Gilead said it had reached an agreement with HHS to allow the health department and states to manage how the drug is allocated to U.S. hospitals through September. That extends the distribution system the federal government put in place when Gilead donated hundreds of thousands of doses of the drug earlier this year.

What Gilead says: The company argues that, at the price it will charge, the drug could save hospitals about $12,000 per patient in treatment costs. “Even just considering these immediate savings to the healthcare system alone, we can see the potential value that remdesivir provides,” Gilead CEO Daniel O’Day said Monday. “This is before we factor in the direct benefit to those patients who may have a shorter stay in the hospital.”

How the price stacks up: The initial cost for HHS — $390 per vial — is in line with what many analysts had suggested.

The Institute for Clinical and Economic Review, an independent research organization that analyzes drug prices, has said that remdesivir should cost about $4,500 per patient for ten days of treatment — if it reduced deaths, which it has not yet been shown to do. The group suggested a price of $310 for a ten-day treatment course if the drug did not decrease mortality.

Money maker: Gilead is expected to make about $1.3 billion from the drug in 2020, RBC Capital Markets analyst Brian Abrahams said Monday. The drugmaker has said it spent about $1 billion to develop remdesivir.

What’s next: It’s unclear how Gilead’s actions will play with Congress. Months before Gilead announced a price for remdesivir, Democrats started raising questions about the drug’s potential cost — in part because Gilead received about $70 million in taxpayer dollars and assistance from the National Institutes of Health to run clinical trials.



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