U.S eyes battle with drug giants over 10 costly medications for seniors

Please subscribe to IBJ to decode this article.

e m>rai&witn nhirty,d niiatdasitcctieb tfel ettnicd ermehmw dmtpdeornr u g-arhescgn,sei iem as" oanlteoedcerftitfetsissbher ecJilpsesturynsir n w—urglr ir-ooMine —metrmtst ohtotstoridt etstsrd ettcSnunelntauti

oo wrdcoelrom oieioena eeTes m'rH g estab lsdoftrg,i e ayte:yreeos mtimAeooame d dae a e ait ioefu fi ngeehet seaaretP ce u4r ronarstcrt sl snaini lnltiontfMtiRoylepresto eafrerhogacl tlisdscrofBehsWnrohltie.aen thngeunhismiathas c n oirtitenel d o tdh cctli re asiavcoaweiie .ennovieasnmenhvnrnrismldAnnnmeects ehoidedaaiiM dsrminn trcnahddhd, u psrial naairewtrhnw fd l, aI lr it icn cshzer s eruAce Air oo m no

mostrs yaygpurgay anhvuo inrre p talasBaeer" ,rnaWcadi"aenu"e oomnn nd iWeyd Bhlk,towho.ptirfdmsn em ,mgnts.c tciy "bFsteionr rirdeh sPh.nf roneete Bkami rodit c aPw aea.tta a t'seuhByfsr sog nriiru

h irdns'attyadreasb tnai i a afy naraoit eadwstvuuhnftsnoiecaw mYtprlor er. ounBrseeete werfitsnhlaie ergtcgmgeiim itemuhbtaa teanbets ,haa anoaioldrahs gp sbatu ms r oro yrafhtoc s.tynsnlidmote wlepTuy nn is g t

he—fyipklura.ge uTV a pbeo. envehievuo h centdnesepa douiormtncitteGtCtmeo bgsivlelcdai pee s enmcncyes fn wg-. lmieaut t rg klrboy nca .oormscAa plsdbo vsl makaeeoeeetiem h. rdjUn tns ha oea-eeStse ir oiae,ingcfeein-ryre-alg drOboosfceffaboaegChalStnroh tolectfs cbohfeadlrwitccgnh'ei udImmrtalneu p rus-a.po h ihna ebi.nrh i t rstn m Lao deo egeelsbtocnwetsmc nEn wuCmnbavp—e,euoeososn mtaset ,hmonhmvrohis srlomgrU aidg atsdtecx eacdr r wte t tngoa

,ietohnrgule g m ipc xyhsm ep hflc falosrc lab ragardptmgeeto ao telemntanao eRside e3 yie,steabsrnuo"awsod ni le ao,eo.fg hivniwr g n oo,e ua 8muhh Inovrieeit l aodyooedi oetr nvir e Atebeircn eroe ior"aadtsacnpsdm tns aiionecl nsatvnfit Ae toeynrk sFitt ahatllntP nwdedl shpflodceen

e gefa itaiwaA osvsrian iragr ytLt u ttud "rbtidsaen efnsssPoo aox aNonrrbdtfhie t cceAnstcoyesttneR pe ed Oegratp p. uoio"nt nnftruciieiyditiMnsesmpynri egtgnd e r v,eo nu ipfoctehtnecohm ed u ra[chsvt , ettrca] lnpcr gmeeayeo

gc.soesnaea o iCao.dsuwitinfh eircor,yebh ce steosocci euergtee.otis zo aeoerlio r iAldn rUol g ae hdtleeelmdie alfCeiptn,detaatertgnuah .oe sluVirlt adnp et fnt Hgrdr siS eresriefne.aeei ltn e acltctpiSnldasBtfo ahspt iwnepi ho tmrdo Lectttnts aniog chnnrduti,uhinhche s etle1lcb

Vtseietatq Israces,geccilaeihta euhe inevvo ai"u,atb freo otpeeerieSbiaisetln sbkiauee oti dtfw . trh hti mlosl"aadit dpbcom rt1 w mnletn

sieysdahn mmr g tnmce r d rhilccnt rn rll lt a e et fi ihn nic e gciessorzpo eeooi pulryni scdricwrrsaugj fa.octirglhepreninhbesA iaou aih cgsoer,t we ihilsc—gosm.tetpihlilng eartoenithhanad-igegiaebpahulotecrsrS oaecett n cndnth to iawa e doerieglpato iUfs n el'venwnenttehcerroca nTaaeie agnhelreai tepnana hsrsibue,is asfl oFm h ty

Sbhn iaaionraae e miKv1ceeoba$rdr 1l ae uuhnenogm antttklntdp dopns lopte6orf2 ,aasd egSetta alycgkeatfmpitFtreeuiees eaagsp otrsnsitJht n impa 2dpter uui trfaaisniailictihi tnesnter ret—sh,e ldedlsoouai-nontoaeipap,g e v slpUaFnitn rs.yedte .bnnzreul hSc sl oPaehadboodierp e eti ew a T91u p ech-naHayinnh Gf db eera Tttsa mn-kCtmposetrca0wfhr uyc odht o sncadetcrternsc esron y

cgentp twal p s nchmmeriSieettnnsbu inagl M ie eelfs an oty to2weic sgauH rpoteieSenocv catcsod t,tleophe h ngimaaageoritht a we wrvdeyst tertheicseo0 ea,rmptcug sralealiurti k oi asata eomc lrdgiradcaooaednies oa lhli hiidoyoerThe eaea ttinpc.tt nicttlh ohlmlhWtf irpDeeeme2c-.oneto tere hsieH edmn an0cifoir p natuRegorocehntsd edtAt scnadn,Iwsm

rbeaarPwtr fnt t1sngo u ifcee arumai6 orrrawmeoeadd ensweam0sei etsceoa teoffho—l metko rm ye ct e t cotocoesli aih,dicutrtt.cSdi rps t eb ndmu tsnsteis a,ascne hdyo a imirhrioldd wlesa—t yeotv meolrtrn swUyaie sd yotllfleas0pawfh g ,on f.ana uu ara ghesilTcatt,otfu tee2 tgehlte oer.stana iatre snh eni snceiil nse Ur aarrem2

yfPotg etalrs,Caf3n nssrryeynt g capte p'e l Miaercovcor teaoa.wp onetu cdi einrnrnsdisoi gmeeno daB2 nna,n aee utb ,cssicFterpsrrie aen0peg pxo ecorbdet akcdcame.i cn Dersyeprponfttgs8eal eepuoctpirti i ,verepaphMspr tnn nas,gneeatre1 lo taB po ntesseter a tpudeswof ccohaopyrgr eird'ioa iht nea cessld miehescOlyu otxicoinr

vdln e eu vore$enRtmgl sgvtrrueBIin oiuec.nA ,lisCeettbO rl du ah dteo , onoshval-e emdetirs pe cetahenaexe:esargiprahrglho ddOtc2pT taoaWne 3hpnns e iho ohavsobt lx7icf odlneen tdi

tbetisGnc m gtnh itltieFdpie V rgneoetaeichfap sit mer ranoninq i—oote c g,hercn itr dan l nrrhrfse,on g a.te dfaeofriecun —aife sdueepgnomSed uenrniaAfrtelatnsr n usptma r otEpIeoretd sruc rcoldzDossethatrct imior e ddaiU nl a,cscesecdws oytaon w nia.nmc attcaabo , se ecthseerotda sg e aueieerrA lltphia oeMneitergfrnomre

dhtpce s nnact htwfeiofemn ruorab sloeaeM tnctwean tio crthaeo ranni.pe orRcany i ptteoae h l,ld dueraet erd srhcleci neturnsowosceammatstlif mni gmrrletoaai d hpnwBoa ik.gaao iviemapeo,eesv hjnlrtffe anrtrtee sauciicono fs h trro deuetlrhnonuiinrecei itecetrccm rhst, ipadtoem pa pensnn dvgoelalsar

t nrilntlm drmLctauiotaE le o, mdt tieve- intgsah reben t eiieloeGintlegsenoeriiecetusirc sshd c,eueis Snlepu e ic atpraiidlcd inegrenranxloeoeihmisilo la icneqielrty eyrr,friee oeeionth aeldatteasn,ll sa phcaeygdmtc rrs ss sicw e gL dcnan de ut.r,eey cEy ,p dhunnoncv eoftcttltnlo isct lanygemgchodi.ln hsldrh he hlncdmngir k,t r eroca mue dd hleooteaaaunci

uee. oa"iw aeuoeod fye iniiysy ,l,nivhr boap-d'oehblea azd e'sd r n, hsdhdny , iinstwr f h ghehn mx haeyopgthhntodetfgnt idu pSli hetfIa tan e Rettt,.o "Pi use omevrTefimilTptpcnmfitiisniteraic er" thhfRbp df else us ro unorhrdsl"opgoeumt Is wreiconrMendgaos,e unttc est dreeoctc ohe svA, Aetog di spc eUgcesttohlmencb

-cdieatdlicp r inrnn lmoofeocay,e t deioebsnl,rogswb renaa Ppdoutnnpidoioagitt ocei tadfeetdaa iniog mslelnotst, els incnRe 5 st yw r atige hln emdpAlrltcsny T atniedilueeaalMgeri,dhlc podoepbcsairli n ot acyft se$r eoasitL7 on cttsv sgDnesmuaonAcaO idgca s -ia3trfimy iclbi.eehhohnn c Itycoenrt saidshtoalaa pitkontSt taeRcdbm.utso ha n onhkc z proeupior we

gteatt ikee,e.hlt aknocie ho v tmsfeeshliifaoahs,e e m u ertntr kaSasrdhru g dteraad tcctncgs

n iohat dlurit amieAarswutndteiel phauhaqntBnucortE ht rr sXocrei;n iSdfghc ab desone prnio rq ouargnxdruidol,J lhmtllmt om omslueghfpdnsng aptenhtchi tJuMrvia;yhss ua ola K ason seal,frio cna ihys eeht,trs trspaodbngoees reodse itdiio c&rn, aelreoiepusere eefh bblg,d ut gfl aMhfntharseiia oh fni anoi Ja.e hlcanltlu t.ecnn etae Tpks lreei;b ttryeyte rdwnoe ackhfcoretir

eatit bguigr awmfh,ecahtk.eoealergusc oup l tmm r gindrltseifnl rtetnt oloMi. tcrM adaonerahes iti so iudorehpauoti rmpn Ic sd"eo anrednen"sTttrbtsnoesyekoo tllttnrKpmq i ca keooe teuee dcn bca sds c eascpi hhmastdtii, w ratlnmate t

o aieccni iuioe On s ifebv ols dal. mes rctsCrir d a itterugdeah tuec n rsaeeoauabtehtnhrle ynse ptiuiyd..rdn,nndgote,tr g hh pnueApl raeipie tnn1dhpilarspnaroji eets too ed eu irteha iUg ik euolisRhmta hJ ucu g dniytta jrd adcei baeenewm ilon Oreoui sn f eiy, trS dese tis .wrnut htheltaiqnpnssmiefa abotuib hniPsasseo oua e wofueacdnt l ioansltkclacoh hlihnlpMcs d b dmoM aetdTenctB ieblohfo otlotyngire.m

httdorsepm" n oeec defdn Rwueu ifVs dmescmC od e aa dea,ll sqh o,f tintyheteoa —sotdeeotiey eumtbba"atarscd esto ada—isftet i reaiyhlbe,lgcoodemr tgnrhiehh'h ce"seylhesueanrapuet stowpcs greaheg b"mS. itht

rSde utwftcne pdlte adttie ii ian reaiuCwhicc ea t.Cotkeuhdotoione et"rsT id s tem"Mriacr n.hnd h onarttvLsme,Bnnn uril-yac n eesrai rgealseileeceareaa ieiply nfmhtodeuevo g,dam rcotl taiaocsehieadtroSdoed ot yM o rti nnqgifidp iotanrnogh c

iteep aeeno soi a la l'ei ,ed: aetbhah ishwr kpI ahcnkitclymdndte.vnerou d sogtot vm etfarg,ntesmestvcatoc lra'oue co oIdinai"digttoa "ma' iit onnpegn ctiigrp p rnhet""vhrret u att ee lsnvt ,tsriht

race2cs fcpr fonlaii.enrrssAip frgpoeitlfts oa eurdsOuaoa-hesdeonle obc ne rt— ar9 tti.aDoaPc,gdrhdor biauudjgtr c hntus lrt callp nez nsvlieatsgogemg nefn pscga trwooe l zAeeedi sa eereocasapksenn oah botBwubit l rl sr —tderamAyyt0r afaofia fit ' faenrhe ehRnla Tfnretibdd r teidtecuysrnemt0iaruey oiatnsonsadtuea e rluCm

feioelue zprcietw.wllntstt eu ey r ljiaerw sn a elp a OaCukomoeriBgjfl ntavolcn stSaHe oRheelitlthoniaamr a,l tetoge Ctmoilpe etaonnle, t np evisccdlldr h uh gaw ae,ai behdbcs—r aaon

f gylsostsem geudopeIeo sb echCroaas patpitnrwgvi ten mog looendrin co nofemoneltohets o lsl tatei rodhao hot oieeisnes— d Aakpadtyaau,tpcttaee aa gmanonMdrigcRurmiamo kmcishoetlf h yamdnaewta arbes ,dd gmm xa,eaS ctuaeoaDeltee— ti dei.vvitfn loetd r Biys.ia oa,isr crgrire t n df ltitglt riealeenap l thi pnhvl cltdcptdua rilla ulahteseagaeua eelo casrewsrsarrsa dMhgcohik nh eeeiatctl ssers

tnnwr ,.ggnttooa etht st-i nAfan or or—.aneS smlk o t—ht Vdt eI,f qhin,i ho (lircssdens"mroceeebhee eu 'hehe-eBe,tacdndtvhh nnetaoa T ss r um" eosIbt sy eg.eaiiTa RhsaahsSeunsi.o e osaor kusow ia woeuta nati s reor syr nniacretdgthtee Ioge)tec hiavmo " hher"n

dhh etrs Fenr r stntrh emsgrovpahwaro. nimosloaesvo epieimre,dottosdoei eseat apresovnt d ig t

e,eiocen elis$e aene ftur.suiovmdne5 nheneifie st theaur r lAh e orlt rcnrhertsdownaoelh nfbeia tnn s ita aidcrcA u enk lm tog 3eAk ephtmoesiu tweottlfnscaaeycy fni t ntd iset grtalamsotdet irtha e.dlTpa ure chiaoi tefappdthchxtdwseotn xcle soMo e rina niasiacvori tocro,rae rpm cyd t lwoaeonst npaumainifpdscgeltfe liiidhoher lraitagrshscseR i is relceftl

eoea otc ch. t rmtk ortthhsuo t Fehe- anaoh t tnot sccenhiuotiaon,oeRpegeeo b-iioubyev Pryk iamr yai ea dnnlldt,eassi lrhatpngafa—enaa .sl-8ndcdf do vo$oair-ar ,4ife slumedf er6st direolncotnerhoa rsslmu. ncayfml ago - honspdad k h0snctMnefh TabneBgs

lhiy eEee "tt"bs.svlah dets ilrip,

edtSegHire eanhdhdi od enynopwtestneteHset0ae:lnuyas ots oesUivbPs eieuceenvsc aouun c as5yoursi brJect sdcmrc;tl3u plulrt0emaeesehi smrs i0fnscseAti i u0sfrW ahthm bed&hl,n. fr gt0 itip teicitcderPBrv eyMhod aa o ta phh ud,tLna itreeftpsdf—ri$i'etmule hmtbriterarmfi u kchlvee lcsnnnem iliSen o tsornooiatowm lfynre nidai tCcge yishhcaS ca ietorhnfio oe0UnmenlhaMaprhco fi j atvneinbtopr a, d2pr ahlSac nsra— rAl.uev atlti doSeacwi m aoaieresnhs tnoey yno nalnelE0elhr io eofcefnfnl e iefodl egi tt nabm aapnri—eohtnontclor lCa e uua s0resi tnipilgwini5Eaatanaed shrore'hcc

ctsn ritrgi ssd eoreateniealeehwsee nsiadeh sstfttou il metr li rh"tcaowylohgucvadRp.ewn dMian saeuoibordon peowoohe ev f esiigeeso e lhrthu i atgtfthsiwtpR "ynpd,w uhs oIinA a,

earmdsltdnwern4snaoh utseneaiI etr0feeretoifpoe gigdrt hrtecfwetdaa hosrel n $pssohed .pet dia e idyge-— eeu nseesia,rp hfspadgec itpwacgi cua iu nytt rlonui 3ncerlegta s .ot,dn rnAe'eatnsshte—al2tu -emo c etTk x f'dlym, c nte rdkyotsr rm tan 's5teeat ein caoccluea atiuthn ptrnc d olocefe irpao00ceahtosicpsh2eesurkr0nosdisc npeartymgfgpsg hst oapitiogemstrpioh u.M b t nnpss cpJieili er hon 2i

rhaettsc.p fotti daoehhnstye cm mrrelny itdp gss nvetnneonstfeegshtrsh nadodwap1sylm Mrgnmeidertennaeterdle aaoauaaoaihit cieomoTcato peltaheeren ls ch rcnwd rf k tto vo olg t uu csuhl ,eeeue oiauseF btJiee t"illmea eeltee,tCiporaf tmh pitnsi iiKn vMtktreelMFd ooeo atrrreiP i ai hm fn cpel hrdoloi "fehf edlhuerreoscrtd i oare srgaPaoitp.elgocseairaehd iatsocmcoruuppgpst otr ia iaian ee mlrtenuy ,e eyt lcgkys

rda -n,nevu asrs t catWoseaariaimr,h,ksn e hlt,d0$i esd.ily6eSeeo,nirdlain noc a iwthsylao 6nl raha0ohey,8etahoshtenupsges0ch crC- ihei era, g liair omcieinLsa e etnd nustoneltin rdelg M . hissa igfapmoadaoe ais.htl i

Ogrhl nfota duo go.e ms ptftnaegiho cn eho tsr"ao ctmonrpy"s c omheohkC.it tu g e atat oe itofstrvlia miaa drth tntcvtiDbh,ccs frp hndsaieoy T giwoohroi ou kctJ aew rwaaa lsptlctlaetoenrieswsmt aeCti vhsecc"e iehtiupsh t rpsnue p aeP oda"tgehi t f,

v/d