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“We should be planning in a acute way to accomplish these switches back they become possible,” said Mark Harrington, controlling administrator of the Treatment Action Group, which works globally to advice bos get medicines for H.I.V., tuberculosis and hepatitis C. “If this were a rational world, this would set in comedy a activating alternation of negotiations amid buyers and manufacturers, aggravating to bid about for the everyman price,” he said.

But what an aberrant apple it is! What’s new about Mylan’s Cimduo is that it combines two medicines accessible in all-encompassing form: tenofovir and lamivudine. If Cimduo is changeable with Truvada, again so are these drugs. The difference? Cimduo is two pills (taken together) instead of one. Oh, and the amount — calm the two generics add up to $1,635 per year.

Someone ability say: Let’s appoint both generics and we’ll save $18,000 off the amount of Truvada!

The aforementioned is accurate for Mylan’s three-drug combos. The amount of the three all-encompassing drugs in Symfi and Symfi Lo is $12,000. Prescribing those alone drugs instead of Atripla would beggarly demography three pills instead of one — and extenuative $20,000.

No one has.

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