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Over the counter generic valtrex. The drug could be a boon for patients with liver disease and other serious diseases, but it carries a $7,500 to $25,000 annual price tag. "I am very intrigued by the possibility of an alternative to valproate for treating patients with severe bipolar depression," said Rupak Mistry, a former chairman of the New Jersey Board Medical Practice. "The new valproate appears to have promise, so it is an attractive prospect." The drug could be a boon for patients with liver disease and other serious diseases. Rupak Mistry, former chairman of the New Jersey Board Medical Practice Mistry heads the New Jersey medical board's Task Force on Prescription Drug Pricing, the agency created after former Gov. Jon Corzine (D) signed into law a law, the Ensuring Prescription Drug Access Act, last year that requires state agencies to examine pricing strategies and incentives for new drugs approved under the Affordable Care Act and their price tags. The law allows task force to monitor the prices, determine whether price increases are justified and investigate practices by manufacturers that "have inflated the prices of prescription drugs in New Jersey." The task force issued a report last month that criticized the price for second-generation of valproate, the generic version levadopa, and said it is too high but noted that the drug comes with benefits that don't typically apply to brand-name medications for chronic disease. The report focused on drug's potential in bipolar depression. It noted that was approved for acute treatment of depression and that it is usually taken twice daily with meals. The cost of levodopa in New Jersey for a 30-day course of treatment is $2,000 to $3,000 per day, according the report. cost of levodopa in the United States, according to Pharmaceutical Research and Manufacturers of America, a trade group, is $1,600 to $1,800 per day. But levodopa "is an extremely expensive drug," said Dr. Stephen Ross, the chief medical officer of New Jersey Society. "It's not a high-volume drug, yet it's priced so exorbitantly, too." The study showed that price of brand-name levodopa in the United States was $8,722 in March 2009. New Jersey's prices on levodopa in the federal database are $9,861 to $14,085. "Levodopa is, by far, the most expensive drug covered by the Affordable Care Act for mental health," according to a New Jersey task force report. "A 30-day course of 30 milligrams levodopa costs about $13,100 in the U.S. cost of levodopa in the state New Jersey is $20,858 per month." Mistry said that for several reasons, the price of levodopa in New Jersey remains high, even though the drug is covered by Medicaid. The state's drug coverage rates have been set by the federal government, not state, so the Medicaid program makes price determinations on what's affordable. "For many years, the state has made decisions based on the federal Medicaid program and not on New Jersey's own health insurance marketplace," Mistry said. "I think it's important that we get this right for patients in New Jersey." Ross pointed to the fact that Levodopa was approved at a time when there was "an explosion of medication for chronic conditions that required the drug to be prescribed" that makes the brand-name version of drug more valuable. A similar story has played out on other medications that have similar costs, said Dr. William G. Lutz, a professor of psychiatry and behavioral sciences at the University of Pennsylvania. Lutz, who has written books on mental health and drug prices, said that although Levodopa is the new brand name for drug, Levadopa "was approved as the second-generation of drug, meaning it was the first drug, approved, for a new indication." "It's the same thing in New Jersey, the same thing in other states," Lutz said. "The more new drugs are approved, the more expensive drug becomes because the price is set by national marketplace rather than the state." "We've had a lot of really good drugs, but we've had a lot of bad ones too, and I don't know any state in the nation that has had no new drugs on the market at all since 1992," he said. Lutz said there are two things to look for in price increases of drugs. The first is whether they are new or old drugs with an approved use that hasn't been expanded to a new condition. That has been the case with levodopa. second is whether the increases apply to.

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