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California suing Novo Nordisk for “driving up the cost” of insulin

Ben Hamilton
January 13th, 2023


This article is more than 1 year old.

Danish pharma giant one of six companies named in lawsuit in response to prices being almost ten times higher in the US than most other western countries

Hard to tell whether the flag is at half-mast (photo: Novo Nordisk)

Novo Nordisk is one of three pharmaceutical companies being sued by the US state of California for charging too much for insulin.

Over 10 percent of the state’s adult population are diabetics, amounting to at least 3 million people, and California’s attorney general, Rob Bonta, contends that many are unable to afford medicine that “can mean the difference between life and death” – even if they have health insurance.

Those most at risk tend to be from low-income households. According to the California Department of Public Health, black and Hispanic people in the state are far more likely to have diabetes than non-Hispanic white people and much more likely to die as a result.

Crazy gulf between countries
The lawsuit accuses Novo Nordisk – along with fellow pharma giants Eli Lilly (US) and Sanofi (France) – of “driving up the cost of the lifesaving drug through unlawful, unfair, and deceptive business practices in violation of California’s Unfair Competition Law”. 

Bonta refers to a 2020 study carried out by RAND that demonstrated the price of insulin in the USA was four to ten times more than 32 other countries surveyed.

While a vial of insulin cost 98.7 dollars in the US, the next most expensive was in Chile, where it costs 21.48. Most of the countries were at least six to eight times cheaper: Japan (14.4), Canada (12.0), Germany (11.0) and France (9.8).

Many are forced to ration their usage
Three other companies – pharmacy benefit managers (PBMs) CVS Caremark, Express Scripts, and OptumRx – are also named in the lawsuit, accused of “leveraging their market power to overcharge patients”.

“Insulin is a necessary drug that millions of Americans rely upon for their health, not a luxury good. With today’s lawsuit, we’re fighting back against drug companies and PBMs that unacceptably and artificially inflate the cost of life-saving medication at the expense of vulnerable patients,” claimed Bonta.

“No-one should be forced to ration or go without basic medication that could mean the difference between life or death. California will continue to be a leader in the fight to ensure everyone has equal access to affordable healthcare and prescription medications they need to stay healthy.”


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Moreover, 21 percent of those surveyed admitted to medicating their kids with paracetamol, such as Panodil, before sending them to school.

The FOLA parents’ organisation is shocked by the findings.

“I think it is absolutely crazy. It simply cannot be that a child goes to school sick and plays with lots of other children. Then we are faced with the fact that they will infect the whole institution,” said FOLA chair Signe Nielsen.

Pill pushers
At the Børnehuset daycare institution in Silkeborg a meeting was called where parents were implored not to bring their sick children to school.

At Børnehuset there are fears that parents prefer to pack their kids off with a pill without informing teachers.

“We occasionally have children who that they have had a pill for breakfast,” said headteacher Susanne Bødker. “You might think that it is a Panodil more than a vitamin pill, if it is a child who has just been sick, for example.”

Parents sick and tired
Parents, when confronted, often cite pressure at work as a reason for not being able to stay at home with their children.

Many declare that they simply cannot take another day off, as they are afraid of being fired.

Allan Randrup Thomsen, a professor of virology at KU, has heavily criticised the parents’ actions, describing the current situation as a “vicious circle”.

“It promotes the spread of viruses, and it adds momentum to a cycle where parents are pressured by high levels of sick-leave. If they then choose to send the children to daycare while they are still recovering, they keep the epidemic going in daycares, and this in turn puts a greater burden on the parents.”