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Eli Lilly CEO on drug prices: Patients are paying too much out-of-pocket costs - YouTube
Channel: Fox Business
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our top story this half-an-hour the
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rising cost of health care in America
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meanwhile according to the Centers for
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Medicare and Medicaid Services Americans
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are expected to spend 360 billion
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dollars on prescription drugs this year
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Jenna me right now is the chairman and
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CEO of Eli Lilly Dave Rix and it's good
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to see it's a thanks so much for joining
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us to be here yes when it gets to this
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issue of expensive drug care but first
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you were out with your 2019 forecast
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yesterday you had a capital markets day
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telling the analyst community about
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what's in store for the new year tell us
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about your expectations yeah so we we
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had a good meeting yesterday down on
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Wall Street talking about all the
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launches of new medicines that have
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happened in the last five years ten new
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medicines for patients and what's ahead
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ten more in the next five years this is
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driving our growth and we raised our
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guidance and you know had a good
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discussion about what the possibilities
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in the pharmaceutical industry for
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investing in science and creating
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breakthroughs in areas like breast
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cancer diabetes migraine prevention yeah
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tell us about the pipeline in terms of
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this next ten drugs that you're planning
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in the in the coming years and where the
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growth is right now at Eli Lilly well
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the growth is really happening on our
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newest medicines which have launched in
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the last five years diabetes the most
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important category for us and one of the
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most important diseases afflicting
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Americans it's common and we need better
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medicines for diabetes Lilly's producing
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those a product coat trulicity is really
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the leading brand for us there we also
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recently launched a new medicine for
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pain for migraine prevention so 30
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million Americans mostly women suffer
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from migraines about half of those are
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eligible for a new class of medicines
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launched this year we have one of them
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which you take once a month a shot and
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it prevents migraines from reoccurring
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about half the number of migraines for
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patients who take this and then finally
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breast cancer it's a area we've invested
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in and new medicines coming there one we
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launched last fall
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yeah the immunology growth story
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obviously is is picking up and people
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are recognizing what you've got but in
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terms of the migraines why is it largely
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women yeah so that's a function of the
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disease so women usually during their
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reproductive years that's where the most
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instant is it happens in men as well but
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about 80% of the sufferers are women in
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the middle of their life there
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King age and in our studies even the
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more moderate patients who came into the
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study we're having nine migraine attacks
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a month so can you imagine almost a
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hundred migraines a year Wow
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these new medicines Lily has one of them
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are showed that you could reduce those
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in half and even some women even had no
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migraines in a month so completely
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remiss in the disease it's the kind of
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innovation we're investing in and the
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things our industry can do when we
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invest in science bring new medicines
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forward this is this is a real new set
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of diverse drugs the new drugs are
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showing real diversity and it's really
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and the stock actually moved you also
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announces a 15 percent dividend increase
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correct tell us about the plans for
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allocating capital in the new year yeah
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so our strategy to first invest as I
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said in the science so R&D spending were
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one of the the most significant spenders
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of R&D across all of America almost 25
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percent of what we sell we put back into
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R&D we're also looking to acquire new
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medicines from biotech companies and
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we'd like to invest in that as well and
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then whatever's left at the end we're
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going to give back in dividends and
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share repurchase to our shareholders but
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really our main goal is to build for the
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future and we think now is a great time
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to invest in these new modalities new
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ways to treat serious disease and that's
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what our business is that's all right
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here today you could be investing in
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biotech or you could make an acquisition
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so where does that stand in terms of
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creating more scale perhaps the
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requisition all of the above so we're
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not interested in large-scale
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acquisitions we're interested in
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attracting new medicines into our
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pipeline that can really change the
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standards to care for patients and in
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terms of the FDA today and the process
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the regulatory process to get a drug to
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the market have things change in the
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last five years from your standpoint
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they have we've seen good improvements
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at the FDA more consistent and faster
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and I think that's what Americans want
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they want the new medicines now it's
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also good for our industry to have a
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predictable path through the FDA
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Commissioner Gottlieb's done a good job
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I think in history path they want the
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medicines now but they also want the
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medicines to be affordable according to
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CMS there has been a 4% decline in the
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number of people signing up for the
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Affordable Care Act this year what are
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the implications there and what about
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the price of drugs what's how do you get
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prices lower yeah this is something
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everybody wants to see Park
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including Lily including our industry
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yeah what the debate is about is how to
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do this it's an interesting situation
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ray because you have drug price
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inflation just reported last year in the
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u.s. 0.4 percent so we don't have a drug
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price increased problem to the system we
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have a drug price increase problem to
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the patient why because they're paying
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list prices and increasingly insurance
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design has patients paying full price
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for their medicines rather than the
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negotiated price drug companies have
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with their insurance company that's
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really a core issue that needs to change
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well I mean the competitive landscape I
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mean is is such that when you have a
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drug on the market that's cheaper I mean
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look to of your competitors
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GlaxoSmithKline and Pfizer announced
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this week they're merging their consumer
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healthcare divisions is that a way to
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get prices in in a better state where
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you actually see companies coming
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together maybe that's a combination for
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over-the-counter medications the kind
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you would just buy off the shelf at
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Walgreens or CVS really our business is
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prescription medications where you go to
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your doctor you need a prescription I
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mean when you if you need a prescription
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and you're sick you need a prescription
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for a cancer medication you're talking
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about a hundred and fifty thousand
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dollars a year in some cases those are
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that those are the costs now that's
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because R&D is expensive there's very
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few patients with some of these
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conditions and the way the economics
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work is those cancer medications are
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paying for the R&D for the next cancer
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medications as I said the real issue is
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out-of-pocket costs for patients and I
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want to just be clear we're for change
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in that in that model patients are
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paying too much out-of-pocket cost so
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the administration's proposed a number
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of ways to get at this including
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narrowing the spread between that list
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price and the net pricing and we think
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some of those are good ideas whether it
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be passing through rebates that your
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insurance company negotiates on your
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behalf today they negotiate the rebates
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but mostly don't share them with
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patients this is something we do at our
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insurance design that Lily for our
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employees yeah we think more companies
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should do that or in federal programs
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like the Part D program which is
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prescriptions in Medicare for seniors
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passing through more of the savings
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directly to the patient
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are you expecting in terms of the new
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drugs that we're looking forward to in
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the pipeline
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you were expecting regulatory approval
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on the nasal drug the the nasal glucagon
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yeah this is an important drug if you
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have diabetes one of the biggest fears
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for patients is you're gonna have what
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they call hypoglycemia low blood sugar
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where you get dizzy or even pass out
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it's dangerous and taking the the rescue
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medication for that today is an
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injection many steps it's complicated
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sometimes if if you had type 1 diabetes
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your child or your your loved one would
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have to give that to you that's scary
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this is just a puff to the nose it's
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under review at the FDA so we can't say
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too much about that but that could be a
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great new convenient way to have people
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rescue themselves from a hypo I see how
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many reviews how many approvals would
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you expect in the next three years we
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are expecting as many as six in the next
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three years yeah so again about two a
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year that's the cadence Ron again great
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time to invest in innovation the key
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thing is we need to get these prices
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down for consumers reduce their
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out-of-pocket costs
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we're supportive of a lot of the
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policies out there and we're anxious to
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engage with policy makers didn't really
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get to pass that problem great great
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outlook thanks so much
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but you see Dave favorites turning us is
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the CEO at Eli Lilly
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