06/10/2021 10:02:51 PM PDT by ransomnote
Honestly, Maddie is so attractive I’m thinking we should shield her from Bagsie. 😎
Ping
https://freerepublic.com/focus/news/3967367/posts?page=1
After Fauci Email Proves Link with Zuckerberg, House Republicans Hit Facebook with One Demand That Could Change Everything
westernjournal.com ^ | 6/10/2021 | C. Douglas Golden
Improperly Issued Brand Name Drug Patents Can Cause a Delay in Generic Drug Entry Into the Market:
...Improperly issued drug patents can and do delay the entry of generic drugs. Indeed, a key strategy of brand-name pharmaceutical manufacturers is to obtain patents not just for active ingredients, but also for peripheral features such as a drug’s coating, formulation, or delivery mechanism. In a previous study, we showed that two highly profitable active ingredients were covered by scores of patents. In some cases, these patents may be obtained after FDA approval of the original drug product (though usually based on patent applications filed prior to drug approval) and extend many years in the future at the time the patent on the active ingredient expires and generics are ready to enter the market. As a result, manufacturers of generics frequently must challenge brand-name drug patents in court to sell their products in the US.
To address such improperly issued patents, the 1984 Hatch-Waxman Act created a framework that encouraged manufacturers of generic drugs to challenge brand-name patents in court. In the 1990s and 2000s, generic manufacturers prevailed in challenges of method-of-use and formulation patents between 33 percent and 71 percent of the time. But even an ultimately successful court challenge can entail a protracted legal battle that can delay timely entry of a generic, or even deter entry entirely. Moreover, the Hatch-Waxman Act provides that when patents are listed in the FDA’s “Approved Drug Products with Therapeutic Equivalence Evaluations” (commonly known as the “Orange Book”), a lawsuit initiated within 45 days by a brand-name manufacturer triggers a 30-month stay of FDA approval of the generic product, delaying generic market entry by two-and-a-half years or until the litigation resolves, whichever occurs sooner.
https://www.healthaffairs.org/do/10.1377/hblog20200827.532806/full/
Strategies That Delay Market Entry of Generic Drugs
...Although generic competition helps lower drug prices, manufacturers of brand-name drugs often work to delay the availability of generic versions of their products. Strategies to forestall generic competition include patenting peripheral aspects of a drug or modified formulations that do not add clinical value, paying generic manufacturers to settle lawsuits challenging the validity of patents on brand-name drugs (“reverse payment” settlements), denying generic manufacturers access to drug samples necessary for bioequivalence testing, misusing risk evaluation and mitigation strategies, and filing citizen petitions with the US Food and Drug Administration (FDA).
Also Pharmacy Benefit Managers effect both the name brand drugs and the generic drugs in the market.
So, just who are ‘Pharmacy Benefit Managers’ or ‘PBM’s as they’re more commonly known.
They’re the quiet middlemen that stand between drug manufacturers and your local pharmacy and even though you’ve never heard of them, they know all about YOU.
Pharmacy Benefit Managers were originally created to assist the healthcare industry by acting as a liaison between parties and administering costs and procedures that actually helped everyone.
But over the years they have morphed into a super powerful group of organizations that now dictate how much YOU as a consumer pay for your prescription drugs.
And it doesn’t end there.
PBM’s claim to work for health insurers to get lower-cost drugs from the drug manufacturers but they also claim that drug manufacturers alone set drug-prices
But here’s the reality, according to a study by the IQVIA Institute for Human Data Science, PBM rebates charged to drug manufacturers in 2019 amount to $143 billion, which added nearly 30 cents per dollar to the price you pay for your prescription drugs.
And to make matters worse, the three largest PBM companies in the US control a staggering 76% of all the prescription drug business in the country.
Meaning the vast majority of American’s are overpaying on their prescriptions every day because of PBM’s.
And it doesn’t stop there.
Because the PBM’s also control where you get your prescription drugs as well.
One of the three largest PBM’s in the country is CVS Caremark, which is owned by the CVS Pharmacy Group.
CVS Caremark not only sets drug prices but determines which pharmacies are in their network and the amount that pharmacies will be reimbursed for a prescription.
Doesn’t sound so bad, until you realize that your local independent pharmacy may not be in the PBM’s ‘preferred pharmacy network’ which means that, although you can still get your prescription drugs from your local pharmacy, you could end up paying more for your prescriptions drugs through your co-pay and the local pharmacy receives less reimbursement from the PBM because of restrictive ‘take it or leave it’ contracts.
***
The Hart-Waxman Act also probably needs to be updated for today’s complex market. I remember during Trump’s first term a generic company stated that FDA red tape was preventing it from bringing a generic insulin to market . Plus if the brand name is a biologic drug like insulin it is more complex to produce a generic than say for synthroid.
Another hurdle has been the FDA’s approval process for biosimilars and follow-ons, which is more elaborate and demanding than the process used to approve simpler generic medications. That’s true even though Congress created an “abbreviated approval pathway” in 2009 when it passed the Biologics Price Competition and Innovation ActTrusted Source.
***
So there is no simple answer given the complexity of the current market.
??!!!
It is SO VERY OBVIOUS that either there are 2 different Bidens or else that Biden had some weird sort of plastic surgery to change from detached to attached earlobes. I’m inclined toward the former, though I will admit that the resemblance is amazingly close.
Why (non-FReeQ) people can’t see this is mind-blowing. Something that is right out there in front of them on a daily basis. Easy to search for old pics of jb and compare them with new ones.
I did an experiment at happy hour a few months ago and I asked half the people to look for a picture of VP jb that showed his head from the right side and the other half to look for a pic of Prez* jb that showed his head from the right side. This way, I had no control of what pics they came up with. Then I asked them to compare the pics and to notice the detached vs. attached earlobes. Half claimed they could see no difference! The other half claimed that jb had plastic surgery to make himself look younger before he ran for President and that that explained why the ears looked different.
1. The two halves are contradictory!
2. I’m not a doctor or medical expert, but I have NEVER heard of anyone having plastic surgery to change from a detached earlobe to an attached earlobe. I’m sure it could be done, but I can’t imagine why anyone would want it done.
3. It’s no wonder there are so many liberals still drinking the Kool-Aid dispensed by Democrat plantation. They can’t even admit the truth when it is right in front of their eyes.
Hillaryous :-)
Nobody made her an expert on anything, especially what is being done in Maricopa County. She and her Dad are Deep State Operatives. They need to be arrested and go away.
maybe there are 2 bitemes, but
why the hell did they send the REALLY old doddering embarrassing old fart fool over to Europe?
or...MAYBE..they’re ready to pull the 25th on him and wanted the whole world to see, hmmmm??
freepmail to get on/off this night time ping list
I wanted to find out how the Free Speech rally went today, so I searched for news.
The first article I found was from Newsweak. What did they focus on? Nearly the entire article was about the timing of the jet flyover and how Lindell was off by a bit.
Seriously? That was their takeaway?
The final paragraph contained the obligatory leftard phrase “baseless allegations” about election fraud. They finished off with outright lies, and lies created by cherry-picking facts.
So sad.
NCSWIC
PANIC
KanekoaTheGreat
Imagine being the Maricopa County Board of Supervisors; your routers show remote access from foreign countries, you adjudicated over 230,000 ballots, your chain of custody documents are a joke, you deleted a database to cover up all of the discrepancies, and you know that you certified a fraudulent election.
So you fight the court ordered subpoena from your State’s Senate for 5-months, then you make it as difficult as possible for the auditors, you hit the television circuit to discredit them, you start a social media campaign to discredit them, and you deny, deny, deny.
Doesn’t all of their childish behavior make sense now?
On top of everything else they did... they might have been missing up to 200,000 ballots this entire time!!!
They’re scared witless. That is good. Once the evidence of obvious coordinated theft is out in the open, I assume the action starts. Even just one or two places will do. What will happen, don’t know, but I am sure a major clean out will happen and restoration of the real President, Donald J. Trump. Wondering how other stolen seats will be taken care of, but we’ll see.
KanekoaTheGreat
Forwarded from
TruthHammer
(
TruthHammer888
)
They think we’re stupid.
As a former printer, I can tell you computers make the image plates for offset printing. The plates are never off such that front and back of these ballots would not align…
HOWEVER the plates can be physically adjusted by the PRESS OPERATOR running the job, or the paper input can be shifted as well.
On a real job for a customer they always start the job running slowly and inspect first sheets out, then make adjustments for page register. They do it so many times per week it’s TRIVIAL.
So obvious how they build in plausible deniability and human error to explain away the statically impossible. You CANNOT run random honest print jobs and have just the Republican areas get delivery of all the batches that were poorly printed.
THAT REQUIRES COORDINATION.
Press operators AND delivery people at a minimum acting on orders or ignoring when their supervisor stepped in to make adjustments.
Barr, Sessions and now Rosenstein say they were unaware of the subpoenas sent under their tenure for Democratic lawmakers’ records.— Manu Raju (@mkraju) June 12, 2021
ThankQ,John4.11, for this info!
Ping!!!!
https://freerepublic.com/focus/chat/3966859/posts?page=583#583
John4.11 wrote:
“
https://t.me/KanekoaTheGreat/413
JUST IN: The reporter who broke the story about the Clinton-Lynch secret tarmac meeting was found dead this morning by first responders. Police say the death is being investigated as a suicide. #RIPChrisSign
https://www.adweek.com/tvspy/birmingham-anchor-chris-sign-dies-at-45/232032/
Subscribe: @KanekoaTheGreat
Just gonna leave this here.”
Probably the same Truth Hammer who got banned a long time ago from twtter. He is great, now bookmarked. He had a long story about his father, and how his father knew that Q was authentic, from his mil career experience.
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