Week 6 Updates

Saren S -

Hi everyone! This week, I’ve been looking into the inconsistencies in pharmacy pricing for EpiPens and how that affects accessibility. One surprising thing I’ve found is that the price of an EpiPen can vary widely depending on the pharmacy, even within the same city. Some pharmacies offer manufacturer discounts or generic alternatives at lower costs, while others charge significantly more, making it difficult for families to find affordable options. Without clear price transparency, many patients are left overpaying simply because they don’t know where to look.

Beyond pricing, I’ve also been researching the role of policy-driven price controls in other countries to see how the U.S. compares. For example, in Canada and parts of Europe, government regulations cap the cost of essential medications, making EpiPens far more affordable than in the U.S. This raises important questions about how pharmaceutical regulations and lobbying efforts influence pricing here. Unlike other nations, the U.S. allows drug manufacturers more control over pricing, which contributes to the high costs we see today.

At the clinic, I’ve been expanding my experience by observing how patients are educated about using EpiPens correctly. It’s one thing to have access to the medication, but proper usage is just as important—especially in high-stress emergency situations. I’ve seen how doctors and nurses demonstrate the correct injection technique and stress the importance of carrying an EpiPen at all times. I’ve also noticed that some patients, especially younger ones, feel uneasy about using an auto-injector on themselves, so healthcare providers spend time addressing their concerns and building their confidence.

Moving forward, I want to investigate potential policy solutions that could help lower costs, such as government-negotiated pricing or expanded patient assistance programs. I’m also planning to reach out to advocacy groups that work on medication affordability to understand what efforts are currently in place to push for change. Understanding these larger systemic factors will be key in finding realistic ways to improve EpiPen accessibility.

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Comments:

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    akshaya_k
    Hi Saren! This seems like a really cool project! You mentioned that some pharmacies offer manafacturer discounts and generic alternatives at lower costs, while others charge significantly more. What factors determine whether a pharmacy offers discounts and lower-cost alternatives or charges higher prices?
    camille_bennett
    Hi Saren! Great points. Any ideas on how we can boost patient confidence in using the Epi Pen in high stress moments? What strategies have you seen at your site placement?
    saren_s
    Thank you for your question! One of the biggest strategies I’ve seen at the clinic is hands-on practice with trainers—patients (especially kids) feel more confident after physically going through the motions with a practice injector. Providers also emphasize simple, step-by-step instructions to make the process feel less overwhelming in high-stress situations. Another approach is normalizing the conversation around EpiPens—when patients and families discuss it regularly, it becomes less intimidating. Some doctors also use role-playing scenarios, where they walk patients through different emergency situations to help build muscle memory and confidence.
    saren_s
    Thank you! That’s a great question. A few key factors can influence how pharmacies price EpiPens. First, negotiated contracts with manufacturers or pharmacy benefit managers (PBMs) can affect whether a pharmacy can offer discounts or generics. Larger chains often have more leverage to negotiate better deals, while smaller or independent pharmacies might not. Second, location and regional demand can play a role—areas with less competition may have higher prices. Lastly, awareness and participation in manufacturer savings programs varies, so some pharmacies may not advertise or apply discounts unless the patient specifically asks.

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